M-VAC chemotherapy for advanced urothelial cancer--side effects and their management

Since the M-VAC (methotrexate, vinblastine, doxorubicin, cisplatin) regimen was reported by Sternberg in 1985, it has been widely accepted for the treatment of metastatic transitional cell carcinoma. This regimen has a significantly high response rate, but bone marrow suppression and gastrointestina...

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Veröffentlicht in:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 40(1994), 8 vom: 01. Aug., Seite 677-82
1. Verfasser: Noguchi, S (VerfasserIn)
Weitere Verfasser: Kubota, Y, Shuin, T, Masuda, M, Misaki, H, Yao, M, Kondoh, K, Sakuramoto, T, Hosaka, M
Format: Aufsatz
Sprache:Japanese
Veröffentlicht: 1994
Zugriff auf das übergeordnete Werk:Hinyokika kiyo. Acta urologica Japonica
Schlagworte:Clinical Trial English Abstract Journal Article Colony-Stimulating Factors Recombinant Proteins Vinblastine 5V9KLZ54CY Doxorubicin 80168379AG Cisplatin mehr... Q20Q21Q62J Granisetron WZG3J2MCOL Methotrexate YL5FZ2Y5U1
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245 1 0 |a M-VAC chemotherapy for advanced urothelial cancer--side effects and their management 
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520 |a Since the M-VAC (methotrexate, vinblastine, doxorubicin, cisplatin) regimen was reported by Sternberg in 1985, it has been widely accepted for the treatment of metastatic transitional cell carcinoma. This regimen has a significantly high response rate, but bone marrow suppression and gastrointestinal (GI) symptoms are inevitable. To complete this M-VAC regimen, preventive therapy for side effects is necessary. From November 1986 to March 1993, a total of 72 patients were admitted and received M-VAC therapy at our hospital. All of them had metastatic or invasive transitional cell carcinoma and they received a total of 163 complete courses of M-VAC therapy. We examined the side effects of this M-VAC regimen, and evaluated the effectiveness of colony-stimulating factor for prevention of granulocytopenia or granisetron for prevention of GI symptoms. Twenty-three patients (39 courses) were given recombinant colony-stimulating factor. This cytokine prevented the nadir of neutropenia and shortened the period to reach the nadir and period that the neutrophil count was below 1,000/mm3. Twelve patients (26 courses) were given granisetron, with significant reduction of the incidence of GI symptoms. These findings suggest that M-VAC therapy is effective and safe when used in combination with these drugs 
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700 1 |a Shuin, T  |e verfasserin  |4 aut 
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700 1 |a Misaki, H  |e verfasserin  |4 aut 
700 1 |a Yao, M  |e verfasserin  |4 aut 
700 1 |a Kondoh, K  |e verfasserin  |4 aut 
700 1 |a Sakuramoto, T  |e verfasserin  |4 aut 
700 1 |a Hosaka, M  |e verfasserin  |4 aut 
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