Document Detail


Chemotherapy in metastatic, hormone refractory prostatic cancer using chlorambucil in combination with prednisolone versus conjugate, prednimustine (Leo 1031).
MedLine Citation:
PMID:  7015669     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Chlorambucil plus prednisolone were administered to 11 patients with metastasis hormone refractory prostatic cancer, and the results were contrasted with a previously reported series of 23 similar patients treated with the chemical conjugate of these two agents, known as prednimustine or Leo 1031. The conjugated form of treatment (Leo 1031) had a limited therapeutic advantage, in that 3 patients experienced shrinkage of an enlarged prostate, 2 of whom also had elevated acid phosphatase levels return to normal and 5 others experienced only subjective improvement. There were, however, more adverse side effects in this group than those noted in patients treated with the combination of agents. Patients treated with the combination of drugs experienced no appreciable tumor shrinkage and none had acid phosphatase return to normal, although some reduction was noted in 8 of 11 patients who had elevated levels initially. Two of the 11 patients were considered stable for twelve months and one other remained ambulatory with mild pain for six months. Thus, to the degree that these studies permit, it is judged that the conjugated agent may have some limited therapeutic advantage not observed when the unconjugated agents were used.
Authors:
S Beckley; L Z Wajsman; N H Slack; G P Murphy
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  Urology     Volume:  17     ISSN:  0090-4295     ISO Abbreviation:  Urology     Publication Date:  1981 May 
Date Detail:
Created Date:  1981-07-20     Completed Date:  1981-07-20     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0366151     Medline TA:  Urology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  446-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Antineoplastic Agents / administration & dosage*
Chlorambucil / administration & dosage
Clinical Trials as Topic
Drug Therapy, Combination
Humans
Male
Middle Aged
Neoplasm Metastasis
Prednimustine / administration & dosage
Prednisolone / administration & dosage
Prostatic Neoplasms / drug therapy*
Chemical
Reg. No./Substance:
0/Antineoplastic Agents; 29069-24-7/Prednimustine; 305-03-3/Chlorambucil; 50-24-8/Prednisolone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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