Document Detail


A phase II trial of vinorelbine and thiotepa in metastatic breast cancer.
MedLine Citation:
PMID:  7786825     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Vinorelbine as single-agent has achieved an overall response rate of > 20% as second-line treatment and 40%-50% as first-line treatment. The aim of this study was to evaluate the activity and toxicity of the combination of vinorelbine and thiotepa as second-line treatment in patients with metastatic breast cancer. PATIENTS AND METHODS: Thirty-three patients (31: anthracycline-based chemotherapy, 16: high-dose epirubicin) were given vinorelbine 30 mg/m2 and thiotepa 12 mg/m2 d 1 and 8 every 21 days. RESULTS: Among the 32 evaluable patients two complete responses and seven partial responses were observed, for an overall response rate of 28% (C.I. 12-44). The median duration of response was 9 months and the median time to progression 6 months. Significant toxicity was primarily leukopenia (72%); anemia was also frequent (48%) as well as local phlebitis (39%). CONCLUSION: The present study has shown this combination to be active as second-line treatment, and its toxic effects have been well tolerated. It should be considered a reasonable option for patients with metastatic disease who have already been treated with anthracyclines.
Authors:
A Fabi; R Tonachella; A Savarese; S Cirulli; S Tomao; E Conte; F Cognetti
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Publication Detail:
Type:  Clinical Trial; Clinical Trial, Phase II; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Annals of oncology : official journal of the European Society for Medical Oncology / ESMO     Volume:  6     ISSN:  0923-7534     ISO Abbreviation:  Ann. Oncol.     Publication Date:  1995 Feb 
Date Detail:
Created Date:  1995-07-27     Completed Date:  1995-07-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9007735     Medline TA:  Ann Oncol     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  187-9     Citation Subset:  IM    
Affiliation:
Servizio di Oncologia Medica, Istituto Regina Elena per lo Studio e la Cura dei Tumori, Rome, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Antineoplastic Combined Chemotherapy Protocols / adverse effects,  therapeutic use*
Bone Marrow Diseases / chemically induced
Breast Neoplasms / drug therapy*,  mortality,  pathology
Drug Resistance
Female
Humans
Life Tables
Menopause
Middle Aged
Neoplasm Metastasis
Phlebitis / chemically induced
Remission Induction
Salvage Therapy
Survival Analysis
Thiotepa / administration & dosage,  adverse effects
Treatment Outcome
Vinblastine / administration & dosage,  adverse effects,  analogs & derivatives
Chemical
Reg. No./Substance:
52-24-4/Thiotepa; 71486-22-1/vinorelbine; 865-21-4/Vinblastine
Comments/Corrections
Comment In:
Ann Oncol. 1995 Feb;6(2):105-7   [PMID:  7786816 ]

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


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