Mitoxantrone and cyclophosphamide in advanced breast cancer: a pilot study.

Abstract:

:A trial of combination chemotherapy using mitoxantrone-cyclophosphamide was started in 1983. Sixteen patients with widely metastatic cancer of the breast, including one man, received mitoxantrone, 10 mg/m2 intravenously (IV) over 30 minutes on day 1, followed by cyclophosphamide, 200 mg/m2 by mouth (PO) daily in divided doses on days 3 to 6. It is too early to evaluate four patients at present. The remaining 12 received three or more courses of treatment, and three of these patients achieved a complete response. Another four patients went into partial remission, amounting to an overall response rate of 58%. The other evaluable patients showed stable disease with improved symptoms. Hematologic toxicity was mainly granulocytopenia, but thrombocytopenia occurred in two patients. Alopecia, nausea, and vomiting were attributed to the cyclophosphamide component of the therapy. Mitoxantrone appeared to have no cardiac toxicity. It was concluded that mitoxantrone-cyclophosphamide is an effective chemotherapeutic combination with minimal toxicity and should be further studied in larger controlled trials.

journal_name

Semin Oncol

journal_title

Seminars in oncology

authors

McDonald DB,Abu-Zahra H,Yoshida S,Binder H

subject

Has Abstract

pub_date

1984-09-01 00:00:00

pages

19-22

issue

3 Suppl 1

eissn

0093-7754

issn

1532-8708

journal_volume

11

pub_type

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