Combination versus sequential single agent chemotherapy in advanced breast cancer: associations with metastatic sites and long-term survival. The Western Cancer Study Group and The Southeastern Cancer Study Group.

Abstract:

:Two hundred and twenty-two patients with advanced breast cancer were randomised in two separate trials of similar design to either concomitant combination treatment or sequential use of the same drugs given as single agents changed only at disease progression. Both trials used cyclophosphamide, methotrexate, 5-fluorouracil and prednisone; the WCSG using triiodothyronine and the SECSG using vincristine as the remaining agent. A common data base was generated for these trials and combined for analysis. Considering all patients, combination treatment was associated with a significantly increased response (46 versus 25%, P less than 0.05) but not survival improvement. For the 141 patients without liver involvement, survival was closely comparable in both treatment arms. Combination therapy did result in significant survival benefit for patients with liver involvement (P less than 0.05). These studies demonstrate: (1) in the majority of breast cancer patients, sequential single agent therapy can result in survival comparable to combination treatment; and (2) sole consideration of response frequency does not represent the optimal criterion to compare therapeutic approaches in advanced breast cancer.

journal_name

Br J Cancer

authors

Chlebowski RT,Smalley RV,Weiner JM,Irwin LE,Bartolucci AA,Bateman JR

doi

10.1038/bjc.1989.46

subject

Has Abstract

pub_date

1989-02-01 00:00:00

pages

227-30

issue

2

eissn

0007-0920

issn

1532-1827

journal_volume

59

pub_type

临床试验,杂志文章,随机对照试验
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    doi:10.1038/bjc.1993.406

    authors: Hickish T,Cunningham D,Colston K,Millar BC,Sandle J,Mackay AG,Soukop M,Sloane J

    更新日期:1993-10-01 00:00:00

  • Birth characteristics and risk of Wilms' tumour: a nationwide prospective study in Norway.

    abstract::Relationships between incidence of Wilms' tumour and information recorded at birth were investigated in a prospective study of the 1,489,297 children born in Norway between 1967 and 1992. A total of 119 individuals were diagnosed with Wilms' tumour in the age interval 0-14 years. A high length at birth was significant...

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    pub_type: 杂志文章

    doi:10.1038/bjc.1996.505

    authors: Heuch JM,Heuch I,Kvåle G

    更新日期:1996-10-01 00:00:00

  • Machine learning-based prediction of breast cancer growth rate in vivo.

    abstract:BACKGROUND:Determining the rate of breast cancer (BC) growth in vivo, which can predict prognosis, has remained elusive despite its relevance for treatment, screening recommendations and medicolegal practice. We developed a model that predicts the rate of in vivo tumour growth using a unique study cohort of BC patients...

    journal_title:British journal of cancer

    pub_type: 临床试验,杂志文章

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    authors: Bhattarai S,Klimov S,Aleskandarany MA,Burrell H,Wormall A,Green AR,Rida P,Ellis IO,Osan RM,Rakha EA,Aneja R

    更新日期:2019-09-01 00:00:00

  • Role of prolactin receptor and CD25 in protection of circulating T lymphocytes from apoptosis in patients with breast cancer.

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    pub_type: 杂志文章

    doi:10.1038/sj.bjc.6600860

    authors: Bauernhofer T,Kuss I,Friebe-Hoffmann U,Baum AS,Dworacki G,Vonderhaar BK,Whiteside TL

    更新日期:2003-04-22 00:00:00

  • Function and quality-of-life of survivors of pelvic and lower extremity osteosarcoma and Ewing's sarcoma: the Childhood Cancer Survivor Study.

    abstract::Limb-sparing surgeries have been performed more frequently than amputation based on the belief that limb-sparing surgeries provide improved function and quality-of-life (QOL). However, this has not been extensively studied in the paediatric population, which has unique characteristics that have implications for functi...

    journal_title:British journal of cancer

    pub_type: 杂志文章,多中心研究

    doi:10.1038/sj.bjc.6602220

    authors: Nagarajan R,Clohisy DR,Neglia JP,Yasui Y,Mitby PA,Sklar C,Finklestein JZ,Greenberg M,Reaman GH,Zeltzer L,Robison LL

    更新日期:2004-11-29 00:00:00

  • Induction of the growth arrest and DNA damage-inducible gene GADD153 by cisplatin in vitro and in vivo.

    abstract::The inability to assess the extent of tumour damage immediately following treatment is a major clinical obstacle to improving the management of cancer patients. Normally, the effectiveness of chemotherapy or radiation therapy cannot be determined for at least several weeks after treatment. We studied the increase in m...

    journal_title:British journal of cancer

    pub_type: 杂志文章

    doi:10.1038/bjc.1994.455

    authors: Gately DP,Jones JA,Christen R,Barton RM,Los G,Howell SB

    更新日期:1994-12-01 00:00:00

  • High-risk human papillomavirus clearance in pregnant women: trends for lower clearance during pregnancy with a catch-up postpartum.

    abstract::We followed 353 women referred with abnormal cervical cytology in a non-intervention cohort study. In 91 pregnant women we compared high-risk human papilloma virus rates in the subsequent trimesters and postpartum in comparison to 262 non-pregnant women. High-risk human papilloma virus clearance was compared with 179 ...

    journal_title:British journal of cancer

    pub_type: 杂志文章

    doi:10.1038/sj.bjc.6600367

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    更新日期:2002-07-01 00:00:00

  • HapMap-based study of the 17q21 ERBB2 amplicon in susceptibility to breast cancer.

    abstract::ERBB2 is frequently amplified in breast tumours as part of a wide region of amplification on chromosome 17q21. This amplicon contains many candidate genes for breast cancer susceptibility. We used a genetic association study design to determine if common genetic variation (frequency>or=5%) in a 400-kb region surroundi...

    journal_title:British journal of cancer

    pub_type: 杂志文章

    doi:10.1038/sj.bjc.6603473

    authors: Benusiglio PR,Pharoah PD,Smith PL,Lesueur F,Conroy D,Luben RN,Dew G,Jordan C,Dunning A,Easton DF,Ponder BA

    更新日期:2006-12-18 00:00:00

  • microRNA-183 is an oncogene targeting Dkk-3 and SMAD4 in prostate cancer.

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    journal_title:British journal of cancer

    pub_type: 杂志文章

    doi:10.1038/bjc.2013.125

    authors: Ueno K,Hirata H,Shahryari V,Deng G,Tanaka Y,Tabatabai ZL,Hinoda Y,Dahiya R

    更新日期:2013-04-30 00:00:00

  • Quantitative evaluation of metastases in axillary lymph nodes of breast cancer.

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    journal_title:British journal of cancer

    pub_type: 杂志文章

    doi:10.1038/sj.bjc.6601248

    authors: Inokuchi M,Ninomiya I,Tsugawa K,Terada I,Miwa K

    更新日期:2003-11-03 00:00:00

  • Prospective surveillance of women with a family history of breast cancer: auditing the risk threshold.

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    pub_type: 杂志文章,多中心研究

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    authors: Anderson E,Berg J,Black R,Bradshaw N,Campbell J,Carnaghan H,Cetnarkyj R,Drummond S,Davidson R,Dunlop J,Fordyce A,Gibbons B,Goudie D,Gregory H,Holloway S,Longmuir M,McLeish L,Murday V,Miedzybrodska Z,Nicholson D,Pe

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    pub_type: 杂志文章

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    authors: Granata A,Nicoletti R,Tinaglia V,De Cecco L,Pisanu ME,Ricci A,Podo F,Canevari S,Iorio E,Bagnoli M,Mezzanzanica D

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  • A comparison of results achieved in treating two series of patients with Burkitt's lymphoma.

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    journal_title:British journal of cancer

    pub_type: 杂志文章

    doi:10.1038/bjc.1971.6

    authors: Williams EH

    更新日期:1971-03-01 00:00:00

  • Outcome of patients with HIV-related germ cell tumours: a case-control study.

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    journal_title:British journal of cancer

    pub_type: 杂志文章

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    authors: Powles T,Bower M,Shamash J,Stebbing J,Ong J,Daugaard G,De Ruiter A,Johnson M,Fisher M,Anderson J,Nelson M,Gazzard B,Oliver T

    更新日期:2004-04-19 00:00:00

  • Epstein-Barr virus and carcinomas: rare association of the virus with gastric adenocarcinomas.

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    journal_title:British journal of cancer

    pub_type: 杂志文章

    doi:10.1038/bjc.1993.472

    authors: Rowlands DC,Ito M,Mangham DC,Reynolds G,Herbst H,Hallissey MT,Fielding JW,Newbold KM,Jones EL,Young LS

    更新日期:1993-11-01 00:00:00

  • Preferential down-regulation of phospholipase C-beta in Ewing's sarcoma cells transfected with antisense EWS-Fli-1.

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    journal_title:British journal of cancer

    pub_type: 杂志文章

    doi:10.1054/bjoc.1998.0870

    authors: Dohjima T,Ohno T,Banno Y,Nozawa Y,Wen-yi Y,Shimizu K

    更新日期:2000-01-01 00:00:00

  • Detection of lymph node metastasis of oesophageal cancer by RT-nested PCR for SCC antigen gene mRNA.

    abstract::With recent development in molecular biology, reverse transcriptase polymerase chain reaction (RT-PCR) has been applied to detect occult lymph node metastasis, but there have been few reports concerning oesophageal cancer. The objective of this study is to investigate the usefulness of the squamous cell carcinoma (SCC...

    journal_title:British journal of cancer

    pub_type: 杂志文章

    doi:10.1054/bjoc.1999.0938

    authors: Kano M,Shimada Y,Kaganoi J,Sakurai T,Li Z,Sato F,Watanabe G,Imamura M

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  • Vascular endothelial growth factor-C (VEGF-C) expression in human colorectal cancer tissues.

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    journal_title:British journal of cancer

    pub_type: 杂志文章

    doi:10.1054/bjoc.2000.1396

    authors: Akagi K,Ikeda Y,Miyazaki M,Abe T,Kinoshita J,Maehara Y,Sugimachi K

    更新日期:2000-10-01 00:00:00

  • Downregulation of miR-126 induces angiogenesis and lymphangiogenesis by activation of VEGF-A in oral cancer.

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    journal_title:British journal of cancer

    pub_type: 杂志文章

    doi:10.1038/bjc.2012.330

    authors: Sasahira T,Kurihara M,Bhawal UK,Ueda N,Shimomoto T,Yamamoto K,Kirita T,Kuniyasu H

    更新日期:2012-08-07 00:00:00

  • Protumoral roles of melanoma inhibitory activity 2 in oral squamous cell carcinoma.

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    journal_title:British journal of cancer

    pub_type: 杂志文章

    doi:10.1038/bjc.2013.27

    authors: Kurihara M,Kirita T,Sasahira T,Ohmori H,Matsushima S,Yamamoto K,Bosserhoff AK,Kuniyasu H

    更新日期:2013-04-16 00:00:00

  • Cancer risk in Swedish women: the relation to size at birth.

    abstract::The relationship between fetal growth as indicated by weight and length at birth, and cancer risk in 1080 adult Swedish women was examined. Birth factors were retrieved from original midwife records for the years 1914, 1918, 1922 and 1930, and primary cancer cases were identified by matching with national and regional...

    journal_title:British journal of cancer

    pub_type: 杂志文章

    doi:10.1054/bjoc.2000.1738

    authors: Andersson SW,Bengtsson C,Hallberg L,Lapidus L,Niklasson A,Wallgren A,Hulthén L

    更新日期:2001-05-04 00:00:00

  • An evaluation of factors predicting long-term response to thalidomide in 234 patients with relapsed or resistant multiple myeloma.

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    journal_title:British journal of cancer

    pub_type: 杂志文章

    doi:10.1038/sj.bjc.6602225

    authors: Hus I,Dmoszynska A,Manko J,Hus M,Jawniak D,Soroka-Wojtaszko M,Hellmann A,Ciepluch H,Skotnicki A,Wolska-Smolen T,Sulek K,Robak T,Konopka L,Kloczko J

    更新日期:2004-11-29 00:00:00

  • Prognostic value of histological and biological markers in pharyngeal squamous cell carcinoma: a case-control study.

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    journal_title:British journal of cancer

    pub_type: 杂志文章

    doi:10.1038/bjc.1998.320

    authors: Guerry M,Vabre L,Talbot M,Mamelle G,Leridant AM,Hill C,Bosq J,Luboinski B,Janot F

    更新日期:1998-06-01 00:00:00

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    journal_title:British journal of cancer

    pub_type: 杂志文章

    doi:10.1038/sj.bjc.6605024

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    更新日期:2009-05-05 00:00:00

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    authors: Zablotska LB,Ron E,Rozhko AV,Hatch M,Polyanskaya ON,Brenner AV,Lubin J,Romanov GN,McConnell RJ,O'Kane P,Evseenko VV,Drozdovitch VV,Luckyanov N,Minenko VF,Bouville A,Masyakin VB

    更新日期:2011-01-04 00:00:00

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    更新日期:2013-11-26 00:00:00

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    pub_type: 杂志文章,多中心研究

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    authors: Cuzick J,Stone S,Fisher G,Yang ZH,North BV,Berney DM,Beltran L,Greenberg D,Møller H,Reid JE,Gutin A,Lanchbury JS,Brawer M,Scardino P

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    abstract::Tumour cells from 7 patients with ovarian carcinoma and from 22 different human tumour xenografts representing a wide range of histological sub-types have been examined for multicellular spheroid forming ability. Spheroid formation was limited to cells derived from xenografts. Of the 22 lines tested, 5 formed spheroid...

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    pub_type: 杂志文章

    doi:10.1038/bjc.1982.296

    authors: Jones AC,Stratford IJ,Wilson PA,Peckham MJ

    更新日期:1982-12-01 00:00:00