Pharmacokinetic and pharmacodynamic basis for the treatment of metastatic breast cancer with high-dose medroxyprogesterone acetate.

Abstract:

:Postmenopausal patients with metastatic breast cancer were treated with medroxyprogesterone acetate (MPA) (Clinovir) in dosages between 500 and 1500 mg orally per day. The relation of MPA plasma concentrations and endocrine effects were studied in a longitudinal fashion. MPA exerted suppressive effects on the basal and gonadotropin-releasing hormone (GnRH) stimulated gonadotropin secretion, cortisol, dehydroepiandrosterone (DHEA), and estradiol (E2) in a dose-dependent manner leading to a complete suppression with 1500 mg orally per day. The depression of thyroid hormones (T3 and T4) coincided with a depression of the thyroxine-binding index (TBI). MPA did not affect human growth hormone (hGH), basal and thyrotropin-releasing hormone (TRH) stimulated thyroid-stimulating hormone (TSH) and aldosterone. Basal and TRH-stimulated prolactin (PRL) secretion showed a slight but distinct elevation. From these data it is concluded that in postmenopausal patients MPA exerts its antitumor activity by an interference with the hypothalamo-pituitary adrenal axis in the sense of a selective pharmacologic hypophysectomy leading to complete suppression of adrenal steroid secretion. Additionally, MPA inhibits tumor cell growth through the progesterone receptor. A dual mechanism for the antitumor activity of high dose is postulated MPA: ablative through suppression of the hypothalamo-pituitary-adrenal axis and subsequent estrogen deprivation, and additive via the progesterone receptor directly on the tumor cell. The significance of gonadotropin suppression in the postmenopause for breast cancer growth is unclear. The depression of T3 and T4 is due to a depression of thyroid hormone-binding proteins. The elevation of PRL secretion may be explained by a slight estrogenic activity of MPA metabolites.

journal_name

Cancer

journal_title

Cancer

authors

Blossey HC,Wander HE,Koebberling J,Nagel GA

doi

10.1002/1097-0142(19840915)54:1+<1208::aid-cncr282

subject

Has Abstract

pub_date

1984-09-15 00:00:00

pages

1208-15

issue

6 Suppl

eissn

0008-543X

issn

1097-0142

journal_volume

54

pub_type

杂志文章

相关文献

CANCER文献大全
  • Evaluation of chromosome aneuploidy in tissue sections of preinvasive breast carcinomas using interphase cytogenetics.

    abstract:BACKGROUND:Little is known about cellular level genetic alterations in preinvasive breast lesions, particularly lobular carcinoma in situ. METHODS:We employed fluorescence in situ hybridization (FISH) using pericentromeric (alpha satellite) probes to assess numerical alterations of chromosomes 1, 7, 8, 16, 17, and X i...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(SICI)1097-0142(19960115)77:2<315::AID-CNC

    authors: Visscher DW,Wallis TL,Crissman JD

    更新日期:1996-01-15 00:00:00

  • Early surveillance is associated with less incidence and severity of breast cancer-related lymphedema compared with a traditional referral model of care.

    abstract:BACKGROUND:Bioimpedance spectroscopy (BIS) has enabled the early identification of breast cancer-related lymphedema. In this study, differences in health service metrics and in the incidence of breast cancer-related lymphedema are evaluated in an early surveillance model of care compared with a traditional referral mod...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.31873

    authors: Koelmeyer LA,Borotkanics RJ,Alcorso J,Prah P,Winch CJ,Nakhel K,Dean CM,Boyages J

    更新日期:2019-03-15 00:00:00

  • Survival results in adult patients treated for medulloblastoma.

    abstract::The records of all 27 adult patients (age, greater than or equal to 16 years) diagnosed with cerebellar medulloblastoma between 1968 and 1986 were reviewed. Twenty-four patients (89%) were treated with postoperative megavoltage irradiation. Twenty of these patients underwent craniospinal irradiation. Sixteen patients ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19920415)69:8<2143::aid-cncr2820

    authors: Hazuka MB,DeBiose DA,Henderson RH,Kinzie JJ

    更新日期:1992-04-15 00:00:00

  • Cerebral metastases as first symptom of bronchogenic carcinoma. A prospective study of 37 cases.

    abstract::Among the patients showing evidence of cerebral metastases without previously known cancer history, lung cancer has been found 37 times as the primary tumor in our institution. There were 34 men and three women and all but two were heavy smokers. Only one presented at diagnosis with thoracic symptoms but the chest rad...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19910601)67:11<2935::aid-cncr282

    authors: Trillet V,Catajar JF,Croisile B,Turjman F,Aimard G,Bourrat C,Bret P,Carrie C,Chassard JL,Chauvin F

    更新日期:1991-06-01 00:00:00

  • Radioimmunoassay for plasma glutathione S-transferase-pi and its clinical application in gastrointestinal cancer.

    abstract:BACKGROUND:Plasma acidic glutathione S-transferase (GST-pi) concentrations in 135 patients with gastrointestinal cancer were measured by an improved radioimmunoassay (RIA). METHODS:Blood was collected into a silicified glass tube containing a specific anticoagulant. The plasma, which was separated rapidly by centrifug...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19951015)76:8<1363::aid-cncr2820

    authors: Fan KC,Huang YC,Li CH

    更新日期:1995-10-15 00:00:00

  • Decisional burden among parents of children with cancer.

    abstract:BACKGROUND:Despite growing evidence and support for shared decision making, little is known about the experiences of parents who hold more active roles than they wish. METHODS:This was a prospective cohort study of 372 parents of children with cancer and their oncologists at 2 academic pediatric hospitals. Parents wer...

    journal_title:Cancer

    pub_type: 杂志文章,多中心研究

    doi:10.1002/cncr.31939

    authors: Sisk BA,Kang TI,Goldstein R,DuBois JM,Mack JW

    更新日期:2019-04-15 00:00:00

  • A phase II trial of dexamethasone, vitamin D, and carboplatin in patients with hormone-refractory prostate cancer.

    abstract:BACKGROUND:A Phase II prospective trial was performed to study the efficacy of combination therapy with dexamethasone, calcitriol (1,25-dihydroxyvitamin D3), and carboplatin in patients with hormone-refractory prostate cancer (HRPC). Preclinical data from prostate cancer cell lines suggested a synergistic effect of the...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.21982

    authors: Flaig TW,Barqawi A,Miller G,Kane M,Zeng C,Crawford ED,Glodé LM

    更新日期:2006-07-15 00:00:00

  • Sarcomas (other than Ewing's) of flat bones in children and adolescents. A clinicopathologic study.

    abstract::The clinicopathologic features and response to therapy of 28 patients with non-Ewing's flat bone sarcoma treated at St. Jude Children's Research Hospital, Memphis, Tennessee, over a 25-year period were reviewed. Twenty-two patients had osteosarcoma, four malignant fibrous histiocytoma, one chondrosarcoma, and one fibr...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19900215)65:4<1011::aid-cncr2820

    authors: Kellie SJ,Pratt CB,Parham DM,Fleming ID,Meyer WH,Rao BN

    更新日期:1990-02-15 00:00:00

  • New strategies are needed in diffuse malignant mesothelioma.

    abstract:BACKGROUND:Medical records of 50 patients with malignant mesothelioma were reviewed to determine the clinical features and factors influencing survival. METHODS:Charts of all patients whose conditions were diagnosed as malignant mesothelioma were abstracted and analyzed by statistical software. RESULTS:The male-to-fe...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19921215)70:12<2969::aid-cncr282

    authors: Sridhar KS,Doria R,Raub WA Jr,Thurer RJ,Saldana M

    更新日期:1992-12-15 00:00:00

  • Overexpression in colorectal carcinoma of two lysosomal enzymes, CLN2 and CLN1, involved in neuronal ceroid lipofuscinosis.

    abstract:BACKGROUND:Lysosomal proteases are implicated in cancer progression and metastasis. In the current study, using subtraction cloning for genes that are differentially expressed in metastasis, the authors isolated a clone encoding ceroid lipofuscinosis, neuronal 2 (CLN2), which is a lysosomal serine protease defective in...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.21764

    authors: Tsukamoto T,Iida J,Dobashi Y,Furukawa T,Konishi F

    更新日期:2006-04-01 00:00:00

  • Thymic carcinoid. A histologic, immunohistochemical, and ultrastructural study of 12 cases.

    abstract::Twelve cases of thymic carcinoid were studied by electron microscopy and immunohistochemistry. Clinically, all of them presented either as asymptomatic, radiographically detected mediastinal masses or as neoplasms producing symptoms of thoracic structural displacement or Cushing's syndrome. By light microscopic examin...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19840201)53:3<475::aid-cncr28205

    authors: Wick MR,Scheithauer BW

    更新日期:1984-02-01 00:00:00

  • Artificial neural networks: opening the black box.

    abstract::Artificial neural networks now are used in many fields. They have become well established as viable, multipurpose, robust computational methodologies with solid theoretic support and with strong potential to be effective in any discipline, especially medicine. For example, neural networks can extract new medical infor...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(20010415)91:8+<1615::aid-cncr117

    authors: Dayhoff JE,DeLeo JM

    更新日期:2001-04-15 00:00:00

  • Bronchial mucoepidermoid carcinoma metastatic to skin. Report of a case and review of the literature.

    abstract::A case of bronchial mucoepidermoid carcinoma is reported, the presentation of which was as cutaneous metastases. Histologic, histochemical, and ultrastructural features of the neoplasm are described, and the literature pertaining to bronchial mucoepidermoid carcinoma is reviewed. This case illustrates the potential fo...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19861201)58:11<2556::aid-cncr282

    authors: Metcalf JS,Maize JC,Shaw EB

    更新日期:1986-12-01 00:00:00

  • The long-term postsurgical prognosis of patients with pineoblastoma.

    abstract:BACKGROUND:For this report, the authors comprehensively summarized the existing literature on patients with pineoblastoma and identified the variables and treatments that had an impact patient on outcomes. METHODS:A comprehensive search identified 109 studies that collectively described the outcomes of patients with p...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/cncr.26300

    authors: Tate M,Sughrue ME,Rutkowski MJ,Kane AJ,Aranda D,McClinton L,McClinton L,Barani IJ,Parsa AT

    更新日期:2012-01-01 00:00:00

  • The Department of Veterans Affairs' unique clinical cancer research effort.

    abstract::Without organized clinical trials, we are doomed to repeat our mistakes endlessly. There are many genuine conflicts of interest intrinsic to clinical research. Some of these arise from the necessity of admitting that we as physicians do not know the best way to treat every disease or each patient and that all treatmen...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(19941101)74:9+<2701::aid-cncr282

    authors: Hrushesky WJ

    更新日期:1994-11-01 00:00:00

  • Fine-needle aspiration of chromophobe renal cell carcinoma. Analysis of six cases.

    abstract:BACKGROUND:The chromophobe variant of renal cell carcinoma is a recently described and frequently unrecognized tumor. Because the prognosis of the chromophobe variant appears to be intermediate between that of oncocytoma and the clear cell variant of renal cell carcinoma, accurate diagnosis may be important for appropr...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19970425)81:2<122::aid-cnc

    authors: Granter SR,Renshaw AA

    更新日期:1997-04-25 00:00:00

  • Lethal midline granuloma with a novel T-cell phenotype as found in peripheral T-cell lymphoma.

    abstract::Lethal midline granuloma (LMG), initially a clinical description, includes an uncommon group of disorders characterized by a relentless, destructive process involving the upper respiratory structures. Its etiology and pathogenesis are uncertain, probably varied, and the distinction between inflammatory and malignant p...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19870301)59:5<936::aid-cncr28205

    authors: Lippman SM,Grogan TM,Spier CM,Koopmann CF Jr,Gall EP,Shimm DS,Durie BG

    更新日期:1987-03-01 00:00:00

  • Disease control intervals in high-risk neuroblastoma.

    abstract:BACKGROUND:Current salvage therapy for recurrent high-risk neuroblastoma is rarely curative. Assessment of the effectiveness of new, primarily cytostatic agents requires the redefinition of study endpoints to reflect disease stabilization rather than tumor response or regression. The intervals of disease control in the...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.23507

    authors: Santana VM,Furman WL,McGregor LM,Billups CA

    更新日期:2008-06-15 00:00:00

  • Notch3 expression correlates with thyroid cancer differentiation, induces apoptosis, and predicts disease prognosis.

    abstract:BACKGROUND:Thyroid tumorigenesis is characterized by a progressive loss of differentiation exhibited by a range of disease variants. The Notch receptor family (1-4) regulates developmental progression in both normal and cancerous tissues. This study sought to characterize the third Notch isoform (Notch3) across the var...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.30403

    authors: Somnay YR,Yu XM,Lloyd RV,Leverson G,Aburjania Z,Jang S,Jaskula-Sztul R,Chen H

    更新日期:2017-03-01 00:00:00

  • Clinical and economic burden associated with stage III to IV triple-negative breast cancer: A SEER-Medicare historical cohort study in elderly women in the United States.

    abstract:BACKGROUND:The current study was performed to describe patient characteristics, treatment patterns, survival, health care resource use (HRU), and costs among older women in the United States with advanced (American Joint Committee on Cancer stage III/IV) triple-negative breast cancer (TNBC) in the Surveillance, Epidemi...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.31299

    authors: Schwartz KL,Simon MS,Bylsma LC,Ruterbusch JJ,Beebe-Dimmer JL,Schultz NM,Flanders SC,Barlev A,Fryzek JP,Quek RGW

    更新日期:2018-05-15 00:00:00

  • Malignant rhabdoid tumor of the pelvis.

    abstract::An extrarenal malignant rhabdoid tumor (MRT) of the pelvis in a 14-year-old girl is described. The location of the tumor and age of the patient appear to be unique. The neoplasm is histologically and ultrastructurally identical to malignant rhabdoid tumor of the kidney seen in infants and very young children. The tumo...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19850501)55:9<1963::aid-cncr2820

    authors: Frierson HF Jr,Mills SE,Innes DJ Jr

    更新日期:1985-05-01 00:00:00

  • Growth inhibitory effects of paclitaxel on human epithelioid sarcoma in vitro: heterogeneity of response and the multidrug resistance phenotype.

    abstract:BACKGROUND:Epithelioid sarcoma is a highly malignant soft tissue tumor that is largely resistant to conventional chemotherapy and radiotherapy. Because paclitaxel has been proven to be effective in other human malignancies refractory to conventional chemotherapy, the authors analyzed the in vitro growth inhibitory effe...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(20000401)88:7<1614::aid-cn

    authors: Reinecke P,Knopf C,Schmitz M,Schneider EM,Gabbert HE,Gerharz CD

    更新日期:2000-04-01 00:00:00

  • X;6 translocation in a child with congenital acute lymphocytic leukemia.

    abstract::A case of congenital acute lymphoblastic leukemia (ALL) displayed an X;6 translocation. This is the third reported case of ALL with an X;6 translocation. In addition, two of the three ALL cases occurred during infancy, at ages 2 months and newborn, and both translocations involved the band q15-16 region of chromosome ...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(19920201)69:3<799::aid-cncr28206

    authors: Carney LA,Kinney JS,Higgins RR,Freeman AI,Hecht BK,Woods GM

    更新日期:1992-02-01 00:00:00

  • Clinical and prognostic features of patients with Philadelphia chromosome-positive chronic myelogenous leukemia and extramedullary disease.

    abstract::Twenty-four patients who developed extramedullary disease during the course of Philadelphia chromosome-positive chronic myelogenous leukemia are described. The most frequent sites of extramedullary disease were lymph nodes (54%), bone (37%), and skin and soft tissue (29%). The appearance of extramedullary disease was ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19870115)59:2<297::aid-cncr28205

    authors: Terjanian T,Kantarjian H,Keating M,Talpaz M,McCredie K,Freireich EJ

    更新日期:1987-01-15 00:00:00

  • Analysis of racial differences in incidence, survival, and mortality for malignant tumors of the uterine corpus.

    abstract:BACKGROUND:In the United States, incidence rates for malignant tumors of the uterine corpus are lower among blacks than among whites, whereas mortality rates are higher among blacks. Reasons for the higher level of mortality among blacks have been debated. METHODS:Using data from the Surveillance, Epidemiology, and En...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.11484

    authors: Sherman ME,Devesa SS

    更新日期:2003-07-01 00:00:00

  • Significance of a (4;11) translocation in acute lymphoblastic leukemia.

    abstract::This report describes a case of null cell congenital acute lymphoblastic leukemia associated with a (4;11) translocation. This chromosome abnormality is associated with acute lymphoblastic leukemia and probably more specifically with congenital acute lymphoblastic leukemia. A review of the literature is presented. ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19820801)50:3<503::aid-cncr28205

    authors: Esseltine DW,Vekemans M,Seemayer T,Reece E,Gordon J,Whitehead VM

    更新日期:1982-08-01 00:00:00

  • Cutaneous basal cell carcinomas: distinct host factors are associated with the development of tumors on the trunk and on the head and neck.

    abstract:BACKGROUND:Patients with basal cell carcinoma (BCC) demonstrate marked variation in clinical phenotype, suggesting the presence of distinct subgroups. Patients with truncal lesions comprise an interesting subgroup, because, although the pathogenesis of these tumors is unclear, there is evidence to suggest that their de...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(20010715)92:2<354::aid-cncr1330>

    authors: Ramachandran S,Fryer AA,Smith A,Lear J,Bowers B,Jones PW,Strange RC

    更新日期:2001-07-15 00:00:00

  • The management of early breast carcinoma before and after the introduction of clinical practice guidelines.

    abstract:BACKGROUND:Clinical practice guidelines for the management of breast carcinoma were introduced in Australia in October, 1995. This article describes the management of early-stage breast carcinoma both before and after the introduction of these guidelines. METHODS:All cases of early breast carcinoma that were diagnosed...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.20401

    authors: White V,Pruden M,Giles G,Collins J,Jamrozik K,Inglis G,Boyages J,Hill D

    更新日期:2004-08-01 00:00:00

  • Alternating noncross-resistant combination chemotherapy and active nonspecific immunotherapy with BCG or MER-BCG for advanced breast carcinoma.

    abstract::One hundred fifty-six evaluable patients with metastatic breast cancer were treated with vincristine, Adriamycin and cyclophosphamide alternating at fixed intervals with 5-FU and methotrexate. Immunotherapy with BCG or MER-BCG was administered to all patients in two consecutive treatment programs. Overall objective re...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章

    doi:10.1002/1097-0142(19800215)45:4<742::aid-cncr28204

    authors: Blumenschein GR,Hortobagyi GN,Richman SP,Gutterman JU,Tashima CK,Buzdar AU,Burgess MA,Livingston RB,Hersh EM

    更新日期:1980-02-15 00:00:00

  • Malignant peripheral neuroectodermal tumors. A retrospective analysis of 42 patients.

    abstract::The clinical presentation of the disease and the results of treatment in 42 patients with malignant peripheral neuroectodermal tumors (MPNT) entered into the Cooperative Ewing's, soft tissue, and neuroblastoma trials of the German Society of Pediatric Oncology were retrospectively analyzed. Within the Ewing's sarcoma ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19880115)61:2<349::aid-cncr28206

    authors: Jürgens H,Bier V,Harms D,Beck J,Brandeis W,Etspüler G,Gadner H,Schmidt D,Treuner J,Winkler K

    更新日期:1988-01-15 00:00:00