Sequential cyclophosphamide and doxorubicin for induction of complete remission in children with disseminated neuroblastoma.

Abstract:

:When 70 children with disseminated neuroblastoma were treated for 4 months with a course of cyclophosphamide and doxorubicin (Adriamycin) 35 (52%) of 68 assessable patients achieved complete remissions, 13 had partial responses, and 20 had either less than a 50% regression of tumor or evidence of tumor progression. Of the 35 children with complete responses, three received local irradiation, but for the remainder, chemotherapy alone provided rapid control of tumor growth. Drug-induced toxicity caused the hospitalization of four of 17 infants and five of 52 older children, but was related to only two of the eight deaths that occurred during treatment. Infants less than 1 year of age were more likely to achieve a complete remission than were older children. That 52% of these patients achieved complete remissions represents a marked improvement over the 22% response rate for patients seen between 1962 and 1974. Of 35 patients with complete responses, 15 have survived, contrasted with only four of 33 patients achieving less than a complete response. Median survival for patients achieving a partial response was 14.4 months, compared to 8.4 months for patients not achieving a response. A kinetically based sequence of chemotherapy seems to produce a high rate of complete remissions in children with disseminated neuroblastoma. To consolidate this gain into curative treatment will require a continuation therapy to prevent the emergence of drug-resistant disease.

journal_name

Cancer

journal_title

Cancer

authors

Green AA,Hayes FA,Hustu HO

doi

10.1002/1097-0142(19811115)48:10<2310::aid-cncr282

subject

Has Abstract

pub_date

1981-11-15 00:00:00

pages

2310-7

issue

10

eissn

0008-543X

issn

1097-0142

journal_volume

48

pub_type

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