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Efficacy of sequential high-dose doxorubicin and ifosfamide compared with standard-dose doxorubicin in patients with advanced soft tissue sarcoma: An open-label randomized phase II study of the Spanish Group for Research on Sarcomas
Journal of Clinical Oncology, 04/13/09
Maurel J et al. - Study reports that single-agent doxorubicin remains the standard treatment in fit patients with advanced soft tissue sarcoma.
Methods- Aim was to assess the progression-free survival (PFS) and antitumor response to standard-dose doxorubicin vs sequential dose-dense doxorubicin and ifosfamide
- Pts (n=132) with performance status (PS) <2, ages 18-65 yrs, and with adequate bone marrow, liver, and renal function were enrolled
- The stratifications were: ECOG PS (0 v 1), location of metastases, and potentially resectable disease
- Patients were randomly assigned to either:
- Arm A: doxorubicin 75 mg/m2 given as a bolus injection every 3 wks for 6 cycles or
- Arm B: doxorubicin at 30 mg/m2/d for 3 consecutive days x1/ 2 wks for 3 cycles followed by ifosfamide at 12.5 g/m2 delivered by continuous infusion over 5 days x1/ 3 wks for 3 cycles with filgastrim or pegfilgastrim support
- Febrile neutropenia, asthenia, and mucositis were more frequent in the arm B
- The interim preplanned analysis for futility allowed the premature closure
- Objective responses were observed in 23.4% of assessable pts in arm A and 24.1% in arm B
- PFS was 26 wks in the arm A and 24 wks in arm B
- Overall survival did not differ between the two therapeutic arms
Today in Pharmacology/Therapy...keeping you current
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Clinical Benefit of Allogeneic Melanoma Cell Lysate–Pulsed Autologous Dendritic Cell Vaccine in MAGE-Positive Colorectal Cancer Patients
Clinical Cancer Research, 12/11/09
Radiation Therapy for Rectal Cancer: Current Status and Future Directions
Cancer Control, 12/11/09
Current Progress in Targeted Therapy for Colorectal Cancer
Cancer Control, 12/11/09
Today in Soft Tissue/Sarcoma...keeping you current
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Immunoprofile of mesenchymal chondrosarcoma: aberrant desmin and EMA expression, retention of INI1, and negative estrogen receptor in 22 female-predominant central nervous system and musculoskeletal cases
Annals of Diagnostic Pathology, 12/11/09
Birth characteristics and the risk of childhood rhabdomyosarcoma based on histological subtype
British Journal of Cancer, 12/11/09
HER-2 targeted treatment of osteosarcoma: the challenges of developing targeted therapy and prognostic factors for rare malignancies
Expert Opinion in Pharmacotherapy, 12/11/09
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