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Long-term survival ...
Long-term survival benefit after adjuvant treatment of cutaneous melanoma with dacarbazine and low dose natural interferon alpha: A controlled, randomised multicentre trial
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Stadler, R. (author)
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Luger, T. (author)
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Bieber, T. (author)
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Kohler, U. (author)
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Linse, R. (author)
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Technau, K. (author)
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Schubert, R. (author)
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Schroth, K. (author)
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Vakilzadeh, F. (author)
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Volkenandt, M. (author)
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Gollnick, H. (author)
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Von Eick, H. (author)
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- Bergh Thorén, Fredrik, 1976 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för biomedicin, avdelningen för infektionssjukdomar,Institute of Biomedicine, Department of Infectious Medicine
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Strannegard, O. (author)
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(creator_code:org_t)
- 2009-07-08
- 2006
- English.
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In: Acta Oncol. - : Informa UK Limited. - 0284-186X. ; 45:4, s. 389-99
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https://doi.org/10.1...
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Abstract
Subject headings
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- In a prospective, controlled, randomised, multicentre study 252 patients with totally resected cutaneous melanoma (248 in stage II-III and 4 in stage IV) were either treated with two doses of dacarbazine (DTIC) followed by a 6-month treatment with 3 MU thrice weekly of highly purified natural interferon-alpha (n = 128; arm A) or received no adjuvant treatment (n = 124; arm B). Treatment was well tolerated. After a median follow-up of 8.5 years ITT analysis showed that the difference in survival was statistically significant with respect to melanoma-related deaths (HR = 0.65, CI = 0.46-0.97, p = 0.022) and close to significance with respect to overall survival (HR 0.71, CI 0.49-1.00, p = 0.052). The risk reduction of melanoma-associated death, calculated by Cox proportional hazards modelling, after adjusting for identified predictive variables, was almost 50% (p = 0.002). The overall efficacy of the treatment appeared to be mainly attributable to effects observed in patients with deep and/or metastasizing tumours (HR 0.60, CI 0.40-0.90, p = 0.013).
Keyword
- Adult
- Aged
- Aged
- 80 and over
- Antineoplastic Combined Chemotherapy Protocols/ therapeutic use
- Chemotherapy
- Adjuvant
- Dacarbazine/administration & dosage
- Female
- Humans
- Interferon-alpha/administration & dosage
- Male
- Melanoma/drug therapy/ mortality
- Middle Aged
- Neoplasm Recurrence
- Local/drug therapy/mortality/secondary
- Neoplasm Staging
- Prospective Studies
- Skin Neoplasms/drug therapy/ mortality
- Survival Rate
Publication and Content Type
- ref (subject category)
- art (subject category)
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Acta Oncol
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- By the author/editor
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Stadler, R.
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Luger, T.
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Bieber, T.
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Kohler, U.
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Linse, R.
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Technau, K.
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show more...
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Schubert, R.
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Schroth, K.
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Vakilzadeh, F.
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Volkenandt, M.
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Gollnick, H.
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Von Eick, H.
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Bergh Thorén, Fr ...
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Strannegard, O.
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show less...
- Articles in the publication
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Acta Oncol
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Acta Oncologica
- By the university
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University of Gothenburg