Sökning: WFRF:(Leboulleux Sophie) > Gelderblom Hans > Combination chemoth...
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000 | 04764naa a2200721 4500 | |
001 | oai:DiVA.org:uu-175725 | |
003 | SwePub | |
008 | 120612s2012 | |||||||||||000 ||eng| | |
009 | oai:prod.swepub.kib.ki.se:124695113 | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-1757252 URI |
024 | 7 | a https://doi.org/10.1056/NEJMoa12009662 DOI |
024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1246951132 URI |
040 | a (SwePub)uud (SwePub)ki | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Fassnacht, Martin4 aut |
245 | 1 0 | a Combination chemotherapy in advanced adrenocortical carcinoma |
264 | 1 | c 2012 |
338 | a print2 rdacarrier | |
520 | a BACKGROUND:Adrenocortical carcinoma is a rare cancer that has a poor response to cytotoxic treatment.METHODS:We randomly assigned 304 patients with advanced adrenocortical carcinoma to receive mitotane plus either a combination of etoposide (100 mg per square meter of body-surface area on days 2 to 4), doxorubicin (40 mg per square meter on day 1), and cisplatin (40 mg per square meter on days 3 and 4) (EDP) every 4 weeks or streptozocin (streptozotocin) (1 g on days 1 to 5 in cycle 1; 2 g on day 1 in subsequent cycles) every 3 weeks. Patients with disease progression received the alternative regimen as second-line therapy. The primary end point was overall survival.RESULTS:For first-line therapy, patients in the EDP-mitotane group had a significantly higher response rate than those in the streptozocin-mitotane group (23.2% vs. 9.2%, P<0.001) and longer median progression-free survival (5.0 months vs. 2.1 months; hazard ratio, 0.55; 95% confidence interval [CI], 0.43 to 0.69; P<0.001); there was no significant between-group difference in overall survival (14.8 months and 12.0 months, respectively; hazard ratio, 0.79; 95% CI, 0.61 to 1.02; P=0.07). Among the 185 patients who received the alternative regimen as second-line therapy, the median duration of progression-free survival was 5.6 months in the EDP-mitotane group and 2.2 months in the streptozocin-mitotane group. Patients who did not receive the alternative second-line therapy had better overall survival with first-line EDP plus mitotane (17.1 month) than with streptozocin plus mitotane (4.7 months). Rates of serious adverse events did not differ significantly between treatments.CONCLUSIONS:Rates of response and progression-free survival were significantly better with EDP plus mitotane than with streptozocin plus mitotane as first-line therapy, with similar rates of toxic events, although there was no significant difference in overall survival. | |
700 | 1 | a Terzolo, Massimo4 aut |
700 | 1 | a Allolio, Bruno4 aut |
700 | 1 | a Baudin, Eric4 aut |
700 | 1 | a Haak, Harm4 aut |
700 | 1 | a Berruti, Alfredo4 aut |
700 | 1 | a Welin, Staffanu Uppsala universitet,Institutionen för medicinska vetenskaper,Onkologisk endokrinologi4 aut0 (Swepub:uu)stafweli |
700 | 1 | a Schade-Brittinger, Carmen4 aut |
700 | 1 | a Lacroix, André4 aut |
700 | 1 | a Jarzab, Barbara4 aut |
700 | 1 | a Sorbye, Halfdan4 aut |
700 | 1 | a Torpy, David J4 aut |
700 | 1 | a Stepan, Vinzenz4 aut |
700 | 1 | a Schteingart, David E4 aut |
700 | 1 | a Arlt, Wiebke4 aut |
700 | 1 | a Kroiss, Matthias4 aut |
700 | 1 | a Leboulleux, Sophie4 aut |
700 | 1 | a Sperone, Paola4 aut |
700 | 1 | a Sundin, Andersu Karolinska Institutet,Uppsala universitet,Enheten för radiologi4 aut0 (Swepub:uu)anderssu |
700 | 1 | a Hermsen, Ilse4 aut |
700 | 1 | a Hahner, Stefanie4 aut |
700 | 1 | a Willenberg, Holger S4 aut |
700 | 1 | a Tabarin, Antoine4 aut |
700 | 1 | a Quinkler, Marcus4 aut |
700 | 1 | a de la Fouchardière, Christelle4 aut |
700 | 1 | a Schlumberger, Martin4 aut |
700 | 1 | a Mantero, Franco4 aut |
700 | 1 | a Weismann, Dirk4 aut |
700 | 1 | a Beuschlein, Felix4 aut |
700 | 1 | a Gelderblom, Hans4 aut |
700 | 1 | a Wilmink, Hanneke4 aut |
700 | 1 | a Sender, Monica4 aut |
700 | 1 | a Edgerly, Maureen4 aut |
700 | 1 | a Kenn, Werner4 aut |
700 | 1 | a Fojo, Tito4 aut |
700 | 1 | a Müller, Hans-Helge4 aut |
700 | 1 | a Skogseid, Brittu Uppsala universitet,Institutionen för medicinska vetenskaper,Endokrin tumörbiologi4 aut0 (Swepub:uu)brittsko |
710 | 2 | a Uppsala universitetb Institutionen för medicinska vetenskaper4 org |
773 | 0 | t New England Journal of Medicineg 366:23, s. 2189-2197q 366:23<2189-2197x 0028-4793x 1533-4406 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-175725 |
856 | 4 8 | u https://doi.org/10.1056/NEJMoa1200966 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:124695113 |
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