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Sökning: WFRF:(Leboulleux Sophie) > Gelderblom Hans > Combination chemoth...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004764naa a2200721 4500
001oai:DiVA.org:uu-175725
003SwePub
008120612s2012 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:124695113
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-1757252 URI
024a https://doi.org/10.1056/NEJMoa12009662 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1246951132 URI
040 a (SwePub)uud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Fassnacht, Martin4 aut
2451 0a Combination chemotherapy in advanced adrenocortical carcinoma
264 1c 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.
700a Terzolo, Massimo4 aut
700a Allolio, Bruno4 aut
700a Baudin, Eric4 aut
700a Haak, Harm4 aut
700a Berruti, Alfredo4 aut
700a Welin, Staffanu Uppsala universitet,Institutionen för medicinska vetenskaper,Onkologisk endokrinologi4 aut0 (Swepub:uu)stafweli
700a Schade-Brittinger, Carmen4 aut
700a Lacroix, André4 aut
700a Jarzab, Barbara4 aut
700a Sorbye, Halfdan4 aut
700a Torpy, David J4 aut
700a Stepan, Vinzenz4 aut
700a Schteingart, David E4 aut
700a Arlt, Wiebke4 aut
700a Kroiss, Matthias4 aut
700a Leboulleux, Sophie4 aut
700a Sperone, Paola4 aut
700a Sundin, Andersu Karolinska Institutet,Uppsala universitet,Enheten för radiologi4 aut0 (Swepub:uu)anderssu
700a Hermsen, Ilse4 aut
700a Hahner, Stefanie4 aut
700a Willenberg, Holger S4 aut
700a Tabarin, Antoine4 aut
700a Quinkler, Marcus4 aut
700a de la Fouchardière, Christelle4 aut
700a Schlumberger, Martin4 aut
700a Mantero, Franco4 aut
700a Weismann, Dirk4 aut
700a Beuschlein, Felix4 aut
700a Gelderblom, Hans4 aut
700a Wilmink, Hanneke4 aut
700a Sender, Monica4 aut
700a Edgerly, Maureen4 aut
700a Kenn, Werner4 aut
700a Fojo, Tito4 aut
700a Müller, Hans-Helge4 aut
700a Skogseid, Brittu Uppsala universitet,Institutionen för medicinska vetenskaper,Endokrin tumörbiologi4 aut0 (Swepub:uu)brittsko
710a Uppsala universitetb Institutionen för medicinska vetenskaper4 org
773t New England Journal of Medicineg 366:23, s. 2189-2197q 366:23<2189-2197x 0028-4793x 1533-4406
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-175725
8564 8u https://doi.org/10.1056/NEJMoa1200966
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:124695113

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