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Therapeutic effects of single-push or fractionated injections or continuous infusion of oxazaphosphorines (cyclophosphamide, ifosfamide, Asta Z 7557).

Abstract
This report describes some experimental and clinical studies showing the following: (1) in animals under protection of mesna the dose of ifosfamide (Ifo) can be increased significantly; (2) fractionated administration of Ifo, cyclophosphamide (CPA), or the stabilized metabolite of cyclophosphamide (ASTA Z 7557) is less toxic than single push-injection of the same total daily dose and therapeutically more effective; and (3) in humans under the protection of mesna the continuous infusions of ifosfamide over 5 days leads to an increase of the MTD compared with single daily short-term infusion and responses in some solid tumors, e.g., soft tissue sarcomas.
AuthorsH O Klein, P D Wickramanayake, E Christian, C Coerper
JournalCancer (Cancer) Vol. 54 Issue 6 Suppl Pg. 1193-203 (Sep 15 1984) ISSN: 0008-543X [Print] United States
PMID6432305 (Publication Type: Clinical Trial, Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Asta Z 7557
  • Cyclophosphamide
  • Mesna
  • Ifosfamide
Topics
  • Animals
  • Clinical Trials as Topic
  • Cyclophosphamide (administration & dosage, analogs & derivatives, toxicity)
  • Humans
  • Ifosfamide (administration & dosage, toxicity)
  • Infusions, Parenteral
  • Kidney (drug effects)
  • Lethal Dose 50
  • Male
  • Mesna (administration & dosage)
  • Mice
  • Mice, Inbred Strains
  • Middle Aged
  • Neoplasms (drug therapy)

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