A study of cyclophosphamide, adriamycin, cis-platinum, and methotrexate in advanced transitional cell carcinoma of the urinary tract.

Abstract

Twenty patients with locally advanced and/or metastatic transitional cell cancer of the urinary tract were treated with cyclophosphamide 500 mg/m2, Adriamycin (doxorubicin) 40 mg/m2 and cis-platinum (CDDP) 40 mg/m2 given every three weeks for 2 cycles, alternating with methotrexate 40 mg/m2 weekly for six weeks (CAP-M). Five of thirteen (38%) evaluable patients responded, with a significant prolongation of survival. Toxicity in 18 evaluable patients was mild to moderate. Methotrexate can be combined with CAP with significant reduction in dosage of cyclophosphamide, Adriamycin and CDDP and reduced toxicity, without major loss of efficacy. The precise role of methotrexate in combination chemotherapy of bladder cancer remains to be defined.

• Authors: D L Citrin, T F Hogan, T E Davis
• Journal: Cancer (Cancer) Vol. 51 Issue 1 Pg. 1-4 (Jan 01 1983) ISSN: 0008-543X [Print] United States
• PMID: 6681590 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)

Chemical References

• Antineoplastic Agents
• Doxorubicin
• Cyclophosphamide
• Cisplatin
• Methotrexate

Topics

• Aged
• Antineoplastic Agents (administration & dosage)
• Carcinoma, Transitional Cell (drug therapy, mortality, surgery)
• Cisplatin (administration & dosage, adverse effects)
• Cyclophosphamide (administration & dosage)
• Doxorubicin (administration & dosage)
• Drug Evaluation
• Drug Therapy, Combination
• Female
• Humans
• Male
• Methotrexate (administration & dosage, adverse effects)
• Middle Aged
• Urologic Neoplasms (drug therapy, mortality, surgery)