Advanced ovarian carcinoma: a prospective and randomized clinical trial of cyclophosphamide versus combination cytotoxic chemotherapy (Hexa-CAF).

Abstract

Fifty-seven evaluable patients with advanced ovarian carcinoma were randomized to receive either a combination of hexamethylmelamine, cyclophosphamide, methotrexate and 5-fluorouracil (Hexa-CAF) or high-dose cyclophosphamide alone given intravenously intermittently. Objective responses were seen in 62% of patients receiving cyclophosphamide alone, and 36% of patients in the Hexa-CAF regimen, this difference being statistically significant (P less than 0.05). The median duration of objective response (10 months vs. 9 months) and the median survival (11 months vs. 10 months) were greater in the cyclophosphamide group, but these differences were not statistically significant. It is concluded that there is no therapeutic advantage for the Hexa-CAF protocol over the alkylating agent used alone.

• Authors: J Carmo-Pereira, F O Costa, E Henriques, J A Ricardo
• Journal: Cancer (Cancer) Vol. 48 Issue 9 Pg. 1947-51 (Nov 01 1981) ISSN: 0008-543X [Print] United States
• PMID: 6271386 (Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial)

Chemical References

• Antineoplastic Agents
• Cyclophosphamide
• Altretamine
• Fluorouracil
• Methotrexate

Topics

• Adenocarcinoma, Mucinous (drug therapy)
• Adult
• Aged
• Altretamine (administration & dosage, adverse effects)
• Antineoplastic Agents (administration & dosage, adverse effects)
• Carcinoma (drug therapy)
• Clinical Trials as Topic
• Cyclophosphamide (administration & dosage, adverse effects)
• Drug Therapy, Combination
• Female
• Fluorouracil (administration & dosage, adverse effects)
• Humans
• Methotrexate (administration & dosage, adverse effects)
• Middle Aged
• Ovarian Neoplasms (drug therapy)
• Prognosis
• Prospective Studies