Successful treatment of metastatic sarcomas with cyclophosphamide, adriamycin, and DTIC (CAD)

Ronald H. Blum, Joseph M. Corson, Richard E. Wilson, Joel S. Greenberger, George P. Canellos, Emil Frei

Research output: Contribution to journalArticlepeer-review

32 Scopus citations

Abstract

Fifty consecutive adults with sarcoma were treated with Adriamycin (45 mg/m2) on day 1, cyclophosphamide (500 mg/m2) on day 2, and DTIC (400 mg/m2) on days 1 and 2 (CAD). Of the 23 patients with measurable metastatic disease, 4 patients (17%) had a complete response, 9 patients (39%) had a partial response, 5 patients (22%) had stabilization, but 5 patients (22%) did not respond. The actuarial survival of complete and partial responders was 31.5 months compared to 5.5 months for non‐responders (P < .005). Chemotherapy doses were escalated to a median lowest white count of 700 cells/mm3. Acute gastrointestinal toxicity and alopecia occurred in all patients. CAD differed from previously reported combinations by omission of vincristine, a two‐day dose schedule and dose rate intensification. CAD is recommended for patients with metastatic sarcoma.

Original languageEnglish
Pages (from-to)1722-1726
Number of pages5
JournalCancer
Volume46
Issue number8
DOIs
StatePublished - 15 Oct 1980
Externally publishedYes

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