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Part of the book series: Medical Radiology ((Med Radiol Radiat Oncol))

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Abstract

The application of multiple drugs or combination chemotherapy for the treatment of cancer has become standard practice since its introduction in the 1960s for the treatment of first testicular cancer and subsequently leukemias and Hodgkin’s disease. Today chemotherapy for malignancies virtually always entails the application of multiple agents, either simultaneously or in some planned sequence. The rationale for combination chemotherapy is based upon the concept of affecting multiple metabolic sites within the tumor cell or multiple points during the tumor cell cycle. At a practical level, the use of non-cross-resistant agents without overlapping toxicity maximizes the effectiveness of such combinations. Recent conceptual advances in the application of cancer chemotherapy have introduced the concept of alternating non-cross-resistant agents applied intensively on a weekly basis. Another conceptual development has been the application of biochemical modulation utilizing a noncytotoxic enhancing agent in conjunction with a primary cytotoxic drug.

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References

  • Anderson N, Lokich J, Bern M et al. (1989a) Combined 5-fluorouracil administered as a 14-day infusion. Cancer 63: 825–827

    Article  PubMed  CAS  Google Scholar 

  • Anderson N, Wallach S, Lokich J et al. (1989b) VP16–213 + cisplatinum: 72 hour continuous admixed infusion in 94 patients. ASCO Abs.

    Google Scholar 

  • Anderson N, Lokich J, Bern M et al. (1989c) A Phase I clinical trial of combined fluoropyrimidines with leuco- vorin in a 14-day infusion. Cancer 6: 233–237

    Article  Google Scholar 

  • Bargolie B, Smith L, Alexamann R (1984) Effective treatment of advanced multiple myeloma refractory to alkylating agents. N Engl J Med 310: 1353–1356

    Article  Google Scholar 

  • Creagan E, Richardson R, Kovach J (1988) Pilot study of a continuous five-day intravenous infusion of etoposide concomitant with cisplatin in selected patients with advanced cancer. J Clin Oncol 6: 1197–1201

    PubMed  CAS  Google Scholar 

  • Kish J, Eusley J, Weaver A et al. (1984) Superior response rate with 96 hours 5FU infusion vs 5FU bolus. PASCO Abs. C-695

    Google Scholar 

  • Legha SS, Benjamin RS, MacKay B et al. (1982) Role of Adriamycin in breast cancer and sarcomas. In: Muggia FM, Young CW, Carter SK (eds) Anthracycline antibiotics in cancer therapy. Nijhoff, The Hague, pp 432–434

    Google Scholar 

  • Lokich J (1986) Protracted infusional chemotherapy. In: Lokich J (ed) Cancer chemotherapy by infusion. Precept, Chicago, pp 243–264

    Google Scholar 

  • Lokich J, Phillips D, Green R et al. (1985) 5-Fluorouracil and methotrexate administered simultaneously as a continuous infusion. Cancer 56: 2395–2398

    Article  PubMed  CAS  Google Scholar 

  • Lokich J, Zipoli T, Moore C et al. (1986) Doxorubicin/ vinblastine and doxorubicin/cyclophosphamide combination chemotherapy by continuous infusion. Cancer 58: 1020–1023

    Article  PubMed  CAS  Google Scholar 

  • Lokich J, Anderson N, Bern M et al. (1988) Combined floxuridine and cisplatin in a fourteen day infusion. Cancer 62: 2309–2312

    Article  PubMed  CAS  Google Scholar 

  • Lokich J et al. (1989a) Cyclophesphamide, methotrexate, and 5-fluorouracil in a three-drug admixture. Cancer 1989: 63: 822–824

    Article  CAS  Google Scholar 

  • Lokich J, Ahlgren J, Gullo J et al. (1989b) A prospective randomized comparison of continuous infusion fluorouracil with a conventional bolus schedule in metastatic colorectal carcinoma: a Mid-Atlantic Oncology Program Study. J Clin Oncol 7: 425–432

    PubMed  CAS  Google Scholar 

  • Lokich J, Anderson N, Bern M et al. (1989c) Etoposide admixed with cisplatin. Cancer 63: 818–821

    Article  PubMed  CAS  Google Scholar 

  • Rosenthal J, Adriamycin and bleomycin combination admixture administered by continuous IV infusion alone and concomitantly with radiation therapy. (Protocol activated at Downstate 1988).

    Google Scholar 

  • Seargeant L, Kobrinsky N, Sus C et al. (1987) In vitro stability and compatability of daunorubicin, cytarabine and etoposide. Cancer Treat Rep 71: 1189–1192

    PubMed  CAS  Google Scholar 

  • Seifert P, Baker LH, Reed ML et al. (1975) Comparison of continuously infused 5-fluorouracil with bolus injection in treatment of patients with colorectal cancer. Cancer 36: 123–128

    Article  PubMed  CAS  Google Scholar 

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© 1991 Springer-Verlag Berlin Heidelberg

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Lokich, J.J. (1991). Admixtures of Chemotherapy Agents by Continuous Infusion. In: Rotman, M., Rosenthal, C.J. (eds) Concomitant Continuous Infusion Chemotherapy and Radiation. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84186-6_5

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  • DOI: https://doi.org/10.1007/978-3-642-84186-6_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-84188-0

  • Online ISBN: 978-3-642-84186-6

  • eBook Packages: Springer Book Archive

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