Combination chemotherapy using cyclophosphamide, vincristine, methotrexate, 5-fluorouracil, and prednisone in solid tumors

Cancer. 1977 Jan;39(1):21-6. doi: 10.1002/1097-0142(197701)39:1<21::aid-cncr2820390105>3.0.co;2-i.

Abstract

Three hundred and ninety-eight patients with disseminated solid tumors other than breast cancer, were treated with a combination chemotherapy protocol utilizing cyclophosphamide, vincristine sulfate, methotrexate, 5-fluorouracil, and prednisone. Three hundred and eighty were evaluable (95.5%). Partial or complete tumor regressions were noted in 73 of 380 (19%) evaluable patients. Response to therapy was associated with a prolongation and survival. The largest tumor categories were lung, ovary, and gastrointestinal. The proportion of complete plus partial responses in evaluable lung cancer patients was 40/236 (17%), compared to 20/44 (45%) for ovarian cancer patients and 6/39 (15%) for gastrointestinal tumors. Of the patients who could be evaluated for toxicity, 47% had minimal or no toxicity, 51% had moderate to severe toxicity, and 2% had life threatening toxicity. Virtually all patients were treated and managed as outpatients.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Cyclophosphamide / therapeutic use*
  • Drug Therapy, Combination
  • Female
  • Fluorouracil / therapeutic use*
  • Gastrointestinal Neoplasms / drug therapy
  • Humans
  • Leukocyte Count
  • Lung Neoplasms / drug therapy
  • Male
  • Methotrexate / therapeutic use*
  • Neoplasms / drug therapy*
  • Neoplasms / mortality
  • Ovarian Neoplasms / drug therapy
  • Prednisone / therapeutic use*
  • Remission, Spontaneous
  • Time Factors
  • Vincristine / therapeutic use*

Substances

  • Vincristine
  • Cyclophosphamide
  • Fluorouracil
  • Prednisone
  • Methotrexate