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Posts with tag cyclophosphamide

New standard of care for the most common form of adult leukemia

Chronic lymphocytic leukemia (CLL) is the most common form of leukemia in adults. According to the National Cancer Society an estimated 60,000 people are living throughout the United States with CLL.

An article published in The Lancet stated that the chemotherapy combination of Fludara plus Cytoxan improves progression free survival compared to therapy consisting of Fludara alone. The drugs used to treat CLL consist of Fludara, Cytoxan and chlorambucil. Recent studies have shown that Fludara in combination with Cytoxan to be the most effective treatment for CLL.

Researchers wanted to test to see if higher anticancer responses were seen with the combination of Fludara plus Cytoxan, treatment with Fludara alone or treatment with chlorambucil.

Continue reading New standard of care for the most common form of adult leukemia

Breast cancer chemo cocktail called inferior

Among all sorts of news circulating as a result of the recent breast cancer conference in San Antonio, Texas is a report about an international study that has many touting Canadian chemotherapy treatments as the best therapies around -- even better than the commonly-used AC/T cocktail (doxorubicin and cyclophosphamide followed by paclitaxel) .

The winning Canadian drug combinations -- EC/T (epirubicin and cyclophosphamide followed by paclitaxel) and CEF (cyclophosphamide, epirubicin, and fluorouracil) -- are reportedly more effective at preventing breast cancer recurrence than AC/T.

About 2,104 women in Canada and the United States participated in this international study. All had undergone surgery to remove a tumor and were receiving chemotherapy. The women, aged 60 and under, all had cancer that had spread to their lymph nodes, indicating the disease was likely to spread.

The women received one of three treatments -- AC/T, EC/T, or CEF -- and results revealed that for every 100 women who received EC/T or CEF, 10 women would suffer a recurrence. For every 100 women who received AC/T, 15 women would relapse.

The lead researcher of the study says it's too soon to say whether EC/T and CEF are more effective in the long-term. So participants will be followed for some time while researchers will try to make sense of their initial findings. In the meantime, they suspect AC/T will continue to be widely used because of its lesser side effects.

Should Taxotere plus Cytoxan be the new gold standard for breast cancer treatment?

The results of a Phase III clinical trial, published in the Journal of Clinical Oncology, concluded that Taxotere (docetaxel) plus Cytoxan (cyclophosphamide) resulted in better cancer free survival than the treatment combination of Adriamycin (doxorubicin) and Cytoxan (cyclophosphamide).

Adriamycin and Cytoxan, referred to as the AC chemotherapy regime, has been the gold standard for adjuvant therapy for those patients diagnosed with early stage breast cancer. This study was conducted on more than 1000 women who had Stage I to Stage III disease. Half of the women were given the AC regime and the other half given the Taxotere/Cytoxan (TC) regime.

The results of the study showed that cancer free survival was 86 percent for those treated with TC an 80 percent among women treated with AC. Overall survival was 90 percent among women treated with TC and 87 percent among women treated with AC. Nausea and vomiting were more common among women treated with AC. Muscle and joint pain, edema, and low white blood cell counts accompanied by fever were more common among patients treated with TC.

Childhood cancer treatment may trigger early menopause

A new study reveals that women who received childhood cancer treatment may enter menopause much earlier than women who are not childhood cancer survivors. Siblings were studied -- 2,800 women who did receive treatment and 1,000 sisters of cancer survivors who did not. Women who underwent ovary-removing surgery were excluded from the study -- and the study then found that eight percent of cancer survivors experienced early menopause and less than one percent of the sisters experienced the same phenomenon. The risk was highest -- 30 percent -- for those who once received radiation to the lower abdomen and who also received certain chemotherapy agents, such as cyclophosphamide. Researchers say that 30 percent may be an underestimate, however, because the study included mostly women who had not yet reached age 40. The number of childhood cancer survivors over age 40 entering early menopause is still unclear. What is clear are the unfortunate consequences of this finding that could affect family planning, middle age health, thinning bones, other problems associated with menopause.

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