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Studies of Baker's antifol, methotrexate, and razoxane in advanced gastric cancer: A Gastrointestinal Tumor Study Group Report.

1982 Sep

Journal Article

Authors:

Bruckner, H.W.
Lokich, J.J.
Stablein, D.M.

Secondary:
Cancer Treat Rep

Volume:
66

Pagination:
1713-7

Issue:
9

PMID:
7116348

Keywords:
Adenocarcinoma; Antineoplastic Agents; Female; Gastrointestinal Neoplasms; Humans; Male; Methotrexate; Middle Aged; Myeloproliferative Disorders; prognosis; Random Allocation; Razoxane; Triazines

Abstract:
<p>In this multi-institutional study of advanced gastric cancer, 73 patients were evaluable for response or survival. Patients were treated with either triazinate (Baker&#039;s antifol), standard-dose methotrexate, or ICRF-159 (razoxane). Objective responses were seen in four patients receiving Baker&#039;s antifol, in three receiving methotrexate, and in none receiving razoxane. Baker&#039;s antifol produced a median survival of 18 weeks and methotrexate and razoxane produced a median survival of 8 and 9 weeks, respectively. Seventy of the 73 patients entered in this study had been previously treated, most frequently with combination chemotherapy regimens containing 5-FU or doxorubicin. This study appears to demonstrate that Baker&#039;s antifol is an active drug for patients with advanced gastric cancer, according to both response and survival criteria. Examination of the pretreatment prognostic characteristics of the patients further suggests that a possible survival advantage is due to treatment with Baker&#039;s antifol rather than the prognostic characteristics of the patients.</p>

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