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December 1, 1980Cancer62 citations

The importance of the stable category for chemotherapy treated patients with advanced and relapsing prostate cancer

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NSNelson H. SlackAMArnold MittelmanMBMark F. Brady

Key Points

  • This research aims to assess the validity of the stable response category in chemotherapy for patients with advanced and relapsing prostate cancer.
  • Evaluated categories of objective responses in 460 patients from four randomized clinical trials.
  • Compared survival and characteristics between stable, partial regression, and progression categories.
  • Patients classified as stable demonstrated significantly improved survival compared to those with progression.
  • Survival rates for stable and partial regression patients were similar, despite partial regression showing more tumor reduction and better subjective health indicators.

Abstract

Categories of objective response to chemotherapy for 460 advanced relapsing prostate cancer patients evaluated in the initial first four randomized clinical trials of the National Prostatic Cancer Project were compared by survival and other patient and disease characteristics. The response criteria for stable were shown to delineate patients with markedly improved survival and other disease conditions relative to those designated as progression. Survival was similar for stable and partial regression patients despite more frequent reduction of primary tumor and subjective improvement in performance status, pain, and body weight in the partial regression patients. Consequently, we feel that in these studies the stable category is valid and useful for determining efficacy of treatment in patients with advancing prostate cancer.

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Cite This Study

Slack et al. (1980) studied this question.

synapsesocial.com/papers/6a0ec74137aeb0126447ab4dhttps://doi.org/10.1002/1097-0142(19801201)46:11<2393::aid-cncr2820461115>3.0.co;2-6
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  4. 4Immunochemical detection of serum prostatic acid phosphatase. Methodology and clinical evaluation.1978 · 91 citations
  5. 5Effects of 5-fluorouracil (NSC-19893) in 389 patients with cancer. Eastern Clinical Drug Evaluation Program.1968 · 32 citations