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July 1, 1975The Journal of Clinical Pharmacology

Study of Adjuvant Chemotherapy in Osteogenic Sarcoma

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Why the study?

Does adjuvant chemotherapy with vincristine, actinomycin D, and cyclophosphamide improve disease-free survival in patients with non-metastatic osteosarcoma following surgical amputation?

Population

12 patients with osteosarcoma without metastases, following surgical amputation for the primary lesion

Design

Case_series

Follow-up

54 months or longer

Authors

WSWataru W. SutowMSM. P. SullivanJWJordan R. Wilbur

Discussion

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Overview

Hypothesis-generating for adjuvant chemotherapy in osteosarcoma; does not support practice change without randomized data.

Structured PICO

Does adjuvant chemotherapy with vincristine, actinomycin D, and cyclophosphamide improve disease-free survival in patients with non-metastatic osteosarcoma following surgical amputation?

P
Population
12 patients with osteosarcoma without metastases, following surgical amputation for the primary lesion
I
Intervention
Adjuvant chemotherapy with vincristine, actinomycin D, and cyclophosphamide (high pulse doses) administered intermittently over a 55-week period
O
Outcome
Survival with no evidence of diseasehard clinical

A 3-drug adjuvant chemotherapy regimen (vincristine, actinomycin D, cyclophosphamide) resulted in a 33% disease-free survival rate at 54+ months in patients with non-metastatic osteosarcoma post-amputation.

Cite This Study

Sutow et al. (1975) studied this question.

synapsesocial.com/papers/6a70c1fef44fa9f079de73fdhttps://doi.org/10.1002/j.1552-4604.1975.tb01476.x
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Adjuvant Methotrexate and Citrovorum-Factor Treatment of Osteogenic Sarcoma1974 · 496 citations
  2. 2Amputation and Adriamycin in Primary Osteosarcoma1974 · 320 citations
  3. 3The therapy of osteogenic sarcoma: Current status and thoughts for the future1972 · 276 citations
  4. 4Evaluation of a high dose cyclophosphamide regimen in childhood tumors1969 · 82 citations