Gardere S, Hussain S, Cowan DH. Treatment of metastatic malignant melanoma with a combination of 5-(3,3-dimethyl-1-triazeno) imidazole-4-carboxamide (NSC-45388), cyclophosphamide (NSC-26271), and vincristine (NSC-67574).
CANCER CHEMOTHERAPY REPORTS 1972;
56:357-361. [PMID:
19051495]
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Abstract
Courses of treatment with a combination of 5-(3,3-dimethyl-1-triazeno)-imidazole-4-carboxamide (NSC-45388) (850 mg/m2), cyclophosphamide (750 mg/m2), and vincristine (2.0 mg/m2) were given intravenously in single doses to patients with metastatic malignant melanoma. Treatment was repeated at 4-week intervals. Objective responses were observed in five of 20 patients (25%), indicating that treatment with this drug combination is at least as effective as treatment with NSC-45388 alone in either 5-day courses or intermittent, high-dose, single injections. The toxicity resulting from the combined treatment, although somewhat greater than that reported with the 5-day courses of NSC-45388, is acceptable and much less severe than that found with the single, high-dose schedule. Although the combination does not appear to increase the tumor response rate, it does maintain the advantage of a brief hospitalization for the patient.
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