Dose-intense weekly cyclophosphamide, methotrexate, 5-fluorouracil, vincristine and prednisolone (CMFP) in advanced breast cancer
1990

Weekly Chemotherapy for Advanced Breast Cancer

Sample size: 45 publication Evidence: low

Author Information

Author(s): J.S. Cebon, J.F. Bishop, V. Harvey, B. Mason, P.N. Jeal

Primary Institution: Peter MacCallum Cancer Institute

Hypothesis

Can a dose-intense regimen of CMFVP be delivered to previously untreated outpatients with advanced breast cancer?

Conclusion

The weekly CMFVP regimen could not be effectively delivered to previously untreated outpatients due to significant toxicity and treatment delays.

Supporting Evidence

  • 53% of evaluable patients had a complete or partial response.
  • 62% of patients experienced grade 3 or 4 neutropenia.
  • Median survival for all patients was 31 weeks.

Takeaway

Doctors tried a new way to give chemotherapy to breast cancer patients every week, but it made many patients too sick to continue.

Methodology

Patients received a combination of chemotherapy drugs weekly and were monitored for response and toxicity.

Limitations

The study had a small sample size and high rates of treatment delays and toxicity.

Participant Demographics

Median age was 55 years, with a range from 31 to 79; most had not received prior chemotherapy.

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