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Record W2071377970 · doi:10.1016/s0022-5347(05)64147-x

<i>Cis</i> -Diamminedichloroplatinum, Vinblastine, and Bleomycin Combination Chemotherapy in Disseminated Testicular Cancer

2002· article· en· W2071377970 on OpenAlexaboutno aff
Lawrence H. Einhorn, John P. Donohue

Bibliographic record

VenueThe Journal of Urology · 2002
Typearticle
Languageen
FieldMedicine
TopicTesticular diseases and treatments
Canadian institutionsnot available
Fundersnot available
KeywordsVinblastineMedicineBleomycinTesticular cancerRegimenChemotherapyCombination chemotherapyCancerSurgerySeminomaInternal medicineOncology

Abstract

fetched live from OpenAlex

No AccessJournal of UrologyCLINICAL UROLOGY: Milestone in Urology1 Dec 2002Cis-Diamminedichloroplatinum, Vinblastine, and Bleomycin Combination Chemotherapy in Disseminated Testicular Cancer LAWRENCE H. EINHORN and M.D., F.A.C.P. JOHN DONOHUEM.D. LAWRENCE H. EINHORNLAWRENCE H. EINHORN and JOHN DONOHUEJOHN DONOHUE View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)64147-XAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Fifty patients with disseminated testicular cancer were treated with a three-drug combination consisting of cis-diamminedichloroplatinum, vinblastine, and bleomycin. Three patients were considered inevaluable due to early death. This chemotherapy regimen produced 74% complete and 26% partial remissions. Furthermore, five patients with partial remission became disease-free after surgical removal of residual disease, producing an overall 85% disease-free status. Toxicity, although significant during remission induction with cis-platinum, vinblastine, and bleomycin, was usually manageable, although there were two drug-related deaths during this period. Thirty-eight of these patients remain alive and 32 remain alive and disease-free at 6+ to 30+ months. We believe this regimen represents a major advance in the management of patients with disseminated testicular cancer. References 1 : A statistical review of malignant testicular tumors based on the experience of the Ontario Cancer Foundation Clinics, 1938–1961. Can Med Assoc J1966; 94: 889. Medline, Google Scholar 2 : Treatment and prognosis in seminoma of the testis. J Urol1968; 99: 72. Link, Google Scholar 3 : Recurrent seminoma: management of late metastases, recurrence of a second primary tumor. Am J Roentgenol Radium Ther Nucl Med1960; 83: 25. Medline, Google Scholar 4 : Effects of combined drug therapy on metastatic cancer of the testis. JAMA1960; 174: 145. Crossref, Google Scholar 5 : Triple therapy in testicular tumors. Cancer1969; 24: 442. Crossref, Medline, Google Scholar 6 : Chemotherapy of metastatic testis cancer—results in 154 patients. Cancer1966; 19: 1369. Crossref, Medline, Google Scholar 7 : Vinblastine in the management of testicular cancer. Cancer1970; 25: 1009. Crossref, Medline, Google Scholar 8 : A clinical review of bleomycin—a new antineoplastic agent. Cancer1976; 31: 903. Crossref, Google Scholar 9 : Mithramycin therapy in advanced testicular neoplasms. Cancer1970; 26: 755. Crossref, Medline, Google Scholar 10 : Combination chemotherapy in the treatment of advanced Hodgkin's disease. Ann Intern Med1970; 73: 881. Crossref, Medline, Google Scholar 11 : Continuous intravenous bleomycin therapy with vinblastine in stage III testicular neoplasia. Cancer Chemother Rep1975; 59: 563. Medline, Google Scholar 12 : Inhibition of cell division in E. Coli by electrolysis products from a platinum electrode. Nature1965; 205: 678. Crossref, Medline, Google Scholar 13 : Diaminodichloroplatinum: a phase I study showing responses in testicular and other tumors. Cancer1974; 33: 1219. Crossref, Medline, Google Scholar 14 : Kinetic scheduling of vincristine (NSC-67574) and bleomycin (NSC-125066) in patients with lung cancer and other malignant tumors. Cancer Chemother Rep1973; 57: 219. Medline, Google Scholar 15 : The effects of bleomycin on survival and cell progression in Chinese hamster cells in vitro. Cancer Res1971; 31: 1218. Medline, Google Scholar 16 : Chemoimmunotherapy of adult acute leukemia. Prolongation or remission in myeloblastic leukemia with BCG. Lancet1974; 2: 1405. Crossref, Medline, Google Scholar 17 : Chemoimmunotherapy of disseminated malignant melanoma with dimethyl triazeno imidazole carboxamide and bacillus Calmette-Gueŕin. N Engl J Med1974; 291: 592. Crossref, Medline, Google Scholar 18 Crooke, ST, Luft, F, Broughton, A et-al: Bleomycin serum pharmacokinetics as determined by a radioimmunoassay and a microbiologic assay in a patient with compromised renal function. Cancer, in press for 1977. Google Scholar 23 : Survival after surgery for germinal malignancies of the testis. Cancer1972; 30: 1225. Crossref, Medline, Google Scholar 24 : Testis tumors: review of 125 cases at the Cleveland Clinic. Urology1975; 6: 588. Crossref, Medline, Google Scholar 25 : Histologically benign teratoid metastasis of testicular embryonal carcinoma: report of five cases. Am J Clin Pathol1973; 59: 338. Crossref, Medline, Google Scholar 26 : Combination radical surgery and multiple sequential chemotherapy for the treatment of advanced carcinoma of the testis (stage III). Cancer1976; 37: 20. Crossref, Medline, Google Scholar 27 : Effect of the vinca alkaloids on RNA synthesis in relation to mitotic arrest. Fed Proc1968; 27: 760. Google Scholar 28 : Decrease of melting temperature and single strand scission of DNA by bleomycin in the presence of hydrogen peroxide. J Antibiot1969; 22: 624. Crossref, Medline, Google Scholar 29 : Template inactivation: the mechanism of action of cis-dichlorodiammineplatinum. Proc Am Assoc Cancer Res1976; 17: 80. Google Scholar 30 : Serum alpha-fetoprotein and human chorionic gonadotropin in the diagnosis and management of non-seminomatous germ-cell testicular cancer. N Engl J Med1976; 295: 1237. Crossref, Medline, Google Scholar 31 : The surgical management of testis tumors. J Urol1971; 106: 84. Link, Google Scholar 32 : Re-exploration for retroperitoneal lymph node metastases from testis tumor. J Urol1976; 115: 569. Link, Google Scholar Indianapolis, Indiana, From the Indiana University Medical Center; Indianapolis, Indiana.© 2002 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited by Bielefeld E, Gonzalez A and DeBacker J (2021) Changing the time intervals between cisplatin cycles alter its ototoxic side effectHearing Research, 10.1016/j.heares.2021.108204, VOL. 404, (108204), Online publication date: 1-May-2021. Harrison R, Seiler B and Bielefeld E (2016) Ototoxicity of 12 mg/kg cisplatin in the Fischer 344/NHsd rat using multiple dosing strategiesAnti-Cancer Drugs, 10.1097/CAD.0000000000000395, VOL. 27, NO. 8, (780-786), Online publication date: 1-Sep-2016. Dolan M, Newbold K, Nagasubramanian R, Wu X, Ratain M, Cook E and Badner J (2004) Heritability and Linkage Analysis of Sensitivity to Cisplatin-Induced CytotoxicityCancer Research, 10.1158/0008-5472.CAN-04-0340, VOL. 64, NO. 12, (4353-4356), Online publication date: 15-Jun-2004. Volume 168Issue 6December 2002Page: 2368-2372 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.MetricsAuthor Information LAWRENCE H. EINHORN More articles by this author JOHN DONOHUE More articles by this author Expand All Advertisement PDF downloadLoading ...

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Non-randomized trial · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.002
Threshold uncertainty score0.008

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.009
GPT teacher head0.251
Teacher spread0.242 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNon-randomized trial
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations14
Published2002
Admission routes1
Has abstractyes

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