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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Selected studies of systemic therapy for brain metastases from breast cancer

Selected studies of systemic therapy for brain metastases from breast cancer
Study Regimen Patient population Total number of patients Number of patients with breast cancer and brain metastases Objective response rate (percent) TTP/PFS Comments
Rosner et al[1] Various (CFP, CFPMV, MVP, CA) Breast cancer 100 100 50 NR Case series
Boogerd et al[2] Oral CMF (n=20), or CAF (n=2) Breast cancer 22 22 54 NR Case series
Friedman et al[3] Temozolomide 150 mg/m2 days 1-7, 15-21, every 28 days Solid tumors 52 15 6 NR No responses seen in breast cancer patients
Siena et al[4] Temozolomide 150 mg/m2 days 1-7, 15-21, every 28 days Solid tumors 62 21 19 (in subset of patients with breast cancer) 1.9 months  
Trudeau et al[5] Temozolomide 150 mg/m2 days 1-7, 15-21, every 28 days Breast cancer 19 5 0 NR  
Rivera et al[6] Escalating doses of capecitabine and temozolomide Breast cancer 24 24 18 3 months  
Franciosi et al[7]

Cisplatin 100 mg/m2 day 1

Etoposide 100 mg/m2 days 1, 3, and 5, every 21 days

Solid tumors 107 56 38 (in subset of patients with breast cancer) 4 months No prior radiation therapy allowed; 36 percent of patients had not had prior systemic treatment for breast cancer
Christodoulou et al[8]

Temozolomide 150 mg/m2 days 1-5

Cisplatin 75 mg/m2 day 1, every 21 days

Solid tumors 32 15 40 (in subset of patients with breast cancer) 2.9 months  
Lin et al[9] Lapatinib HER2+ breast cancer 39 39 2.6 3 months 64 percent had two or more prior lines of systemic treatment (trastuzumab plus chemotherapy) 
Lin et al[10] Lapatinib HER2+ breast cancer 237 237 6 2.4 months All patiens previously treated with radiation therapy; overall survival was 6 months
TTP: time to tumor progression; PFS: progress-free survival; NR: not reported; CFP: cyclophosphamide, fluorouracil, and prednisone; CFPMV: cyclophosphamide, fluorouracil, and prednisone plus methotrexate and vincristine; MVP: methotrexate, vincristine, and prednisone; CA: cyclophosphamide and adriamycin; CMF: cyclophosphamide, methotrexate, and fluorouracil; CAF: cyclophosphamide, doxorubicin, and fluorouracil; HER2+: human epidermal growth factor receptor 2.
1. Rosner D, Nemoto T, Lane WW. Chemotherapy induces regression of brain metastases in breast carcinoma. Cancer 1986; 58:832.
2. Boogerd W, Dalesio O, Bais EM, van der Sande JJ. Response of brain metastases from breast cancer to systemic chemotherapy. Cancer 1992; 69:972.
3. Friedman HS, Evans, B and Reardon, DA. Phase II trial of temozolomide for patients with progressive brain metastases (abstract #408). Proc Am Soc Clin Oncol 2003; 22:102.
4. Siena S, Landonio G, Beaietta E. Multicenter phase II study of temozolomide therapy for brain metastasis in patients with malignant melanoma, breast cancer, and non-small cell lung cancer (abstract #407). Proc Am Soc Clin Oncol 2003; 22:407.
5. Trudeau ME, Crump M, Charpentier D, et al. Temozolomide in metastatic breast cancer (MBC): a phase II trial of the National Cancer Institute of Canada - Clinical Trials Group (NCIC-CTG). Ann Oncol 2006; 17:952.
6. Rivera E, Meyers C, Groves M, et al. Phase I study of capecitabine in combination with temozolomide in the treatment of patients with brain metastases from breast carcinoma. Cancer 2006; 107:1348.
7. Franciosi V, Cocconi G, Michiara M, et al. Front-line chemotherapy with cisplatin and etoposide for patients with brain metastases from breast carcinoma, nonsmall cell lung carcinoma, or malignant melanoma: a prospective study. Cancer 1999; 85:1599.
8. Christodoulou C, Bafaloukos D, Linardou H, et al. Temozolomide (TMZ) combined with cisplatin (CDDP) in patients with brain metastases from solid tumors: a Hellenic Cooperative Oncology Group (HeCOG) Phase II study. J Neurooncol 2005; 71:61.
9. Lin NU, Carey LA, Liu MC, et al. Phase II trial of lapatinib for brain metastases in patients with human epidermal growth factor receptor 2-positive breast cancer. J Clin Oncol 2008; 26:1993.
10. Lin NU, Dieras V, Paul D, et al. Multicenter phase II study of lapatinib in patients with brain metastases from HER2-positive breast cancer. Clin Cancer Res 2009; 15:1452.
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