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Postmenopausal Node-Positive Comparison of Observation with CMFP and CMPF + Tamoxifen Adjuvant Therapy: An Eastern Cooperative Oncology Group Trial

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Book cover Adjuvant Chemotherapy of Breast Cancer

Part of the book series: Recent Results in Cancer Research ((RECENTCANCER,volume 96))

Abstract

Adjuvant chemotherapy of postmenopausal axillary node-positive women with breast carcinoma in 1977 suggested a disease-free survival benefit but no overall survival benefit with cyclophosphamide, methotrexate, and 5-fluorouracil (CMF) [1]. In advanced disease the subsequently reported results with CMF + prednisone (CMFP) were superior to CMF [2] and the addition of tamoxifen to a chemotherapy regimen appeared to enhance effectiveness [3]. Accordingly, in 1977 the Eastern Cooperative Oncology Group (ECOG) designed an adjuvant trial for axillary node-positive postmenopausal patients to compare observation with 1 year of postoperative therapy with CMFP of CMFP + tamoxifen (CMFPT). The current results from this trial are presented.

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References

  1. Bonadonna G, Brusamolino E, Valagussa P, Rossi A, Brugnatelli L, Brambilla C, DeLena M, Tancini G, Bajetta E, Musumeci R, Veronesi U (1976) Combination chemotherapy as an adjuvant treatment in operable breast cancer. N Engl J Med 294: 405–410

    Article  PubMed  CAS  Google Scholar 

  2. Tormey DC, Gelman R, Band PR, Sears M, Rosenthal SN, DeWys W, Perlia C, Rice MA (1982) Comparison of induction chemotherapies for metastatic breast cancer: an Eastern Cooperative Oncology Group Trial. Cancer 50: 1235–1244

    Article  PubMed  CAS  Google Scholar 

  3. Tormey DC, Falkson G, Crowley J, Falkson HC, Voelkel J, Davis TE (1982) Dibromodulcitol and adriamycin ± tamoxifen in advanced breast cancer. Cancer Clin Trials 5: 33–39

    CAS  Google Scholar 

  4. Tormey DC, Weinberg VE, Holland JF, Weiss RB, Glidewell OJ, Perloff M, Falkson G, Falkson HC, Henry PH, Leone LA, Rafla S, Ginsberg SJ, Silver RT, Blom J, Carey RW, Schein PS, Lesnick GJ (1983) A randomized trial of five and three drug chemotherapy and chemoimmunotherapy in women with operable node positive breast cancer — a cancer and leukemia group B study. J Clin Oncol 1: 138–145

    PubMed  CAS  Google Scholar 

  5. Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET, Carbone PP (1982) Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol 5: 649–655

    Article  PubMed  CAS  Google Scholar 

  6. Tormey D, Fisher B, Bonadonna G, Carter S, Davis H, Glidewell O, Hahn RG, Payne S, Zelen M, Sears ME (1977) Proposed guidelines. In: Carbone PP, Sears ME (eds) Report from the Combined Modality Trials Working Group in Breast Cancer: suggested protocol guidelines for combination chemotherapy trials and for combined modality trials. DHEW, Washington (DHEW publication no. [NIH] 77–1192, pp 20–35 )

    Google Scholar 

  7. Kaplan EL, Meier P (1958) Nonparametric estimation from incomplete observations. J Am Stat Assoc 53: 457–481

    Article  Google Scholar 

  8. Peto R, Peto J (1972) Asymptotically efficient rank invariant test procedures. J R Stat Soc [A] 135: 185–198

    Article  Google Scholar 

  9. Cox DR (1972) Regression models and life tables (with discussion). J R Stat Soc [B] 34: 187–220

    Google Scholar 

  10. Lehman EL (1975) Nonparametrics: Statistical methods based on ranks. Holden Day, San Francisco

    Google Scholar 

  11. Fisher RA (1934) Statistical methods for research workers. University Press, Edinburgh

    Google Scholar 

  12. Knight WA, Livingston RB, Gregory EJ, McGuire WL (1977) Estrogen receptor as an independent prognostic factor for early recurrence in breast cancer. Cancer Res 37: 4669–4671

    PubMed  CAS  Google Scholar 

  13. Hähnel R, Woodings T, Vivian AB (1979) Prognostic value of estrogen receptors in primary breast cancer. Cancer 44: 671–675

    Article  PubMed  Google Scholar 

  14. Bertuzzi A, Daidone MG, DiFronzo G, Silvestrini R (1981) Relationship among estrogen receptors, proliferative activity and menopausal status in breast cancer. Breast Cancer Res Treat 1: 253–261

    Article  PubMed  CAS  Google Scholar 

  15. Ernst P, Killmann S-A (1970) Perturbation of generation cycle of human leukemic blast cells by cytostatic therapy in vivo: effect of corticosteroids. Blood 36: 689–696

    PubMed  CAS  Google Scholar 

  16. Osborne CK, Blodt DH, Clark GM, Trent JM (1983) Effects of tamoxifen on human breast cancer cell cycle kinetics: accumulation of cells in early G1 phase. Cancer Res 43: 3583–3585

    PubMed  CAS  Google Scholar 

  17. Fisher B, Redmond C, Brown A, Wickerham DL, Wolmark N, Allegra J, Escher G, Lippman M, Savlov E, Wittliff J, Fisher ER (1983) Influence of tumor estrogen and progesterone receptor levels on the response to tamoxifen and chemotherapy in primary breast cancer. J Clin Oncol 1: 227–241

    PubMed  CAS  Google Scholar 

  18. Hubay CA, Pearson OH, Marshall JS, Stellato TA, Rhodses RS, DeBanne SM, Rosenblatt J, Mansour EG, Hermann RE, Jones JC, Flynn WJ, Eckert C, McGuire WL (1981) Adjuvant therapy of stage II breast cancer. Breast Cancer Res Treat 1: 77–82

    Article  PubMed  CAS  Google Scholar 

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© 1984 Springer-Verlag Berlin · Heidelberg

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Tormey, D.C., Taylor, S.G., Gray, R., Olson, J.E. (1984). Postmenopausal Node-Positive Comparison of Observation with CMFP and CMPF + Tamoxifen Adjuvant Therapy: An Eastern Cooperative Oncology Group Trial. In: Senn, HJ. (eds) Adjuvant Chemotherapy of Breast Cancer. Recent Results in Cancer Research, vol 96. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-82357-2_13

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  • DOI: https://doi.org/10.1007/978-3-642-82357-2_13

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-82359-6

  • Online ISBN: 978-3-642-82357-2

  • eBook Packages: Springer Book Archive

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