Cisplatin, bleomycin, and vinblastine combination therapy of testicular tumors: An analysis

Joan C. D'aoust, Archie W. Prestayko, Lawrence H. Einhorn, Robert L. Comis, Sandra J. Ginsberg, W. A.T. Archambault, Stanley T. Crooke

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

A combination regimen consisting of cisplatin, bleomycin, and vinblastine was evaluated in 86 patients with metastatic testicular tumors. Prior therapy included surgical resection of primary tumor (84 patients), radiotheapy (21 patients), chemotherapy (33 patients). Thirteen patients received prior bleomycin and vincristine or vinblastine. Of 80 evaluable patients 51 achieved complete response (CR) and 26 achieved partial response (PR), for an overall response rate 96.5%. There was no significant difference in response rates or survival with respect to prior therapy, sites of metastatic lesions, and tumor histology. The median survival time was not reached in an observation period of 44+ months. Sixty patients were alive 11+--44+ months, and 57 of these were free of disease. Thirty-two of the 60 patients (53%) had a survival time greater than 20 months. Toxicities included nephrotoxicity (18 patients) leukopenia, (69 patients), thrombocytopenia (nine patients), and anemia (56 patients). Bleomycin-induced pulmonary toxicity was fatal in one patient. Other toxicities included nausea and vomiting, stomatitis, fever, alopecia, and neurological effects.

Original languageEnglish (US)
Pages (from-to)195-205
Number of pages11
JournalMedical and Pediatric Oncology
Volume6
Issue number3
DOIs
StatePublished - 1979

Keywords

  • bleomycin
  • cisplatin
  • testicular tumor
  • vinblastine

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Oncology
  • Cancer Research

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    D'aoust, J. C., Prestayko, A. W., Einhorn, L. H., Comis, R. L., Ginsberg, S. J., Archambault, W. A. T., & Crooke, S. T. (1979). Cisplatin, bleomycin, and vinblastine combination therapy of testicular tumors: An analysis. Medical and Pediatric Oncology, 6(3), 195-205. https://doi.org/10.1002/mpo.2950060303