title: Phase II clinical trial of carboplatin, ifosfamide, with oral mesna for metastatic breast carcinoma.
abstract: Twenty-five women with advanced breast carcinoma refractory to first-line chemotherapy entered a phase II trial to evaluate the efficacy of ifosfamide and carboplatin. Additionally the trial assessed the clinical usefulness of oral 2-mercaptoethane sulfonate (mesna) for urothelial protection. Two partial remissions were observed (8%); toxicity was significant but acceptable, with no treatment-related deaths. The combination of ifosfamide and carboplatin had little activity as the second-line treatment in our population of patients with heavily pretreated metastatic breast cancer. Oral mesna was effective for urothelial protection, permitting outpatient administration of ifosfamide.
authors.affiliation: Department of Medicine, University of Southern California, Los Angeles.
authors.forename: M
authors.initials: M
authors.lastname: Turrill
authors.forename: D V
authors.initials: DV
authors.lastname: Spicer
authors.forename: A S
authors.initials: AS
authors.lastname: Kelley
authors.forename: R L
authors.initials: RL
authors.lastname: Herman
authors.forename: C A
authors.initials: CA
authors.lastname: Russell
authors.forename: F M
authors.initials: FM
authors.lastname: Muggia
mesh_terms: D000230:Adenocarcinoma / Q000188:drug therapy* / Q000556:secondary*; D000328:Adult; D000553:Ambulatory Care; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D001943:Breast Neoplasms / Q000188:drug therapy*; D016190:Carboplatin / Q000008:administration & dosage; D003556:Cystitis / Q000139:chemically induced / Q000517:prevention & control; D005260:Female; D006801:Humans; D007069:Ifosfamide / Q000008:administration & dosage / Q000009:adverse effects; D015080:Mesna / Q000008:administration & dosage; D008875:Middle Aged; D012074:Remission Induction
chemical_list: D016190:Carboplatin; D015080:Mesna; D007069:Ifosfamide