PMID- 6422007 OWN - NLM STAT- MEDLINE DCOM- 19840412 LR - 20170210 IS - 0732-183X (Print) IS - 0732-183X (Linking) VI - 1 IP - 9 DP - 1983 Sep TI - Four-drug combination chemotherapy (methotrexate, cyclophosphamide, hexamethylmelamine, and CCNU) for non-small cell bronchogenic carcinoma: a Cancer and Leukemia Group B study. PG - 559-65 AB - Ninety-eight evaluable patients with nonresectable regional or metastatic non-small cell bronchogenic carcinoma were treated with a four-drug combination chemotherapy program of methotrexate, cyclophosphamide, hexamethylmelamine, and CCNU (MCHC). Fifteen partial or complete responses (15%) were obtained, all but one of which occurred in good performance status (0-1) patients. While "responders lived longer than non-responders", this was due more to initial performance status among responding patients than to achievement of partial (greater than 50%) or complete disease regression. Evaluation of those patients with good performance status (PS 0-1), indicated no statistically significant differences in median survival time for complete response and partial response patients compared to patients with "improved" or "stable" disease status in this group. This combination of modestly active single agents produced disappointing results in our lung cancer population. A search for more active single agents in lung cancer is necessary. FAU - Green, M AU - Green M FAU - Horton, C AU - Horton C FAU - Spaulding, M AU - Spaulding M FAU - Silver, R T AU - Silver RT FAU - Berenberg, J AU - Berenberg J FAU - Kennedy, B J AU - Kennedy BJ FAU - Pajak, T F AU - Pajak TF FAU - Comis, R AU - Comis R LA - eng PT - Clinical Trial PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Clin Oncol JT - Journal of clinical oncology : official journal of the American Society of Clinical Oncology JID - 8309333 RN - 7BRF0Z81KG (Lomustine) RN - 8N3DW7272P (Cyclophosphamide) RN - Q8BIH59O7H (Altretamine) RN - YL5FZ2Y5U1 (Methotrexate) RN - MCHC protocol SB - IM CIN - J Clin Oncol. 2008 Jul 1;26(19):3112-3. PMID: 18591551 MH - Altretamine/administration & dosage/adverse effects/therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects/*therapeutic use MH - Carcinoma, Bronchogenic/diagnosis/*drug therapy/mortality MH - Clinical Trials as Topic MH - Cyclophosphamide/administration & dosage/adverse effects/therapeutic use MH - Female MH - Humans MH - Lomustine/administration & dosage/adverse effects/therapeutic use MH - Lung Neoplasms/diagnosis/*drug therapy/mortality MH - Male MH - Methotrexate/administration & dosage/adverse effects/therapeutic use EDAT- 1983/09/01 00:00 MHDA- 1983/09/01 00:01 CRDT- 1983/09/01 00:00 PHST- 1983/09/01 00:00 [pubmed] PHST- 1983/09/01 00:01 [medline] PHST- 1983/09/01 00:00 [entrez] AID - 10.1200/JCO.1983.1.9.559 [doi] PST - ppublish SO - J Clin Oncol. 1983 Sep;1(9):559-65. doi: 10.1200/JCO.1983.1.9.559.