A randomised phase II trial of Epirubicin and 5-Fluorouracil versus Cisplatinum in the palliation of advanced and recurrent malignant tumour of the salivary glands
1993

Chemotherapy for Advanced Salivary Gland Tumours

Sample size: 16 publication Evidence: low

Author Information

Author(s): A.S. Jones, D.E. Phillips, J.A. Cook, T.R. Helliwell

Primary Institution: University of Liverpool

Hypothesis

Is Epirubicin and 5-Fluorouracil more effective than Cisplatinum in treating advanced salivary gland tumours?

Conclusion

The study suggests that chemotherapy is not effective in treating advanced salivary gland malignancies.

Supporting Evidence

  • Seven patients received Epirubicin/5-Fluorouracil and none responded.
  • Nine patients received Cisplatinum and only one had a partial response.
  • The median survival was 243 days for the Epirubicin/5-FU group and 450 days for the Cisplatinum group.

Takeaway

Doctors tested two types of chemotherapy on patients with serious salivary gland cancer, but neither worked well.

Methodology

Patients were randomly assigned to receive either Epirubicin/5-Fluorouracil or Cisplatinum, with assessments of response and toxicity.

Potential Biases

Potential bias due to the small number of patients and the nature of the trial.

Limitations

The small sample size limits the generalizability of the findings.

Participant Demographics

Patients had advanced, recurrent malignant tumours of the salivary glands, unsuitable for surgery or radiotherapy.

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