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      Doxorubicin alone versus intensified doxorubicin plus ifosfamide for first-line treatment of advanced or metastatic soft-tissue sarcoma: a randomised controlled phase 3 trial.

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          Abstract

          Effective targeted treatment is unavailable for most sarcomas and doxorubicin and ifosfamide-which have been used to treat soft-tissue sarcoma for more than 30 years-still have an important role. Whether doxorubicin alone or the combination of doxorubicin and ifosfamide should be used routinely is still controversial. We assessed whether dose intensification of doxorubicin with ifosfamide improves survival of patients with advanced soft-tissue sarcoma compared with doxorubicin alone.

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          Author and article information

          Journal
          Lancet Oncol.
          The Lancet. Oncology
          1474-5488
          1470-2045
          Apr 2014
          : 15
          : 4
          Affiliations
          [1 ] Royal Marsden Hospital, London, UK. Electronic address: ian.judson@icr.ac.uk.
          [2 ] Erasmus MC Cancer Institute, Rotterdam, Netherlands.
          [3 ] Leiden University Medical Center, Leiden, Netherlands.
          [4 ] Eberhard Karls Universitaet Tübingen, Tübingen, Germany; Christian-Albrechts-University, Kiel, Germany; Catholic Hospital, Consortium, Bielefeld, Germany.
          [5 ] Department of General Medical Oncology, University Hospitals Leuven, KU Leuven, Leuven, Belgium.
          [6 ] Department of Medicine, NetSARC and LYRIC, Centre Leon Berard, Lyon, France; University Centre Leon Berard, Lyon, France.
          [7 ] Netherlands Cancer Institute, Amsterdam, Netherlands.
          [8 ] National Cancer Institute, Bratislava, Slovakia.
          [9 ] The London Sarcoma Service, University College Hospital, London, UK.
          [10 ] Mannheim University Medical Center, Mannheim, Germany.
          [11 ] Department of Oncology, Herlev Hospital-University Copenhagen, Herlev, Denmark.
          [12 ] Department of Oncology, McGill University Montreal, QC, Canada; Montreal General Hospital, Montreal, QC, Canada.
          [13 ] EORTC, Brussels, Belgium.
          [14 ] Royal Marsden Hospital, London, UK.
          [15 ] Azienda ULSS 9 Treviso, Treviso, Italy.
          [16 ] Department of Medical Oncology, Radboud University Medical Center Nijmegen, Netherlands.
          Article
          S1470-2045(14)70063-4
          10.1016/S1470-2045(14)70063-4
          24618336
          b681543e-d207-400d-969d-57d118582964
          Copyright © 2014 Elsevier Ltd. All rights reserved.
          History

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