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. 2004 Oct 18;2004(4):CD003367. doi: 10.1002/14651858.CD003367.pub2

Kolaric 1985.

Study characteristics
Methods Randomised controlled trial
Method of randomisation and allocation concealment not reported.
Stratification by dominant metastatic site.
Slight imbalance with 56% of postmenopausal women in CMFVP arm vs 44% in CAP arm.
Participants 128 pts (123 evaluable)
Metastatic breast cancer.
No prior cytotoxic chemotherapy.
Age range was 30‐70 yrs.
Interventions CA + CDDP vs CMFVP
Arm A: CA + CDDP
cisplantin, 30mg/m2 daily as an iv days 1, 3, 5; doxorubicin 40mg/m2 on day 1; cyclophosphamide 200mg/m2 iv daily on days 1, 3, 5. 3‐4 week cycles x 10 cycles
Arm B: CMFVP
cyclophosphamide 200mg/m2 iv daily 1,2,3,4 and 4; methotrexate 20mg/m2 iv days 2, 4; 5‐fluorouracil 500mg/m2 ivdaily days 1, 3, 5, vincristine 1mg/m2 iv days 1 and 5 and prednisolone 40mg po daily days 1, 2, 3, 4, 5. 3‐4 week cycles x 10 cycles.
Outcomes Response
Progression
Toxicity (WHO/UICC)
Notes 123/128 pts considered to be evaluable (received more than 2 chemotherapy cycles. Minimum reported f/up = 6 months, maximum reported f/up=33 months. Overall response and complete remission rate favoured the CAP regimen (p<0.01)
All pts who had no response with CAP underwent treatment with FIVB + P
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear