Cancer Treatment Protocol

Some Common Protocols
Breast cancer v FAC: fluorouracil + doxorubicin + and cyclophosphamide
v CMF: cyclophosphamide + methotrexate + fluorouracil
v FEC: fluorouracil + epirubicin + cyclophosphamide
v AC: doxorubicin + cyclophosphamide
v TC: docetaxel + cyclophosphamide
v TA: docetaxel + Adriamycin
v TCH: docetaxel + cyclophosphamide + HERCEPTIN®
v PH: paclitaxel + HERCEPTIN®
v AC →TH (Adriamycin + cyclophosphamide) then TAXOTER® + HERCEPTIN®
Lung cancer v Platinum compounds, taxanes, gemcitabine, & etoposide are used.
v CP: cisplatin + paclitaxel
v GC: gemcitabine + cisplatin
v DC: docetaxel + cisplatin
v PCb: paclitaxel + carboplatin
v EC: etoposide + cisplatin
Colorectal cancer v FOLFOX or FLOX: fluorouracil + leucovorin + oxaliplatin
v FOLFIRI: fluorouracil + leucovorin + irinotecan
v IROX: irinotecan + oxaliplatin
v CapOX: capecitabine + oxaliplatin
v XELOX: XELODA® (capecitabine) + oxaliplatin
v Bevacizumab, cetuximab, or panitumumab can be added to previous protocols.
Brain tumors v Carmustine (BCNU), lomustine (CCNU), temozolamide, procarbazine, & bevacizumab.
v  PCV: procarbazine, CCNU, & vincristine.
Acute lymphoblastic leukemia (ALL) v Acute lymphoblastic leukemia (ALL) is the main form of leukemia in childhood, and it is the most common form of cancer in children.
Agents active against this form:
v Methotrexate, corticosteroids, 6-mercaptopurine, cyclophosphamide, vincristine, daunorubicin, and asparaginase.
Adult Leukemia v Acute myelogenous leukemia (AML) is the most common leukemia in adults.
v Cytarabine + anthracyclines (idarubicin) → remission in about 70% of cases.
Chronic myelogenous leukemia (CML) v Arises from a chromosomally abnormal hematopoietic stem cell in which a balanced translocation between the long arms of chromosomes 9 and 2.
v BCR-ABL tyrosine kinase inhibitors: imatinib, nilotinib, & dasatinib are effective.
v Other alkylating agents, hydroxy urea, & interferon alpha can be used.
Chronic lymphocytic leukemia (CLL) v Chlorambucil and cyclophosphamide are the two most widely used alkylating agents for this disease.
v COP: Cyclophosphamide + vincristine (oncovine) + prednisone.
v CHOP: as the previous + doxorubicin.
v Rituximab: anti CD-20 MAB.
Hodgkin’s lymphoma v MOPP: mechlorethamine + vincristine (oncovin) + procarbazine + prednisone.
v ABVD: Adriamycin (doxorubicin) + bleomycin + vinblastine + dacarbazine.
Non-Hodgkin’s lymphoma v CHOP: cyclophosphamide + doxorubicin + vincristine (oncovin) + prednisone.
v Rituximab may be added to the previous regimen.
Multiple myeloma (MM) v MP: melphalan + prednisone
v VAD: vincristine + doxorubicin + dexamethasone
v Lenalidomide & bortezomib are used in MM.




















1 March 2022
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