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Cited by 435

The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.

Neoadjuvant Chemotherapy With High-Dose Ifosfamide, High-Dose Methotrexate, Cisplatin, and Doxorubicin for Patients With Localized Osteosarcoma of the Extremity: A Joint Study by the Italian and Scandinavian Sarcoma Groups

Ferrari, Stefano, Smeland, Sigbjorn, Mercuri, Mario, Bertoni, Franco, Longhi, Alessandra, Ruggieri, Pietro, Alvegard, Thor A., Picci, Piero, Capanna, Rodolfo, Bernini, Gabriella, Müller, Cristoph, Tienghi, Amelia, Wiebe, Thomas, Comandone, Alessandro, Böhling, Tom, Del Prever, Adalberto Brach, Brosjö, Otte, Bacci, Gaetano, Sæter, Gunnar·2005·Journal of Clinical Oncology

Abstract

Purpose: To explore the effect of high-dose ifosfamide in first-line treatment for patients ≤ 40 years of age with nonmetastatic osteosarcoma of the extremity. Patients and Methods: From March 1997 to September 2000, 182 patients were evaluated. Primary treatment consisted of two blocks of high-dose ifosfamide (15 g/m 2), methotrexate (12 g/m 2), cisplatin (120 mg/m 2), and doxorubicin (75 mg/m 2). Postoperatively, patients received two cycles of doxorubicin (90 mg/m 2), and three cycles each of high-dose ifosfamide, methotrexate, and cisplatin (120 to 150 mg/m 2). Granulocyte colony-stimulating factor support was mandatory after the high-dose ifosfamide/cisplatin/doxorubicin combination. Results: No disease progression was recorded during primary chemotherapy, 164 patients (92%) underwent limb-salvage surgery, four patients (2%) underwent rotation plasty, and 11 patients (6%) had limbs amputated. Three (1.6%) patients died as a result of treatment-related toxicity, and one died as a result of pulmonary embolism after pathologic fracture. Grade 4 neutropenia and thrombocytopenia followed 52% and 31% of all courses, respectively, and mild to severe nephrotoxicity was recorded in 19 patients (10%). The median received dose-intensity compared with protocol was 0.82. With a median follow-up of 55 months, the 5-year probability of event-free survival was 64% (95% CI, 57% to 71%) and overall survival was 77% (95% CI, 67% to 81%), whereas seven patients (4%) experienced local recurrence. Conclusion: The addition of high-dose ifosfamide to methotrexate, cisplatin, and doxorubicin in the preoperative phase is feasible, but with major renal and hematologic toxicities, and survival rates similar to those obtained with four-drug regimens using standard-dose ifosfamide. Italian Sarcoma Group/Scandinavian Sarcoma Group study I showed that in a multicenter setting, more than 90% of patients with osteosarcoma of the extremity can undergo conservative surgery.

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Metadata

Authors
Ferrari, S., Smeland, S., Mercuri, M., Bertoni, F., Longhi, A., Ruggieri, P., Alvegard, T. A., Picci, P., Capanna, R., Bernini, G., Müller, C., Tienghi, A., Wiebe, T., Comandone, A., Böhling, T., Del Prever, A. B., Brosjö, O., Bacci, G., & Sæter, G.
Venue
Journal of Clinical Oncology
Published
2005-12-01
Volume
23
Issue
34
Pages
8845-8852
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W2164614740
Cited by
435
References
30
FWCI
10.85
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Neoadjuvant Chemotherapy With High-Dose Ifosfamide, High-Dose Methotrexate, Cisplatin, and Doxorubicin for Patients With Localized Osteosarcoma of the Extremity: A Joint Study by the Italian and Scandinavian Sarcoma Groups. https://app.cochat.ai/papers/10.1200/jco.2004.00.5785
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Ferrari, S., Smeland, S., Mercuri, M., Bertoni, F., Longhi, A., Ruggieri, P., Alvegard, T. A., Picci, P., Capanna, R., Bernini, G., Müller, C., Tienghi, A., Wiebe, T., Comandone, A., Böhling, T., Del Prever, A. B., Brosjö, O., Bacci, G., & Sæter, G. (2005). Neoadjuvant Chemotherapy With High-Dose Ifosfamide, High-Dose Methotrexate, Cisplatin, and Doxorubicin for Patients With Localized Osteosarcoma of the Extremity: A Joint Study by the Italian and Scandinavian Sarcoma Groups. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2004.00.5785

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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