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Is it reasonable to offer 3-days BEP regimen to a patient with high risk mixed germ cell tumor due to compliance issues?
3 Answers
Mednet Member
Medical Oncology · Indiana Univ Simon Cancer Center
There is data from an old EORTC study comparing standard 5 day BEP to 3 day courses. However, 3 caveats:
1. Only for good risk disease
2. More ototoxicity and probably more nausea
The regimen has cisplatin 50mg/m2 x 2 and etoposide 165mg/ m2 x 3 as outlined here from the abstract:
"A cycle of BEP consis...
Mednet Member
Medical Oncology · Northwestern University
There are weeks of treatment where we have historically had to reduce due to holidays 5 days to 4 days of treatment as outpatient, but that would usually only apply to a single 5-day cycle during a 3 cycle regimen.
Mednet Member
Medical Oncology · Testicular Cancer Commons
Little to add to @Dr. First Last's answer. Not sure how it will help overall compliance though, particularly if there is more toxicity.