J Chemother. 1996 Oct;8(5):403-6. Unique Identifier : AIDSLINE
After administration of Adriamycin, bleomycin, vincristine (ABV) as
palliative chemotherapy in advanced AIDS-related Kaposi's sarcoma
(AIDS.KS) patients with low Karnosfsky performance scores, the authors
attempted to estimate the overall biological cost/benefit relating to
the disease. The authors analyzed data from 20 consecutive AIDS patients
with advanced Kaposi's sarcoma presenting skin and visceral involvement
treated with ABV every 3 weeks. An increased rate of infections, HIV and
ABV-related side effects was observed. The performance amelioration
(about 30%) was not significantly correlated with AIDS.KS clinical
remission. CD4 count at baseline (p < 0.05), ABV therapy duration (p <
0.001), the achieved AIDS.KS clinical amelioration score (p < 0.01) and
the improved Karnofsky score (p < 0.001) were significant predictors of
life expectancy which was unrelated to the rate of side effects. The
authors conclude that ABV palliative chemotherapy can assist in
protracting life expectancy and improving the Karnofsky score.
*Acquired Immunodeficiency Syndrome/COMPLICATIONS *Antineoplastic
Agents, Combined/THERAPEUTIC USE *Palliative Care/METHODS *Sarcoma,
Kaposi's/DRUG THERAPY