Puneet Varma (Editor)

Stanford V

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Stanford V (usually spoken as Stanford Five) is a chemotherapy regimen (with or without accompanying Radiation therapy) intended as a first line treatment for Hodgkin's lymphoma. The regimen was developed in 1988, with the objective of maintaining a high remission rate while reducing the incidence of acute and long term toxicity, pulmonary damage, and sterility observed in alternative treatment regimens such as ABVD. The chemical agents used are:

  • A mustard derivative such as Cyclophosphamide, Mechlorethamine or Ifosfamide
  • Doxorubicin, an anti-tumor antibiotic
  • Vinblastine, an alkaloid cell toxin
  • Vincristine, another alkaloid cell toxin
  • Bleomycin, another anti-tumor antibiotic
  • Etoposide, a DNA toxin
  • Prednisone, a corticosteroid
  • Drug Regimen

    The chemotherapy part of Stanford V treatment can last anywhere from 8 to 12 weeks, depending on the staging of the disease. In many cases, this is followed by radiation therapy for anywhere from 2 to 6 weeks to the affected areas of the body.

    Stanford V is a more rigorously administered form of chemotherapy, with treatments roughly twice as fast as those of other Hodgkin's lymphoma treatments. However, in a randomized controlled study, Stanford V was inferior to ABVD. This study has been criticized for not adhering to the proper Stanford V protocol. Specifically, the radiation therapy component following chemotherapy was not properly administered in the Italian study. A retrospective study from the Memorial Sloan-Kettering Cancer Center displayed results similar to the Stanford Cancer Center's own experience. The study concluded that, "Stanford V with appropriate radiotherapy is a highly effective regimen for locally extensive and advanced HL."

    References

    Stanford V Wikipedia