Twenty-two patients with metastatic breast carcinoma were treated with
a combination of cisplatin (100 mg/m(2) i.v. day 1) and etoposide (10
0 mg/m(2) i.v. days 1-3). Eligible patients had measurable disease wit
h normal organ functions, performance status <3, age <70 years and no
previous chemotherapy for metastatic disease. Twenty patients were ass
essable for response. Objective responses were seen in 50% (95% confid
ence limits: 24.4-67.8). One patient achieved a complete response. Obj
ective response was observed in patients with visceral metastatic dise
ase and who had received anthracyclin-containing regimens in previous
chemotherapy. Median survival after therapy was 55 weeks. Median time
to progression was 23 weeks. Hematologic toxicity was Limiting. Cispla
tin plus etoposide is an active combination in advanced breast cancer.