In a prospective phase II study, 102 women with advanced breast cancer
were treated with low doses of cyclophosphamide, Adriamycin and 5-flu
orouracil (CAF) at weekly intervals by intravenous injection, Seventy-
five patients were evaluable for treatment response and the overall re
sponse rate was 52% (95% confidence interval, 41-63%), Of the evaluabl
e patients, 15% had complete response and 37% had partial response, Th
e median survival after therapy was 15.6 months, the median time to pr
ogression was 6.8 months and the median duration of response was 9.1 m
onths, The main toxicities were mild vomiting and moderate myelosuppre
ssion. There was only 1 patient who experienced heart failure, Weekly
CAF appears to have an efficacy with tolerable side effects comparable
to standard CAF with an every-3-week schedule.