{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T13:03:42Z","timestamp":1782911022703,"version":"3.54.5"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2005,11,22]],"date-time":"2005-11-22T00:00:00Z","timestamp":1132617600000},"content-version":"vor","delay-in-days":11954,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis &amp; Rheumatism"],"published-print":{"date-parts":[[1973,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Twenty\u2010two patients with connective tissue diseases, including 14 with systemic lupus erythematosus, were randomly assigned to either <jats:italic>prednisone alone<\/jats:italic> or <jats:italic>cyclophosphamide<\/jats:italic> (Cytoxan) <jats:italic>alone<\/jats:italic> treatment groups. Patients declared a failure on one regimen were then placed in the other group. Initial clinical and laboratory status of the groups was comparable. In the cyclophosphamide groups, zero <jats:italic>responses<\/jats:italic> and 12 <jats:italic>failures<\/jats:italic> were recorded. With prednisone, 14 responses and 5 failures were observed; similar differences were present within each disease subgroup. Inability to control inflammatory aspects of the disease, or severe side effects, were the usual reason for discontinuing of cyclophosphamide; only rarely was it possible to obtain a prolonged trial on this agent alone. Side effects were distressingly frequent with each drug, and of similar magnitude. Ovarian suppression was documented in several patients in the cyclophosphamide group. Cyclophosphamide employed as the sole agent is not the drug of choice in the treatment of these diseases.<\/jats:p>","DOI":"10.1002\/art.1780160204","type":"journal-article","created":{"date-parts":[[2007,2,14]],"date-time":"2007-02-14T16:21:18Z","timestamp":1171470078000},"page":"154-162","source":"Crossref","is-referenced-by-count":66,"title":["Cyclophosphamide therapy in systemic lupus erythematosus and polymyositis"],"prefix":"10.1002","volume":"16","author":[{"given":"James F","family":"Fries","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gordon C","family":"Sharp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugh O","family":"Mcdevitt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Halsted R","family":"Holman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,11,22]]},"reference":[{"key":"e_1_2_1_2_2","first-page":"57","article-title":"Studies on the mechanism of cytoxan.","volume":"21","author":"Foley GE","year":"1961","journal-title":"Cancer Res"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/213498a0"},{"key":"e_1_2_1_4_2","first-page":"65","article-title":"Dose\u2010response relationships for agents inhibiting the immune response.","volume":"7","author":"Berenbaum NC","year":"1964","journal-title":"Immunology"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.1964.tb53594.x"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1172\/JCI106502"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.3181\/00379727-133-34438"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(67)80327-5"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(66)80388-8"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.5518.853"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1966.02090140120011"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(65)80214-1"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780110205"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197010222831701"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.5483.333"},{"key":"e_1_2_1_16_2","first-page":"81","article-title":"Some aspects of immuno\u2010suppression in systemic lupus erythematosus.","volume":"165","author":"Andreis M","year":"1969","journal-title":"Excerpta Med Int Cong Ser"},{"key":"e_1_2_1_17_2","first-page":"260","article-title":"Cyclophosphamide in the treatment of systemic lupus erythematosus of mice and man.","volume":"165","author":"Dubois EL","year":"1969","journal-title":"Excerpta Med Int Cong Ser"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-75-2-165"}],"container-title":["Arthritis &amp; Rheumatism"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fart.1780160204","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/art.1780160204","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T22:05:29Z","timestamp":1700777129000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/art.1780160204"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1973,3]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1973,3]]}},"alternative-id":["10.1002\/art.1780160204"],"URL":"https:\/\/doi.org\/10.1002\/art.1780160204","archive":["Portico"],"relation":{},"ISSN":["0004-3591","1529-0131"],"issn-type":[{"value":"0004-3591","type":"print"},{"value":"1529-0131","type":"electronic"}],"subject":[],"published":{"date-parts":[[1973,3]]}}}