“…We also applied very strict criteria for dose reduction in these patients, leading to dose reduction in the majority of them. These factors might be in part responsible for the relatively lower response rate observed in this study with respect to other com binations containing doxorubicin [2,3], The 42% re sponse rate observed with this combination chemo therapy, however, is similar to that obtained by other authors [18,19]. Whether doxorubicin alone can ob tain the same results as the combination should be answered by a randomized trial.…”