Japanese Journal of Clinical Oncology 30:494-498 (2000)
© 2000 Foundation for Promotion of Cancer Research
Phase II Study of Regimen of Gemcitabine and Cisplatin in Advanced Non-small Cell Lung Cancer
1First Division of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Taipei and 2Division of Hematology–Oncology, Chang Gung Memorial Hospital, Taipei, Taiwan
Background: Cisplatin-based chemotherapy is the standard treatment for advanced non-small cell lung cancer (NSCLC). Many novel drugs, including gemcitabine, navelbine, paclitaxel and docetaxel have been used in combination with cisplatin. Of these drugs, gemcitabine is reported to have a high response rate and acceptable toxicity. The aim of this study was to evaluate the efficacy and safety of the combination of gemcitabine and cisplatin.
Methods: Thirty-two patients with NSCLC, who met the selection criteria from June 1998 to January 1999, were enrolled. All of them were confirmed by histology and were in an advanced stage, i.e. stage IIIB with pleural effusion or stage IV. Cisplatin at a dose of 80 mg/m2 was given monthly on day 15, in combination with gemcitabine at a dose of 1000 mg/m2 administered on days 1, 8 and 15 of the 28-day cycle.
Results: Of the 32 assessable patients, two showed complete remission and 11 achieved partial remission. The overall response was 40.6% (95% CI, 24.8–56.4%). The median time to disease progression was 7.2 months (95% CI, 4.87–9.53 months). The major hematological toxicity was neutropenia. Seven patients (22.9%) developed grade 3 and 4 neutropenia, but none developed febrile neutropenia. One patient (3.1%) had grade 3 thrombocytopenia. One patient (3.1%) developed grade 3 anemia. Nausea and vomiting were seen in 12 patients (37.5%).
Conclusions: The regimen of combined gemcitabine with cisplatin is safe and effective. With this combination, a lower dose of cisplatin seems to have an efficacy similar to that in previous reports.
+ For reprints and all correspondence: Thomas Chang-Yao Tsao, Chief, Division of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, 199 Tung Hwa North Road, Taipei, Taiwan. E-mail: drtsao@adm.cgmh.com.tw
Abbreviations: NSCLC, non-small cell lung cancer; CT, computed tomography; G-CSF, granulocyte-colony stimulating factor; WHO, World Health Organization; CR, complete remission; PR, partial remission
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  T. C. Y. Tsao, C.-H. Chen, J. W. C. Chang, and C.-H. Lee Weekly Short Infusion of Taxotere at a 4 Week Cycle in Chinese Patients with Advanced NSCLC Who Have Failed or Relapsed after the Frontline Platinum-based Non-Taxane Chemotherapy--A Phase II Trial Jpn. J. Clin. Oncol., February 1, 2006; 36(2): 80 - 84. [Abstract] [Full Text] [PDF]
|
|