Phase II study of gemcitabine plus oxaliplatin as first-line chemotherapy for advanced non-small-cell lung cancer

作者: F Cappuzzo , S Novello , F De Marinis , V Franciosi , M Maur

DOI: 10.1038/SJ.BJC.6602667

关键词: NeutropeniaInternal medicineGastroenterologyOxaliplatinSurgeryChemotherapyProgressive diseaseLung cancerTolerabilityPhases of clinical researchGemcitabineMedicine

摘要: This phase II study evaluated the response rate and tolerability of gemcitabine–oxaliplatin chemotherapy in non-small-cell lung cancer (NSCLC) patients. Chemonaive patients with stage IIIB or IV NSCLC received gemcitabine 1000 mg m−2 on days 1 8, followed by oxaliplatin 130 mg m−2 day 1. Cycles were repeated every 21 for up to six cycles. From February 2002 May 2004, 60 enrolled into seven Italian institutions. We observed one complete (1.7%) 14 partial responses (23.3%), an overall 25.0% (95% confidence interval, 14.7–37.9%). The median duration was 5.9 months (range 1.5–17.1 months). With a follow-up 6.7 months, time progressive disease survival 2.7 1.9–3.4 months) 7.3 7.2–8.6 months), respectively. main grade 3–4 haematological toxicities transient neutropenia 11.7% thrombocytopenia 8.3% Nausea/vomiting nonhaematological toxicity, occurring 10.0% Two (3.3%) developed 3 neurotoxicity. Our results show that is active well tolerated advanced NSCLC, deserving further study, especially not eligible receive cisplatin.

参考文章(38)
P Weynants, B Cottier, K Mattson, M Tonato, R Rosso, M Gottfried, M Voi, RL Burkes, H CortesFunes, Hendricus Groen, T LeChevalier, F Shepherd, A Ponzio, U Gatzemeier, A phase II study of gemcitabine in the treatment of non small cell lung cancer Bulletin Du Cancer. ,vol. 84, pp. 282- 288 ,(1997)
A J Wozniak, J J Crowley, S P Balcerzak, G R Weiss, C H Spiridonidis, L H Baker, K S Albain, K Kelly, S A Taylor, D R Gandara, R B Livingston, Randomized trial comparing cisplatin with cisplatin plus vinorelbine in the treatment of advanced non-small-cell lung cancer: A Southwest Oncology Group study Journal of Clinical Oncology. ,vol. 16, pp. 2459- 2465 ,(1998) , 10.1200/JCO.1998.16.7.2459
Jan M. Woynarowski, Sandrine Faivre, Maryanne C.S. Herzig, Brenda Arnett, William G. Chapman, Alex V. Trevino, Eric Raymond, Stephen G. Chaney, Alexandra Vaisman, Maria Varchenko, Paul E. Juniewicz, Oxaliplatin-induced damage of cellular DNA. Molecular Pharmacology. ,vol. 58, pp. 920- 927 ,(2000) , 10.1124/MOL.58.5.920
A.B. Sandler, J. Nemunaitis, C. Denham, J. von Pawel, Y. Cormier, U. Gatzemeier, K. Mattson, Ch. Manegold, M.C. Palmer, A. Gregor, B. Nguyen, C. Niyikiza, L.H. Einhorn, Phase III Trial of Gemcitabine Plus Cisplatin Versus Cisplatin Alone in Patients With Locally Advanced or Metastatic Non–Small-Cell Lung Cancer Journal of Clinical Oncology. ,vol. 18, pp. 122- 122 ,(2000) , 10.1200/JCO.2000.18.1.122
R P Abratt, W R Bezwoda, G Falkson, L Goedhals, D Hacking, T A Rugg, Efficacy and safety profile of gemcitabine in non-small-cell lung cancer: a phase II study. Journal of Clinical Oncology. ,vol. 12, pp. 1535- 1540 ,(1994) , 10.1200/JCO.1994.12.8.1535
H Anderson, B Lund, F Bach, N Thatcher, J Walling, H H Hansen, Single-agent activity of weekly gemcitabine in advanced non-small-cell lung cancer: a phase II study. Journal of Clinical Oncology. ,vol. 12, pp. 1821- 1826 ,(1994) , 10.1200/JCO.1994.12.9.1821
Diane Fairclough, David Cella, John Kugler, Eric Rowinsky, Michael Jiroutek, David Johnson, Philip Bonomi, KyungMann Kim, Comparison of Survival and Quality of Life in Advanced Non–Small-Cell Lung Cancer Patients Treated With Two Dose Levels of Paclitaxel Combined With Cisplatin Versus Etoposide With Cisplatin: Results of an Eastern Cooperative Oncology Group Trial Journal of Clinical Oncology. ,vol. 18, pp. 623- 631 ,(2000) , 10.1200/JCO.2000.18.3.623
Karen Kelly, John Crowley, Paul A. Bunn, Cary A. Presant, Patra K. Grevstad, Carol M. Moinpour, Scott D. Ramsey, Antoinette J. Wozniak, Geoffrey R. Weiss, Dennis F. Moore, Valerie K. Israel, Robert B. Livingston, David R. Gandara, Randomized Phase III Trial of Paclitaxel Plus Carboplatin Versus Vinorelbine Plus Cisplatin in the Treatment of Patients With Advanced Non–Small-Cell Lung Cancer: A Southwest Oncology Group Trial Journal of Clinical Oncology. ,vol. 19, pp. 3210- 3218 ,(2001) , 10.1200/JCO.2001.19.13.3210
L. Crinò, G. V. Scagliotti, S. Ricci, F. De Marinis, M. Rinaldi, C. Gridelli, A. Ceribelli, R. Bianco, M. Marangolo, F. Di Costanzo, M. Sassi, S. Barni, A. Ravaioli, V. Adamo, L. Portalone, G. Cruciani, A. Masotti, G. Ferrara, F. Gozzelino, M. Tonato, Gemcitabine and Cisplatin Versus Mitomycin, Ifosfamide, and Cisplatin in Advanced Non–Small-Cell Lung Cancer: A Randomized Phase III Study of the Italian Lung Cancer Project Journal of Clinical Oncology. ,vol. 17, pp. 3522- 3530 ,(1999) , 10.1200/JCO.1999.17.11.3522
E. L. Kaplan, Paul Meier, Nonparametric Estimation from Incomplete Observations Springer Series in Statistics. ,vol. 53, pp. 319- 337 ,(1992) , 10.1007/978-1-4612-4380-9_25