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Phase III Study ofSecond-LineChemotherapy forAdvancedNon–Small-Cell LungCancer With WeeklyCompared With3-Weekly Docetaxel Wolfgang SchuetteS. NagelThomas Blankenburg2005 год

Phase III Study of Second-Line Chemotherapy for Advanced Non–Small-Cell Lung Cancer With Weekly Compared With 3-Weekly Docetaxel
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Аннотация: Purpose A phase III study to determine whether a weekly docetaxel schedule improves the therapeutic index compared with the classic 3-weekly schedule. Patients and Methods Patients with stage IIIB-IV non–small-cell lung cancer (NSCLC) were randomly assigned to docetaxel 75 mg/m 2 on day 1 every 3 weeks (3-weekly) and 35 mg/m 2 on days 1, 8, and 15 (weekly) for ≤ eight cycles. End points included survival (primary), toxicity, and response. Results Of 215 patients enrolled, 208 (103 in the 3-weekly arm and 105 in the weekly arm) were assessable for response. At baseline, 24.5% of patients (51 out of 208) had received prior paclitaxel therapy and 43.3% of patients (90 out of 208) had been progression-free for more than 3 months after first-line therapy. After 12 months' follow-up, median survival was 6.3 months (95% CI, 4.68 to 7.84 months) with 3-weekly docetaxel and 9.2 months (95% CI, 5.83 to 12.59 months) with weekly docetaxel (P = .07) after a median of four (range, one to eight) and two (range, one to eight) treatment cycles, respectively. Overall, response rates were 12.6% v 10.5% with 3-weekly versus weekly docetaxel. Significantly fewer patients reported grade 3 to 4 toxicities with weekly docetaxel versus 3-weekly docetaxel (P ≤ .05). There were significantly lower rates of grade 3 to 4 anemia (P ≤ .05), leucopenia (P < .0001), and neutropenia (P ≤ .001) with weekly versus 3-weekly treatment. No grade 3 to 4 thrombocytopenia or mucositis was reported. Conclusion Weekly docetaxel 35 mg/m 2 demonstrated similar efficacy and better tolerability than standard 3-weekly docetaxel 75 mg/m 2 and can be recommended as a feasible alternative second-line treatment option for patients with advanced NSCLC.
Год издания: 2005
Авторы: Wolfgang Schuette, S. Nagel, Thomas Blankenburg, Christine Lautenschlaeger, K. Hans, Ernst-Wilhelm Schmidt, Ina Dittrich, H Schweisfurth, Ludwig Fischer von Weikersthal, Aruna Raghavachar, Angelika Reißig, Monika Serke
Издательство: Lippincott Williams & Wilkins
Источник: Journal of Clinical Oncology
Ключевые слова: Lung Cancer Treatments and Mutations, Lung Cancer Research Studies, Lung Cancer Diagnosis and Treatment
Другие ссылки: Journal of Clinical Oncology (HTML)
PubMed (HTML)