Preliminary analysis of a phase II study of Paclitaxel and CHART in locally advanced non-small cell lung cancer


Oral E., Bavbek S., Kizir A., Tenececi N., Yoney A., Kaytan E., ...Daha Fazla

LUNG CANCER, cilt.25, ss.191-198, 1999 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 25 Konu: 3
  • Basım Tarihi: 1999
  • Doi Numarası: 10.1016/s0169-5002(99)00068-9
  • Dergi Adı: LUNG CANCER
  • Sayfa Sayıları: ss.191-198

Özet

Paclitaxel (Taxol(R); Bristol-Myers Squibb) is one of the most active single agents for non-small cell lung cancer (NSCLC), and ideal in combination with radiation therapy. We designed a phase II study to determine the efficacy and toxicity of continuous hyperfractionated accelerated radiotherapy (CHART) and concurrent weekly Paclitaxel (T) in good performance status patients with unresectable stage III A and B NSCLC. T (60 mg/m(2)) was given as a 3-h infusion on days 1, 8, 15, 22, 29 and 36; CHART was started on day 15 with 150 cGy/fraction given three times a day for a total dose of 54 Gy in 12 days with no weekend break. Twenty patients were evaluable for acute toxicity. The major acute toxicities were esophagitis and pulmonary toxicity; 70% of the patients experienced grade 2-3 esophagitis and 50% experienced grade greater than or equal to 3 pulmonary toxicity. Grade 3 anemia developed in only one patient. Of the 17 patients evaluable for late toxicity, 12% of the patients had grade 3 pulmonary toxicity, one patient developed grade 4 esophagitis. Nineteen patients were evaluable response. The overall response rate was 84% (95% confidence interval, 60-97). CHART with concurrent weekly T seems to be an effective regimen, but tolerability needs to be documented with a larger number of patients and longer follow-up. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.