High dose etoposide for brain metastases of small cell lung cancer. A phase II study
1989

High Dose Etoposide for Brain Metastases in Small Cell Lung Cancer

Sample size: 28 publication Evidence: low

Author Information

Author(s): P.E. Postmus, H. Haaxma-Reiche, D.Th. Sleijfer, A. Kirkpatrick, J.G. McVie, J.P. Kleisbauer

Primary Institution: State University Hospital, Groningen, The Netherlands

Hypothesis

Can high dose etoposide effectively treat brain metastases in patients with small cell lung cancer?

Conclusion

The study found a 43% response rate to high dose etoposide, but the treatment was too toxic for heavily pretreated patients.

Supporting Evidence

  • 43% of patients showed a response to the treatment.
  • Median survival for responders was 8 months.
  • Severe toxicity led to five deaths related to treatment.

Takeaway

This study tested a strong medicine called etoposide to help people with brain problems from lung cancer, but it made many people very sick.

Methodology

Patients with small cell lung cancer and brain metastases received high dose etoposide and were monitored for response and toxicity.

Limitations

The study had a small sample size and high toxicity, leading to several deaths related to treatment.

Participant Demographics

28 patients (2 female, 26 male) with a mean age of 58 years.

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