Vinflunine – an active chemotherapy for treatment of advanced non-small-cell lung cancer previously treated with a platinum-based regimen: results of a phase II study
2006

Vinflunine for Advanced Lung Cancer

Sample size: 63 publication Evidence: moderate

Author Information

Author(s): J Bennouna, J-L Breton, J-M Tourani, C Ottensmeier, M O'Brien, P Kosmidis, T E Huat, M-C Pinel, C Colin, J-Y Douillard

Primary Institution: Centre René Gauducheau

Hypothesis

Does vinflunine provide an effective treatment option for patients with advanced non-small-cell lung cancer who have previously been treated with platinum-based chemotherapy?

Conclusion

Vinflunine shows clinically relevant activity as a second-line treatment for patients with advanced non-small-cell lung cancer who have failed first-line platinum-based therapy.

Supporting Evidence

  • Vinflunine achieved a response rate of 7.9% in the intent-to-treat analysis.
  • Median overall survival was 7 months for patients treated with vinflunine.
  • 58.3% of evaluable patients achieved disease control.
  • 50% of patients experienced grade 3-4 neutropenia.

Takeaway

Vinflunine is a new medicine that helps some people with lung cancer when other treatments have not worked. It can make the cancer smaller and help people live longer.

Methodology

This was a multicentre, single-arm, phase II trial assessing the efficacy of vinflunine in patients with advanced non-small-cell lung cancer who had failed platinum-based therapies.

Potential Biases

Potential bias due to the open-label design and lack of a control group.

Limitations

The study was nonrandomized and included a small sample size, which may limit the generalizability of the results.

Participant Demographics

{"median_age":61.6,"sex_distribution":{"male":74.6,"female":25.4},"performance_status":{"100":22.2,"90":33.3,"80":44.4}}

Statistical Information

P-Value

p<0.05

Confidence Interval

{"response_rate":"95% CI: 2.6–17.6","median_duration_response":"95% CI: 4.6–NR","median_PFS":"95% CI: 1.4–3.8","median_survival":"95% CI: 5.8–9.2"}

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6603106

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