Irinotecan and Cisplatin for Advanced Lung Cancer
Author Information
Author(s): Takeda Y, Tsuduki E, Izumi S, Hojo M, Kamimura M, Naka G, Kobayashi K, Kudo K
Primary Institution: International Medical Center of Japan
Hypothesis
Can an anti-late-diarrhoeal program improve the safety and efficacy of irinotecan and cisplatin in patients with advanced non-small-cell lung cancer?
Conclusion
The combination of irinotecan and cisplatin with an anti-late-diarrhoeal program showed promising efficacy and acceptable toxicity in patients with advanced non-small-cell lung cancer.
Supporting Evidence
- 63% of patients showed a response to the treatment.
- Median survival was 52 weeks.
- Grade 3/4 toxicities included neutropenia in 65% of patients.
- 90% of patients did not experience a decline in performance status after treatment.
Takeaway
Doctors tested a new treatment for lung cancer that combines two medicines and a special program to prevent diarrhea, and it worked well for many patients.
Methodology
A phase I/II trial with 77 chemotherapy-naive patients, evaluating the safety and efficacy of irinotecan and cisplatin with an anti-late-diarrhoeal program.
Potential Biases
Potential bias due to the single-institution study design and lack of a control group.
Limitations
The study was limited to patients with advanced non-small-cell lung cancer and may not be generalizable to other populations.
Participant Demographics
Median age of participants was 64 years, with 93% having a performance status of 0 or 1.
Statistical Information
P-Value
0.018
Confidence Interval
95% CI, 47–76%
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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