Is there a case for cisplatin in the treatment of small-cell lung cancer? A meta-analysis of randomized trials of a cisplatin-containing regimen versus a regimen without this alkylating agent
2000

Cisplatin for Small-Cell Lung Cancer Treatment

Sample size: 4054 publication Evidence: moderate

Author Information

Author(s): Pujol J-L, Carestia, Daurès J-P

Primary Institution: Institut Universitaire de Recherche Clinique, Montpellier, France

Hypothesis

Does a cisplatin-containing regimen improve survival and response rates in small-cell lung cancer compared to regimens without cisplatin?

Conclusion

Cisplatin-containing regimens lead to higher response rates and better survival probabilities without increasing the risk of toxic death.

Supporting Evidence

  • Patients treated with cisplatin had a higher response rate from 62% to 69%.
  • Cisplatin reduced the risk of death at 6 months and 1 year.
  • The study included 19 trials with a total of 4054 evaluable patients.

Takeaway

Using cisplatin can help patients with small-cell lung cancer respond better to treatment and live longer, without making them more likely to get very sick from the treatment.

Methodology

A meta-analysis of 19 trials comparing cisplatin-containing regimens to those without cisplatin.

Statistical Information

P-Value

P = 0.03, P = 0.002

Confidence Interval

95% CI 1.18–1.55; 95% CI 0.75–0.98; 95% CI 0.69–0.93

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1054/bjoc.2000.1164

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