Phase I/II study of docetaxel and cisplatin with concurrent thoracic radiation therapy for locally advanced non-small-cell lung cancer
2003

Chemotherapy and Radiation Therapy for Lung Cancer

Sample size: 42 publication 15 minutes Evidence: moderate

Author Information

Author(s): Kiura K, Ueoka H, Segawa Y, Tabata M, Kamei H, Takigawa N, Hiraki S, Watanabe Y, Bessho A, Eguchi K, Okimoto N, Harita S, Takemoto M, Hiraki Y, Harada M, Tanimoto M

Primary Institution: Okayama University Medical School

Hypothesis

The study aims to evaluate the safety, toxicity, antitumor activity, and survival effects of chemotherapy consisting of docetaxel plus cisplatin with concurrent thoracic radiation therapy in patients with locally advanced non-small-cell lung cancer.

Conclusion

The combination of docetaxel and cisplatin with radiation therapy showed promising results in treating locally advanced non-small-cell lung cancer.

Supporting Evidence

  • 79% of patients responded to the treatment.
  • The median survival time was over 23 months.
  • Overall survival rates were 76% at 1 year and 54% at 2 years.
  • Grade 3 or higher toxicities occurred in 76% of patients.
  • Only 14% of patients did not complete radiation therapy.

Takeaway

Doctors tested a new treatment for lung cancer that combines two medicines with radiation, and it helped many patients live longer.

Methodology

Patients received docetaxel and cisplatin on specific days along with radiation therapy, and their responses and side effects were monitored.

Potential Biases

Potential biases may arise from the non-randomized design and the specific patient population selected.

Limitations

The study had a relatively small sample size and was conducted at a single institution.

Participant Demographics

The study included 36 men and 6 women with a median age of 67 years, primarily with stage IIIB lung cancer.

Statistical Information

P-Value

0.001

Confidence Interval

95% CI, 66–91%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6601217

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