Symptom relief with moderate dose chemotherapy (mitomycin-C, vinblastine and cisplatin) in advanced non-small cell lung cancer
1989

Symptom Relief with Moderate Dose Chemotherapy in Lung Cancer

Sample size: 24 publication Evidence: moderate

Author Information

Author(s): J.R. Hardy, T. Noble, I.E. Smith

Primary Institution: Royal Marsden Hospital

Hypothesis

Can moderate dose chemotherapy provide symptom relief in patients with advanced non-small cell lung cancer?

Conclusion

Moderate dose chemotherapy can lead to significant symptom relief in patients with advanced non-small cell lung cancer, despite a low objective response rate.

Supporting Evidence

  • 75% of patients reported a complete disappearance or good improvement in at least one symptom.
  • Only 21% of patients achieved an objective response.
  • The overall symptomatic response rate was 67%.
  • The median survival from start of treatment was 24 weeks.

Takeaway

This study shows that some patients with lung cancer felt better after receiving a specific type of chemotherapy, even if the cancer didn't shrink much.

Methodology

Patients received a combination of mitomycin-C, vinblastine, and cisplatin, and were assessed for symptom relief and objective response.

Potential Biases

The possibility of a placebo effect cannot be completely excluded.

Limitations

The median duration of symptomatic response was short-lived, at only 7 weeks.

Participant Demographics

24 patients (17 males, 7 females) with a median age of 53 years.

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