Accelerated cisplatin and high-dose epirubicin with G-CSF support in patients with relapsed non-small-cell lung cancer: feasibility and efficacy
2001

Cisplatin and Epirubicin for Lung Cancer

Sample size: 27 publication Evidence: moderate

Author Information

Author(s): Huisman C, Biesma B, Postmus P E, Giaccone G, Schramel F M N H, Smit E F

Primary Institution: Department of Pulmonary Diseases, University Hospital Vrije Universiteit, Amsterdam, The Netherlands

Hypothesis

Is it feasible to administer high-dose epirubicin combined with cisplatin in patients with metastatic non-small-cell lung cancer?

Conclusion

The study found that the combination of accelerated cisplatin and high-dose epirubicin with G-CSF support is feasible and shows promise for treating relapsed non-small-cell lung cancer.

Supporting Evidence

  • A total of 27 patients were treated on dose level 4, which appeared to be feasible.
  • In the initial study, a total of 86 courses were administered without dose-limiting toxicity.
  • 9 partial responses were recorded in 27 patients, indicating a 33% response rate.

Takeaway

Doctors tested a new way to give medicine to lung cancer patients, and it worked pretty well for some of them.

Methodology

Patients received high-dose epirubicin and cisplatin every 2 weeks with G-CSF support, and the regimen's feasibility and efficacy were tested in a phase II study.

Limitations

Myelosuppression limits the use of this regimen to a selected group of patients with good performance status.

Participant Demographics

Patients with relapsed non-small-cell lung cancer, 55% had prior cisplatin-containing chemotherapy.

Statistical Information

Confidence Interval

15%-51%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1054/bjoc.2001.2013

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