A phase II study of cisplatin and 5-fluorouracil with concurrent hyperfractionated thoracic radiation for locally advanced non-small-cell lung cancer: a preliminary report from the Okayama Lung Cancer Study Group
2000

Study on Chemoradiotherapy for Lung Cancer

Sample size: 50 publication Evidence: moderate

Author Information

Author(s): Segawa Y, Ueoka H, Kiura K, Kamei H, Tabata M, Sakae K, Hiraki Y, Kawahara S, Eguchi K, Hiraki S, Harada for the Okayama Lung Cancer Study Group

Primary Institution: National Shikoku Cancer Center Hospital

Hypothesis

Can a combination of cisplatin and 5-fluorouracil with concurrent hyperfractionated thoracic radiation provide a more effective treatment for locally advanced non-small-cell lung cancer?

Conclusion

The combination of cisplatin and 5-FU with concurrent hyperfractionated thoracic radiation is effective for treating locally advanced unresectable non-small-cell lung cancer.

Supporting Evidence

  • 74% of patients responded to the treatment.
  • Median survival time was 18.7 months.
  • 66% survival rate at 1 year.

Takeaway

This study tested a new treatment for lung cancer and found that it helped many patients live longer.

Methodology

Patients received three cycles of cisplatin and 5-FU along with hyperfractionated thoracic radiation over a period of time.

Potential Biases

Potential bias due to lack of randomization and small sample size.

Limitations

The study had a small sample size and was not randomized.

Participant Demographics

Patients were previously untreated with locally advanced unresectable NSCLC, aged ≤ 75 years, and with performance status ≤ 2.

Statistical Information

P-Value

0.007

Statistical Significance

p=0.007

Digital Object Identifier (DOI)

10.1054/bjoc.1999.0885

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