Phase II study of nitrosourea fotemustine as single-drug chemotherapy in poor-prognosis non-small-cell lung cancer
1994

Fotemustine for Non-Small-Cell Lung Cancer

Sample size: 87 publication Evidence: moderate

Author Information

Author(s): J.-L. Pujol, A. Monnier, J. Berille, M.-L. Cerrina, J.-Y. Douillard, A. Riviere, A. Grandgirard, S. Gouva, J.-P. Bizzari, T. Le Chevalier

Primary Institution: Service des Maladies Respiratoires, Universite de Montpellier

Hypothesis

Can fotemustine be an effective single-drug chemotherapy for poor-prognosis non-small-cell lung cancer?

Conclusion

Fotemustine is a feasible and manageable treatment option for patients with poor-prognosis non-small-cell lung cancer.

Supporting Evidence

  • 13 out of 77 evaluable patients had an objective response.
  • 60% of patients had received prior chemotherapy.
  • Quality of life remained stable for responding patients.

Takeaway

Fotemustine is a medicine that can help some people with a type of lung cancer, even if their situation is not very good.

Methodology

Patients received fotemustine 100 mg/m2 on days 1 and 8, followed by a 5-week rest, with maintenance therapy every 3 weeks for responders.

Potential Biases

Potential bias due to the inclusion of pretreated patients and those with brain metastases.

Limitations

The study included a small sample size and was limited to patients with specific characteristics.

Participant Demographics

Median age was 60 years, with 66 males and 21 females; 74% had metastatic disease.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI 9-25%

Statistical Significance

p<0.05

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