Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2-3
pubmed:dateCreated
2001-9-11
pubmed:abstractText
This trial was initiated to evaluate the toxicity and activity of combination chemotherapy employing cisplatin (CDDP), docetaxel (DCT) and ifosfamide (IFX) in non-small cell lung cancer (NSCLC), and to determine the maximum tolerated dose (MTD) of IFX. Chemotherapy-naive patients with advanced or recurrent NSCLC received 60 mg/m(2) DCT followed after a 3-h interval by 60 mg/m(2) CDDP on chemotherapy day 1, and IFX at an escalating dose with mesna protection on days 2-4. The chemotherapy was repeated every 3 weeks. Granulocyte colony-stimulating factor (GCSF) was administered in the event of grade 3 leukopenia/neutropenia. The patients tolerated the treatment well up to level 4 of IFX dosing 1.5 g/day, but not the IFX dose at level 6 (2.0 g/day). Additional patients were enrolled in level 5 (IFX 1.7 g/day) to evaluate the toxicity of the drugs around the MTD. Level 5 was also judged as having exceeded the MTD, with febrile neutropenia and hepatic toxicity being observed as the dose-limiting toxicities. No toxicity-related deaths occurred. The majority of the chemotherapy courses were supported by GCSF administration. A total of 33 eligible patients were entered into the trial; the overall response rate was 10/33 or 30% among all eligible cases, and the rate for patients treated with the MTD or higher (levels 4-6) was 8/24, or 33% (90% confidence limit: 18-52%). The MTD of IFX was 1.5 g/m(2) administered for 3 days in this triplet combination. The clinical activity does not seem to justify the toxicity profile.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0169-5002
pubmed:author
pubmed:issnType
Print
pubmed:volume
33
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
259-65
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:11551421-Adolescent, pubmed-meshheading:11551421-Adult, pubmed-meshheading:11551421-Aged, pubmed-meshheading:11551421-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:11551421-Carcinoma, Non-Small-Cell Lung, pubmed-meshheading:11551421-Cisplatin, pubmed-meshheading:11551421-Dose-Response Relationship, Drug, pubmed-meshheading:11551421-Female, pubmed-meshheading:11551421-Humans, pubmed-meshheading:11551421-Ifosfamide, pubmed-meshheading:11551421-Infusions, Intravenous, pubmed-meshheading:11551421-Lung Neoplasms, pubmed-meshheading:11551421-Male, pubmed-meshheading:11551421-Maximum Tolerated Dose, pubmed-meshheading:11551421-Middle Aged, pubmed-meshheading:11551421-Neoplasm Recurrence, Local, pubmed-meshheading:11551421-Paclitaxel, pubmed-meshheading:11551421-Taxoids
pubmed:articleTitle
A phase I/II trial of cisplatin, docetaxel and ifosfamide in advanced or recurrent non-small cell lung cancer.
pubmed:affiliation
Department of Medical Oncology, National Cancer Center Hospital: 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan. hkkunito@gan2.ncc.go.jp
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, Non-U.S. Gov't, Clinical Trial, Phase II, Clinical Trial, Phase I