Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2007-6-7
pubmed:abstractText
We retrospectively analyzed the outcome of high-risk patients with non-small cell lung cancer (NSCLC) treated with nedaplatin (NP) and irinotecan (CPT) combination chemotherapy. Between July 2002 and January 2006, 31 NSCLC patients with multiple high-risk factors were treated with NP at 50 mg/m2 and CPT at 50 mg/m2 on days 1 and 8 every 4 weeks. Among them, the patients had a total of 85 risk factors, including poor performance status (2 or 3) in 27, cardiac or pulmonary failure in 15, symptomatic bone or brain metastasis in 9, and advanced age (> or = 75 years) in 8, as well as other factors. A total of 83 courses of the chemotherapy were administered and 24 patients were able to receive 2 to 4 courses. With regard to toxicities, 7 (8.4%) and 11 courses (13%) were associated with grade 4 neutropenia and grade 3 febrile neutropenia, respectively. One patient suffered acute myocardial infarction. Each of the toxicities was controllable and there were no treatment-related deaths. One patient achieved CR, 13 achieved PR, 14 SD and 3 PD, and the overall response rate was 45.2%. Of 26 patients with stage IIIB or IV, the median survival time was 232 days, the 1-survival rate was 38.5%, and 3 patients survived for more than 3 years. In conclusion, chemotherapy with NP and CPT appears to be safe and highly effective for high-risk patients with NSCLC.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1359-4117
pubmed:author
pubmed:issnType
Print
pubmed:volume
6
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
251-6
pubmed:meshHeading
pubmed-meshheading:17552365-Adult, pubmed-meshheading:17552365-Aged, pubmed-meshheading:17552365-Aged, 80 and over, pubmed-meshheading:17552365-Antineoplastic Agents, pubmed-meshheading:17552365-Antineoplastic Agents, Phytogenic, pubmed-meshheading:17552365-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:17552365-Camptothecin, pubmed-meshheading:17552365-Carcinoma, Non-Small-Cell Lung, pubmed-meshheading:17552365-Female, pubmed-meshheading:17552365-Humans, pubmed-meshheading:17552365-Lung Neoplasms, pubmed-meshheading:17552365-Male, pubmed-meshheading:17552365-Middle Aged, pubmed-meshheading:17552365-Organoplatinum Compounds, pubmed-meshheading:17552365-Retrospective Studies, pubmed-meshheading:17552365-Risk Factors, pubmed-meshheading:17552365-Survival Analysis, pubmed-meshheading:17552365-Treatment Outcome
pubmed:year
2007
pubmed:articleTitle
Feasible combination chemotherapy with nedaplatin and irinotecan for patients with non-small cell lung cancer and multiple high-risk factors.
pubmed:affiliation
Department of Thoracic Oncology, Kanagawa Cancer Center, Nakao 1-1-2, Asahi-ku, Yokohama 241-0815, Japan. foshita@kcch.jp
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't