Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2009-4-9
pubmed:abstractText
We performed a phase II trial to test whether a cyclooxygenase (COX-2) inhibitor, celecoxib, added to standard first-line combination chemotherapy (CT) and as maintenance therapy would improve outcomes in extensive-stage (ES) small-cell lung cancer (SCLC). This was a multicenter trial in CT-naive patients with ES-SCLC. They received standard cisplatin and etoposide (EP) up to 6 cycles and celecoxib 400 mg PO bid continuously until disease progression. Primary end points were response rate (RR), time to progression (TTP), and toxicity. Secondary were overall survival (OS) and quality of life. Of 74 expected patients, only 24 were enrolled and the study stopped earlier because of the published safety concerns about celecoxib. The patients, all male, were between 38 and 74 years. A total of 130 cycles of CT were administered. Toxicity associated with celecoxib was minimal. The RR was 56.5%. Median TTP and OS were 8.6 and 11.3 months, respectively. These data suggest that celecoxib may safely be combined with EP for treatment of ES-SCLC. This combination showed a promising activity and, despite the safety concerns regarding celecoxib, it would be interesting to further evaluate this regimen.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
1532-4192
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
27
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
391-6
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:19266367-Adult, pubmed-meshheading:19266367-Aged, pubmed-meshheading:19266367-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:19266367-Cisplatin, pubmed-meshheading:19266367-Cyclooxygenase 2 Inhibitors, pubmed-meshheading:19266367-Disease Progression, pubmed-meshheading:19266367-Etoposide, pubmed-meshheading:19266367-Humans, pubmed-meshheading:19266367-Kaplan-Meier Estimate, pubmed-meshheading:19266367-Lung Neoplasms, pubmed-meshheading:19266367-Male, pubmed-meshheading:19266367-Middle Aged, pubmed-meshheading:19266367-Neoplasm Staging, pubmed-meshheading:19266367-Portugal, pubmed-meshheading:19266367-Pyrazoles, pubmed-meshheading:19266367-Quality of Life, pubmed-meshheading:19266367-Small Cell Lung Carcinoma, pubmed-meshheading:19266367-Spain, pubmed-meshheading:19266367-Sulfonamides, pubmed-meshheading:19266367-Time Factors, pubmed-meshheading:19266367-Treatment Outcome
pubmed:year
2009
pubmed:articleTitle
Phase II study of celecoxib with cisplatin plus etoposide in extensive-stage small cell lung cancer.
pubmed:affiliation
Department of Medical Oncology, Portuguese Institute of Oncology Francisco Gentil, Porto, Portugal. amfaraujo@netcabo.pt
pubmed:publicationType
Journal Article, Controlled Clinical Trial, Research Support, Non-U.S. Gov't, Multicenter Study, Clinical Trial, Phase II