Source:http://linkedlifedata.com/resource/pubmed/id/15689321
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2005-2-3
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pubmed:abstractText |
In this phase II study, the feasibility and efficacy of sequential chemotherapy were tested with agents shown to be active as monotherapy. Patients with chemotherapy-naive, locally advanced or metastatic non-small cell lung cancer were selected for the study. Treatment involved four cycles of docetaxel (100 mg/m(2) on day 1, every 3 weeks) (sequence A), followed by four cycles of cisplatin-vindesine (cisplatin 120 mg/m(2) on day 1 and vindesine 3 mg/m(2) on days 1, 8, 15, and 22, every 4 weeks) (sequence B). Responding patients received 3 cycles of docetaxel 100 mg/m(2) (day 1, every 3 weeks) as consolidation (sequence C). Thirty-two patients entered the study with thirty being evaluable for efficacy. Four patients showed a partial response and one patient a complete response, resulting in an objective response rate of 16.7 %. The median survival time (intent-to-treat) was 11 months (95 %CI = 8.0-15.4 months) with an estimated 1-year survival rate of 47%. The median time to progression was 17.6 weeks in the evaluable population. Main grade 4 toxicity was neutropenia (21.8 % and 68.2 % of patients in sequence A and B, respectively) while grade 3 peripheral neuropathy was documented in five patients during sequence B. There were no treatment-related deaths. Sequential chemotherapy may show promise for the treatment of advanced non-small cell lung cancer. Given the feasibility of this pilot study, sequential chemotherapy concept should be investigated with newer cisplatin-based regimens using this approach in larger prospective studies.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
1769-6917
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
92
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
E1-6
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pubmed:dateRevised |
2009-11-11
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pubmed:meshHeading |
pubmed-meshheading:15689321-Adult,
pubmed-meshheading:15689321-Aged,
pubmed-meshheading:15689321-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:15689321-Carcinoma, Non-Small-Cell Lung,
pubmed-meshheading:15689321-Cisplatin,
pubmed-meshheading:15689321-Drug Administration Schedule,
pubmed-meshheading:15689321-Feasibility Studies,
pubmed-meshheading:15689321-Female,
pubmed-meshheading:15689321-Humans,
pubmed-meshheading:15689321-Lung Neoplasms,
pubmed-meshheading:15689321-Male,
pubmed-meshheading:15689321-Middle Aged,
pubmed-meshheading:15689321-Pilot Projects,
pubmed-meshheading:15689321-Taxoids,
pubmed-meshheading:15689321-Vindesine
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pubmed:year |
2005
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pubmed:articleTitle |
Sequential administration of docetaxel followed by cisplatin-vindesine: a pilot study in patients with locally advanced or metastatic non-small cell lung cancer (NSCLC).
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pubmed:affiliation |
Service d'oncologie, hôpital Pitié-Salpêtrière, 47 boulevard de l'Hôpital, 75013 Paris, France.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Multicenter Study,
Clinical Trial, Phase II
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