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Pilot study of concurrent etoposide and cisplatin plus accelerated hyperfractionated thoracic radiotherapy followed by irinotecan and cisplatin for limited-stage small cell lung cancer: Japan Clinical Oncology Group 9903.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Kubota, Kaoru Nishiwaki, Yutaka Sugiura, Takahiko Noda, Kazumasa Mori, Kiyoshi Kawahara, Masaaki Negoro, Shunichi Watanabe, Koshiro Imamura, Fumio Tamura, Tomohide Saijo, Nagahiro George |
| Copyright Year | 2005 |
| Abstract | PURPOSE Irinotecan and cisplatin (IP) significantly improved survival compared with etoposide and cisplatin (EP), in patients with extensive-stage small cell lung cancer (SCLC) in a previous Japan Clinical Oncology Group (JCOG) randomized trial. JCOG9903 was conducted to evaluate the safety of sequentially given IP following concurrent EP plus twice-daily thoracic irradiation (TRT) for the treatment of limited-stage SCLC (LSCLC). EXPERIMENTAL DESIGN Between October 1999 and July 2000, 31 patients were accrued from 10 institutions. Thirty patients were assessable for toxicity, response, and survival. Treatment consisted of etoposide 100 mg/m(2) on days 1 to 3, cisplatin 80 mg/m(2) on day 1, and concurrent twice-daily TRT of 45 Gy beginning on day 2. The IP regimen started on day 29 and consisted of irinotecan 60 mg/m(2) on days 1, 8, and 15 and cisplatin 60 mg/m(2) on day 1, with three 28-day cycles. RESULTS There were no treatment-related deaths. The response rate was 97% (complete response, 37%; partial response, 60%). Median overall survival was 20.2 months; 1-, 2-, and 3-year survival rates were 76%, 41%, and 38%, respectively. Of the 24 patients who started the IP regimen, 22 received two or more cycles. Hematologic toxicities of grade 3 or 4 included neutropenia (67%), anemia (50%), and thrombocytopenia (4%). Nonhematologic toxicities of grade 3 or 4 included diarrhea (8%), vomiting (8%), and febrile neutropenia (8%). Of the 20 patients with recurrence, none had local recurrence alone and only two had both local and distant metastasis as the initial sites of disease progression. CONCLUSIONS IP following concurrent EP plus twice-daily TRT is safe with acceptable toxicities. A randomized phase III trial comparing EP with IP following EP plus concurrent TRT for LSCLC is ongoing (JCOG0202). |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://clincancerres.aacrjournals.org/content/clincanres/11/15/5534.full.pdf |
| PubMed reference number | 16061870v1 |
| Volume Number | 11 |
| Issue Number | 15 |
| Journal | Clinical cancer research : an official journal of the American Association for Cancer Research |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Adverse reaction to drug Anemia Cessation of life Chest Cisplatin Diarrhea Disease Progression Distant Metastasis Eighty Etoposide Febrile Neutropenia Fever Hematology (discipline) Overall Survival Patients Small cell carcinoma of lung Therapeutic radiology procedure Thoracic Outlet Syndrome Thrombocytopenia Vomiting extensive stage small cell lung cancer irinotecan |
| Content Type | Text |
| Resource Type | Article |
