A Phase II Study with Vinorelbine and Carboplatin in Patients with Advanced Non-small Cell Lung Cancer.
- Author:
Jong Lyul KIM
1
;
Bong Seog KIM
;
Byoung Ju NA
;
Mi Jin SO
;
Jin Han LEE
;
Oh Young CHUNG
;
Gwi Lae LEE
;
Yong Ho ROH
Author Information
1. Department of Internal Medicine, Korea Veterans Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Non-small cell lung cancer;
Vinorelbine;
Carboplatin;
Chemotherapy
- MeSH:
Adenocarcinoma;
Agranulocytosis;
Anemia;
Carboplatin*;
Carcinoma, Non-Small-Cell Lung*;
Carcinoma, Squamous Cell;
Drug Therapy;
Drug Therapy, Combination;
Humans;
Lung Neoplasms;
Sepsis;
Thrombocytopenia
- From:Journal of the Korean Cancer Association
2000;32(4):690-698
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the efficacy and safety of vinorelbine and carboplatin in advanced non- small-cell lung cancer (NSCLC). MATERIALS AND METHODS: Between August 1998 and July 1999, 25 patients were enrolled. The median age was 68 (range, 46~77) years and male:female ratio was 23:2. Two patients had stage IIIa, 15 had stage IIIb and 8 had stage IV. Sixteen patients had ECOG performance status of 0 or 1 and 9 had 2 or 3. Sixteen patients had squamous cell carcinoma, 8 had adenocarcinoma and 1 had undifferentiated NSCLC. Treatment consists of intravenous carboplatin 400 mg/m2 on day 1 and vinorelbine 25 mg/m2 on days 1 and 8. The treatment was repeated every 28 days. RESULTS: Twenty-three of 25 patients were evaluable. Partial response were observed in 11 patients. The overall response rate was 48% (95% confidence interval: 27~69%) and the median response duration was 19 (range 7 ~44 ) weeks. The median survival of 25 patients was 52 (range 3~53 ) weeks. Toxicities were evaluated by WHO criteria. During a total of 108 cycles, granulocytopenia worse than WHO grade 3 occurred in 2%, thrombocytopenia in 4% and anemia in 10%, respectively. Treatment-related death occurred in 1 patient due to sepsis during cytopenic period. Non-hematologic toxicity was minor and easily controlled. CONCLUSION: A combination chemotherapy of intravenous vinorelbine and carboplatin has relatively high activity with acceptable toxicities in patients with advanced NSCLC.
