Oral vinorelbine given as monotherapy to advanced, elderly NSCLC patients: a multicentre phase II trial
Autor: | D. Aubert, Pekka Mali, J. Terrassa Pons, Christian Manegold, Miklos Pless, D. Betticher, F. De Marinis, C. Gridelli, Martin Reck, Y. Parlier, Rolf A. Stahel, J.-P. Burillon, L. Portalone, O. Castelnau |
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Rok vydání: | 2004 |
Předmět: |
Male
Cancer Research medicine.medical_specialty Lung Neoplasms medicine.medical_treatment Administration Oral Neutropenia Vinblastine Vinorelbine Oral administration Carcinoma Non-Small-Cell Lung Internal medicine medicine Humans Aged Aged 80 and over Chemotherapy business.industry medicine.disease Antineoplastic Agents Phytogenic Confidence interval Surgery Clinical trial Treatment Outcome Oncology Tolerability Female business Febrile neutropenia medicine.drug |
Zdroj: | European Journal of Cancer. 40:2424-2431 |
ISSN: | 0959-8049 |
Popis: | Vinorelbine intravenously (i.v.) demonstrated its efficacy and tolerability in advanced non-small cell lung cancer (NSCLC) patients, including elderly subjects. Since vinorelbine is now available as an oral formulation this phase II open study was designed to evaluate its activity and tolerability in advanced, elderly NSCLC patients. A total of 56 chemonaive patients were recruited from April 2001 through to March 2002. The dosage schedule, already tested in younger NSCLC patients, was 60 mg/m(2)once a week for three weeks (first cycle), followed by 80 mg/m(2) once a week until disease progression or development of unacceptable toxicity. A limited sampling scheme was used for performing pharmacokinetic analysis on 52 of 56 patients enrolled in the study. Treatment was well tolerated with grade 3/4 neutropenia in 11/17 patients (20/30%) and febrile neutropenia in 1 (2%). Six partial responses (11%) and 25 stable disease responses were recorded, with a disease control rate of 55%. Median overall survival was 8.2 months (95% Confidence Interval (CI) [6.2-11.3]). The clinical benefit response rate was 31% on 32 evaluable patients. Pharmacokinetic profiles appeared quite similar to the historical profiles recorded following i.v. administration. Oral vinorelbine appears to be a reasonable alternative to i.v. vinorelbine, both in terms of activity and tolerability, in advanced, elderly NSCLC patients. |
Databáze: | OpenAIRE |
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