Weekly regimen of paclitaxel and carboplatin as first-line che 11 cell lung cancer (NSCLC): Results of a phase II study

A. Rozzi, C. Nardoini, M. Corona, M. R. Restuccia, T. Falbo, G. Lanzetta

Research output: Contribution to journalArticlepeer-review

Abstract

Single-agent chemotherapy is the preferred treatment option in chemonaive elderly patients with advanced non-small-cell lung cancer (NSCLC). The role of combination chemotherapy in this setting is uncertain although several studies report satisfactory efficacy and safety using weekly paclitaxel and carboplatin (AUC=6) as first-line chemotherapy in elderly patients. It is still unclear which schedule of this regimen which could offer the best therapeutic index. The aim of this study was to evaluate the activity and tolerability of concomitant weekly administration of paclitaxel and carboplatin in untreated elderly patients with advanced NSCLC. From February 2005 to April 2008 36 consecutive elderly patients with advanced NSCLC were enrolled. Median age was 74 years (range, 70-83 years) and median ECOG PS was 1 (range, 0-1). Patients received carboplatin (AUC=2) and paclitaxel 80 rag/m2 on days 1,8 and 15 every 28 days. All patients were eval liable for efficacy and toxicity; a median of 4 cycles was administered. Twelve patients had partial response (33%; 95% CI. 15,852,3%), 10 patients (28%) showed stable disease. The median time to progression (IIP) was 5.7 months (95% C.I. 3.1-8.6 months) with a median overall survival (MOS) of 9 months (95% C.I. 4.4-13.9 months). Toxicity was mild with no cases of febrile neutropenia; 5 patients (14%) developed grade 2 neuropathy. Our study confirms the substantial activity of weekly regimen of paclitaxel and carboplatin. Due to its favorable profile of toxicity this schedule could represent an interesting therapeutic option in selected chemonaive elderly patients with advanced NSCLC.

Original languageEnglish
Pages (from-to)419-423
Number of pages5
JournalJournal of Chemotherapy
Volume22
Issue number6
Publication statusPublished - Dec 2010

Keywords

  • Carboplatin
  • Chemotherapy
  • Elderly
  • Non-small-cell lung cancer
  • Paclitaxel

ASJC Scopus subject areas

  • Medicine(all)
  • Infectious Diseases
  • Oncology
  • Pharmacology (medical)
  • Pharmacology

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