OBJECTIVE: New effective therapy is desirable for patients with non-small cell lung cancer (NSCLC) who have failed previous treatments. Fractionated administration of paclitaxel may be less toxic and more active against NSCLC. The aim of this study was to evaluate the activity and toxicity of weekly paclitaxel therapy for NSCLC in a second-line setting. METHODS: Patients with pathological or cytological diagnosis of NSCLC, measurable lesions, and one or more prior therapies were enrolled. We administered weekly infusions of 80 mg/m2 paclitaxel 3 times in a 4-week cycle. In the absence of progressive disease or intolerable toxicity, each patient was treated for a minimum of 4 cycles. RESULTS: Of 39 patients enrolled, 1 patient achieved complete response and 11 patients achieved partial response (response rate, 31%: 95% confidence interval, 17-48%). The median survival time was 43 weeks (range, 7-128 weeks). Grade 3 or 4 leukopenia occurred in only 7 patients (18%). Neurotoxicity was the most frequent adverse effect (grades 1 and 2.26 and 5%, respectively). Although all patients recovered rapidly with corticosteroid treatment, drug-induced pneumonitis was observed in 3 patients (8%). CONCLUSION: Low-dose weekly paclitaxel is a promising therapy with high effectiveness for advanced NSCLC in patients with NSCLC who have failed previous treatments.
OBJECTIVE: New effective therapy is desirable for patients with non-small cell lung cancer (NSCLC) who have failed previous treatments. Fractionated administration of paclitaxel may be less toxic and more active against NSCLC. The aim of this study was to evaluate the activity and toxicity of weekly paclitaxel therapy for NSCLC in a second-line setting. METHODS:Patients with pathological or cytological diagnosis of NSCLC, measurable lesions, and one or more prior therapies were enrolled. We administered weekly infusions of 80 mg/m2 paclitaxel 3 times in a 4-week cycle. In the absence of progressive disease or intolerable toxicity, each patient was treated for a minimum of 4 cycles. RESULTS: Of 39 patients enrolled, 1 patient achieved complete response and 11 patients achieved partial response (response rate, 31%: 95% confidence interval, 17-48%). The median survival time was 43 weeks (range, 7-128 weeks). Grade 3 or 4 leukopenia occurred in only 7 patients (18%). Neurotoxicity was the most frequent adverse effect (grades 1 and 2.26 and 5%, respectively). Although all patients recovered rapidly with corticosteroid treatment, drug-induced pneumonitis was observed in 3 patients (8%). CONCLUSION: Low-dose weekly paclitaxel is a promising therapy with high effectiveness for advanced NSCLC in patients with NSCLC who have failed previous treatments.
Authors: Terry L Ng; Amber Johnson; Raphael A Nemenoff; Elena Hsieh; Andrea Abeyta Osypuk; Adrie van Bokhoven; Howard Li; D Ross Camidge; Erin L Schenk Journal: J Thorac Oncol Date: 2020-12-09 Impact factor: 15.609
Authors: Ricardo Costa; Benedito A Carneiro; Mark Agulnik; Alfred W Rademaker; Sachin G Pai; Victoria M Villaflor; Massimo Cristofanilli; Jeffrey A Sosman; Francis J Giles Journal: Oncotarget Date: 2017-01-31
Authors: Diane Pannier; Antoine Adenis; Emilie Bogart; Eric Dansin; Stéphanie Clisant-Delaine; Emilie Decoupigny; Anne Lesoin; Eric Amela; Sandrine Ducornet; Jean-Pierre Meurant; Marie-Cécile Le Deley; Nicolas Penel Journal: BMC Cancer Date: 2018-07-31 Impact factor: 4.430
Authors: T Berghmans; J J Lafitte; J Lecomte; C G Alexopoulos; O Van Cutsem; V Giner; A Efremidis; M C Berchier; T Collon; A P Meert; A Scherpereel; V Ninane; N Leclercq; M Paesmans; J P Sculier Journal: Br J Cancer Date: 2007-05-01 Impact factor: 7.640