Study of cisplatin-vinblastine plus amifostine in patients with locally advanced or metastatic non-small cell lung cancer.

Simple item page
dc.contributor.authorThongprasert, Sumitraen_US
dc.contributor.authorChewaskulyong, Busyamasen_US
dc.date.accessioned2009-05-27T21:34:42Z
dc.date.available2009-05-27T21:34:42Z
dc.date.issued2004-10-25en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractOBJECTIVE: To determine whether pretreatment with amifostine would reduce the toxicity of cisplatin with no reduction in antitumor efficacy in patients with advanced non-small lung cancer PATIENTS AND METHOD: Patients with locally advanced or metastatic non-small cell lung cancer, aged less than 75 years, with an Eastern Cooperative Oncology Group (ECOG) performance status 0-2 were enrolled in the study. Amifostine was administered at a dose of 740 mg/m2 before chemotherapy. Then cisplatin at 100 mg/m2 was administered on day 1 and vinblastine 5 mg/m2 given on days 1, 8 and 15 in a 28 day cycle. RESULTS: Forty one patients were enrolled Baseline characteristics included; a median age of 58 years (range, 28-72); 23 males and 18 females; performance status of 0 (1 patient), 1 (38 patients) and 2 (2 patients); stage IIIa (1 patient), stage IIIb (10 patients) and stage IV (30 patients). The predominant histology was adenocarcinoma (60.97%). A median of 4 cycles (range, 1-6) were administered Thirty six cases out of forty one patients were assessable for response. The response rate was 38%. All those responding gave partial response. The median survival time was 33 weeks. One and two years survival were 23.9% and 9% respectively. Grade 3/4 toxicity was primarily hematologic. Grade 3/4 leukopenia occurred in 12.4%. Grade 3/4 thrombocytopenia occurred in 1.2%. Anemia grade 3/4 occurred in 7.5%. The observed grade 3/4 nonhematological toxicities were hypertension, hypocalcemia, nausea and vomiting and sensory neuropathy. Other toxicities were grade 2 or below. CONCLUSION: This study demonstrated that amifostine has the potential to be a broad spectrum cytoprotectant of normal tissues from toxicity caused by chemotherapy and no effect on therapeutic outcome in lung cancer patients.en_US
dc.description.affiliationDepartment of Medicine, Faculty of Medicine, Chiang Mai University, ChiangMai, Thailand.en_US
dc.identifier.citationThongprasert S, Chewaskulyong B. Study of cisplatin-vinblastine plus amifostine in patients with locally advanced or metastatic non-small cell lung cancer. Journal of the Medical Association of Thailand. 2004 Oct; 87(10): 1162-7en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/45034
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAmifostine --administration & dosageen_US
dc.subject.meshAntineoplastic Agents --administration & dosageen_US
dc.subject.meshCarcinoma, Non-Small-Cell Lung --drug therapyen_US
dc.subject.meshCisplatin --administration & dosageen_US
dc.subject.meshCytoprotection --drug effectsen_US
dc.subject.meshDrug Therapy, Combinationen_US
dc.subject.meshDrug Toxicity --prevention & controlen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshLung Neoplasms --drug therapyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshProtective Agents --administration & dosageen_US
dc.subject.meshVinblastine --administration & dosageen_US
dc.titleStudy of cisplatin-vinblastine plus amifostine in patients with locally advanced or metastatic non-small cell lung cancer.en_US
dc.typeClinical Trialen_US
dc.typeJournal Articleen_US
dc.typeResearch Support, Non-U.S. Gov'ten_US
Files
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.79 KB
Format:
Plain Text
Description:
Download
Collections
Journal of the Medical Association of Thailand