Second-line chemotherapy for non-small-cell lung cancer.

Abstract:

:Most of the experience with second-line chemotherapy for non-small-cell lung cancer (NSCLC) comes from small phase II trials, which have shown disappointing or inconsistent results. The notable exception has been docetaxel, which has been extensively studied as a second-line therapy for NSCLC. On the basis of consistent phase II activity, two large randomized phase III trials were conducted for patients with advanced NSCLC that had progressed either on or after first-line platinum-based therapy. In one trial, docetaxel, at either 100 or 75 mg/m(2), was compared with a regimen of either vinorelbine or ifosfamide. In the second trial, docetaxel 75 to 100 mg/m(2) was compared with best supportive care. Both trials showed significant improvement in survival, time to progression, and quality of life in the patients receiving docetaxel versus the control therapy. Based on these two large trials, it appears that the use of second-line therapy with single-agent docetaxel at a dose of 75 mg/m(2) every 3 weeks is a reasonable practice in patients who maintain a good performance status.

journal_name

Curr Oncol Rep

journal_title

Current oncology reports

authors

Fossella FV

doi

10.1007/s11912-000-0016-x

keywords:

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

96-101

issue

1

eissn

1523-3790

issn

1534-6269

journal_volume

2

pub_type

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