Paclitaxel plus carboplatin in advanced non-small-cell lung cancer: A phase II trial

D. H. Johnson, D. M. Paul, K. R. Hande, Y. Shyr, C. Blanke, B. Murphy, M. Lewis, R. F. De Vore

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123 Scopus citations

Abstract

Purpose: Studies conducted by the Eastern Cooperative Ontology Group (ECOG) indicate both paclitaxel and carboplatin are associated with an improvement in 1-year survival in patients with stage IV non-small-cell lung cancer (NSCLC). Based on these findings, a phase II trial of these agents in combination was conducted in patients with advanced NSCLC. Patients and Methods: Eligibility included previous untreated stage IIIB or IV NSCLC patients with a good performance status (PS). Paclitaxel (135 or 175 mg/m2) was administered by 24-hour infusion on day 1, followed by a 1-hour infusion of carboplatin on day 2 (300 mg/m2 or dosed to an area under the concentration-time curve [AUC] of 6 mg/mL · min). Treatment was repeated every 28 days for a total of six cycles. Hematopoietic growth factors were not routinely used. Results: Among 51 eligible patients, there were no complete and 14 partial responses, for an overall response rate of 27% (95% confidence interval [CI], 17% to 41%). The median progression-free survival time was 23.8 weeks (range, 12.1 to 73.9) and median survival time, 38 weeks. The survival rate at 1 year was 32%. Grade 3 or 4 granulocytopenia and thrombocytopenia were observed in 47% and 3%, respectively, of the 184 treatment cycles administered. The most common nonhematologic toxicities included nausea and emesis, neuropathy, and arthralgia/myalgia. Conclusion: Paclitaxel plus carboplatin is a moderately active regimen in patients with advanced NSCLC and warrants comparison with existing cisplatin-based regimens in a prospective randomized trial. The toxicities of this regimen are well tolerated in patients with a good PS.

Original languageEnglish (US)
Pages (from-to)2054-2060
Number of pages7
JournalJournal of Clinical Oncology
Volume14
Issue number7
DOIs
StatePublished - Jan 1 1996

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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    Johnson, D. H., Paul, D. M., Hande, K. R., Shyr, Y., Blanke, C., Murphy, B., Lewis, M., & De Vore, R. F. (1996). Paclitaxel plus carboplatin in advanced non-small-cell lung cancer: A phase II trial. Journal of Clinical Oncology, 14(7), 2054-2060. https://doi.org/10.1200/JCO.1996.14.7.2054