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Abstract

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Article in Japanese

Original Article

Combination chemotherapy with carboplatin and docetaxel for elderly patients with non-small-cell lung cancer

Takeshi Terashima1)  Tatsu Matsuzaki1)  Rika Ogawa1)  Asuka Naitou1)  Tetsuo Morishita1)  Akitoshi Ishizaka2) 

1)Department of Internal Medicine, Tokyo Dental College 2)Department of Internal Medicine, Keio University, School of Medicine

ABSTRACT

The efficacy and toxicity of treatment with carboplatin (AUC=5)+docetaxel (70 mg/m2) were analyzed retrospectively in 27 elderly patients with advanced non-small-cell lung cancer (NSCLC) aged 70 years or more. The median age of the patients was 74 years (range, 70-83 years). The performance status (ECOG), clinical stage, and tumor histology in the patients were as follows: PS: PS 0, 12 patients; PS 1, 11 patients; PS 2, 4 patients; disease stage: stage IIIA, 5 patients; stage IIIB, 11 patients; stage IV, 11 patients; tumor histology: adenocarcinoma, 18 patients; squamous cell carcinoma, 9 patients. The median number of treatment cycles administered was 4. The median survival time was 11.1 months and the 1-year survival rate was 40.7%. The response rate was 33.3%. The major toxicities were leukopenia and neutropenia; grade 3/4 neutropenia occurred in 22 patients (81.5%). Nonhematologic toxicities were generally mild, including grade 3 anorexia in 13 patients (48.1%) and grade 3 febrile neutropenia in 9 patients (33.3%). No treatment-related deaths were observed. Thus, it was concluded that the combination of carboplatin+docetaxel is a feasible, well-tolerated, and effective regimen for fit elderly patients with NSCLC. Prospective studies comparing carboplatin+docetaxel with third-generation single-agent chemotherapy or non-platinum-based combination chemotherapy are needed to confirm the efficacy and safety of this drug combination.

KEYWORDS

Elderly  NSCLC  CBDCA  DOC 

Received 平成19年11月7日

JJRS, 46(7): 516-521, 2008

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