Non Small Cell Lung Cancer
Conditions
Keywords
pretreated failure advanced stage IIIb/IV NSCLC
Brief summary
Docetaxel and pemetrexed have been validated for previously treated advanced non-small cell lung cancer (NSCLC); however, tolerability is a concern with the docetaxel (tri-weekly 75 mg/m2 schedule). The investigators conducted this study to compare the efficacy and toxicity of weekly low-dose docetaxel versus tri-weekly pemetrexed for previously treated advanced NSCLC.
Detailed description
We have been following a schedule of weekly low dose docetaxel (30 mg/m2 on days 1 and 8 every 3 weeks; 60 mg/m2 accumulated dose for each cycle) at our hospital in an effort to achieve better tolerability. We therefore performed an exploratory study, by statistical analyses, to investigate the efficacy and toxicity of such a low dose docetaxel schedule compared to that of pemetrexed in patients with NSCLC who have failed previous chemotherapy.
Interventions
patients at one university-affiliated hospital received low dose single docetaxel (30 mg/m2 on days 1 and 8 every 3 weeks)following failure of previous treatment stage IIIb/IV NSCLC.
patients at one university-affiliated hospital received pemetrexed (500 mg/m2 every 3 weeks) following failure of previous treatment stage IIIb/IV NSCLC.
Sponsors
Study design
Eligibility
Inclusion criteria
* stage IIIb or IV NSCLC * previous treatment with chemotherapy or tyrosin kinase inhibitor * performance status less than 2
Exclusion criteria
* age less 18 years * pregnancy * performance status 3-4
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Objective response rate | at least 3 cycles |
Secondary
| Measure | Time frame |
|---|---|
| PFS-progression free survival | the time from the first cycle of chemotherapy to documented progression, or death from any cause |
| OS-overall survival | from the start date of the treatment to death or to the last follow-up visit |
Countries
Taiwan