title: Randomized phase II trial of high-dose 4'-epi-doxorubicin + cyclophosphamide versus high-dose 4'-epi-doxorubicin + cisplatin in previously untreated patients with extensive small cell lung cancer.
abstract: One hundred and eleven previously untreated patients with extensive small cell lung cancer were included in a prospective randomized study with the aim to assess the efficacy and tolerance of high-dose epirubicin (120 mg/m2) in combination with either cyclophosphamide (800 mg/m2; arm 1) or cisplatin (60 mg/m2; arm 2). Ninety-six patients were evaluable for response and toxicity and additional 12 patients for toxicity only. The overall response rate (CR+PR) in arm 1 and 2 were 61.4 (27/44) and 67.3% (35/52), respectively. The mean duration of remission was 4.4 months (arm 1) and 4.9 months (arm 2). The mean survival time was 6.6 months in arm 1 and 7.7 months in arm 2. WHO grade 4 toxicity was encountered in 25.5 and 15.8% of patients in arm 1 and 2, respectively. One case of cardiotoxicity resulting in the patient's death was observed in arm 1. Both combinations showed considerable antitumor activity. Toxicity was acceptable.
authors.affiliation: Korányi Tuberculosis and Pulmonology Institute, Budapest, Hungary.
authors.forename: E
authors.initials: E
authors.lastname: Kánitz
authors.forename: K
authors.initials: K
authors.lastname: Kolaric
authors.forename: J
authors.initials: J
authors.lastname: Jassem
authors.forename: Z
authors.initials: Z
authors.lastname: Mechl
authors.forename: M
authors.initials: M
authors.lastname: Pawlicki
authors.forename: G
authors.initials: G
authors.lastname: Ringwald
authors.forename: J
authors.initials: J
authors.lastname: Rolski
authors.forename: Z
authors.initials: Z
authors.lastname: Schoket
authors.forename: D
authors.initials: D
authors.lastname: Vukas
authors.forename: E
authors.initials: E
authors.lastname: Kaplan
mesh_terms: D000328:Adult; D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects / Q000627:therapeutic use; D018288:Carcinoma, Small Cell / Q000188:drug therapy*; D002945:Cisplatin / Q000008:administration & dosage*; D003520:Cyclophosphamide / Q000008:administration & dosage*; D004341:Drug Evaluation; D015251:Epirubicin / Q000008:administration & dosage* / Q000009:adverse effects; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D016019:Survival Analysis
chemical_list: D015251:Epirubicin; D003520:Cyclophosphamide; D002945:Cisplatin