Gefitinib as salvage therapy in pretreated patients with advanced non-small cell lung cancer. Data from a compassionate use program.
OBJECTIVE
To evaluate the tolerabiliy and activity of gefitinib, an epidermal growth factor receptor tyrosine kinase inhibitor, in patients with pretreated advanced non-small cell lung cancer (NSCLC).


METHODS
From July 2001 to August 2003, we analysed, retrospectively, the data of 125 previously treated advanced NSCLC patients receiving gefitinib 250 mg, orally once daily in a compassionate use program.


RESULTS
Main toxicity was (% of patients): grade 1-2 skin changes in 7 (5.0%) and 8 (6.4%) patients, respectively. Grade 1 diarrhea in 16 (12.8%) patients. Grade 1 and 2 hypertransaminasemia in 1 (0.8%) patient, respectively. Grade 2 onychopathy in 1 (0.8%) patient and epistaxis in 1 (0.8%) case. There were 1 complete response (0.8%), 6 partial responses (4.8%) and 22 (17.6%) stable disease with an overall control of disease in 23.2% of cases. Median progression-free survival and overall survival were 8.8 and 21.5 weeks, respectively.


CONCLUSIONS
Gefitinib is active, feasible and well-tolerated in pretreated patients affected by advanced NSCLC.
UO Oncologia Medica, Azienda Ospedaliera S.G. Moscati, Avellino, Italy. cgridelli@libero.it
Cesare
C
Gridelli
Antonio
A
Rossi
Paolo
P
Maione
Ciro
C
Guerriero
Giuseppe
G
Airoma
Giuseppe
G
Colantuoni
Maria Luisa
ML
Barzelloni
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000970:Antineoplastic Agents / Q000009:adverse effects / Q000627:therapeutic use*; D002289:Carcinoma, Non-Small-Cell Lung / Q000188:drug therapy*; D005260:Female; D000077156:Gefitinib; D006801:Humans; D008175:Lung Neoplasms / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D011799:Quinazolines / Q000009:adverse effects / Q000627:therapeutic use*; D016879:Salvage Therapy
D000970:Antineoplastic Agents; D011799:Quinazolines; D000077156:Gefitinib