title: [Paclitaxel combined with platinum-based chemotherapy as second-line treatment in patients with advanced non-small cell lung cancer: A forty case-report].
abstract: BACKGROUND
  To evaluate the activity and toxicity of paclitaxel as second-line treatment for advanced non-small cell lung cancer (NSCLC).
  
  
  METHODS
  Forty patients with recurrent advanced NSCLC were enrolled. Thirty-six patients were managed with regular regimen. Paclitaxel 135 mg/m², 3 h, on day 1; DDP 75 mg/m² or carboplatin 300-350 mg/m² on day 2. Four patients were managed with weekly regimen. Paclitaxel 60 mg/m²,3 h, on days 1,8,15; DDP 75 mg/m² on day 2. It was repeated every three or four weeks, up to two to four cycles.
  
  
  RESULTS
  Thirty-six cases were evaluated for response and 27 for survival. The objective response rate was 13.9% (5/36). At least one tumor-related symptom relief was observed in 21 patients (58.3%). The median survival duration was 26.4 weeks and 1-year survival rate was 8% (4/36). The main toxicities included myelosuppression, fatigue and myalgia-arthralgia neuropathy.
  
  
  CONCLUSIONS
  Paclitaxel has advantage to be well-tolerated and improve tumor-related symptom. Further studies with standardization of dose and regimen will be needed to clarify its role in the second-line treatment.
authors.affiliation: Department of Medical Oncology, Beijing Tuberculosis and Thoracic Tumor Hospital, Beijing 101149, P.R.China.
authors.forename: Qiyi
authors.initials: Q
authors.lastname: Meng
authors.forename: Yunzhong
authors.initials: Y
authors.lastname: Zhu
authors.forename: Liyan
authors.initials: L
authors.lastname: Xu
authors.forename: Heling
authors.initials: H
authors.lastname: Shi
authors.forename: Zhe
authors.initials: Z
authors.lastname: Liu
authors.forename: Yonghong
authors.initials: Y
authors.lastname: You
authors.forename: Junfang
authors.initials: J
authors.lastname: Tang