Article citationsMore>>
Sugawara, S., Oizumi, S., Minato, K., Harada, T., Inoue, A., Fujita, Y., Maemondo, M., Yoshizawa, H., Ito, K., Gemma, A., Nishitsuji, M., Harada, M., Isobe, H., Kinoshita, I., Morita, S., Kobayashi, K., Hagiwara, K., Kurihara, M. and Nukiwa, T., on behalf of North East Japan Study Group and Tokyo Cooperative Oncology Group (2015) Randomized Phase II Study of Concurrent versus Sequential Alternating Gefitinib and Chemotherapy in Previously Untreated Non-Small Cell Lung Cancer with Sensitive EGFR Mutations: NEJ005/TCOG0902. Annals of Oncology, 26, 888-894.
http://dx.doi.org/10.1093/annonc/mdv063
has been cited by the following article:
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TITLE:
Phase II Study of Carboplatin and Pemetrexed Followed by Gefitinib for Patients with Advanced Non-Small Cell Lung Cancer Harboring Sensitive EGFR Mutation
AUTHORS:
Saki Manabe, Fumihiro Oshita, Shuji Murakami, Tetsuro Kondo, Haruhiro Saito, Takeshi Kaneko, Kouzo Yamada
KEYWORDS:
Pemetrexed, Gefitinib, EGFR Mutation, Non-Small Cell Lung Cancer, Chemotherapy
JOURNAL NAME:
Journal of Cancer Therapy,
Vol.6 No.15,
December
14,
2015
ABSTRACT: We conducted a phase II study of combination chemotherapy with
carboplatin (Cb) and pemetrexed (Pem) followed by gefitinib (Gef) to determine
the effects and toxicities in patients with non-small cell lung cancer (NSCLC)
harboring sensitive EGFR mutation. Eligible patients received four courses of
Cb at a dose corresponding to a target area under the curve equal to 6 mg/mL·min and 500 mg/m2 Pem on day 1 every
three to four weeks followed by sequential Gef 250 mg once a day until tumor
progression. Sixteen of registered 28 patients responded to Cb and Pem
combination. Twenty-seven patients received sequential Gef and 8 non-responders
to Cb and Pem achieved PR. The overall response rate was 85.7%. Among the major
toxicities, grade 3 SGPT elevation, nausea and thrombosis were observed in 3, 3
and 1 patients, respectively, who received Cb and Pem, and grade 3 SGPT
elevation and dry skin were observed in 5 and 1 patients, respectively, who
received Gef. There was no febrile neutropenia and no treatment-related death.
The median progression-free survival time was 19.1 months. Among 21 patients
who were followed up for more than 2 years, 14 survived during that time. Cb
and Pem followed by Gef maintenance are recommended for further evaluation for
patients with metastatic NSCLC harboring sensitive EGFR mutation.
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