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Published in: Cancer Chemotherapy and Pharmacology 6/2009

01-05-2009 | Original Article

Cisplatin and weekly docetaxel with concurrent thoracic radiotherapy for locally advanced stage III non-small-cell lung cancer

Authors: Masaru Nakamura, Tomonobu Koizumi, Munehara Hayasaka, Masanori Yasuo, Kenji Tsushima, Keishi Kubo, Kotaro Gomi, Naoto Shikama

Published in: Cancer Chemotherapy and Pharmacology | Issue 6/2009

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Abstract

Purpose

Our objective was to assess the efficacy and toxicity of concurrent chemoradiotherapy with cisplatin + weekly divided-dose docetaxel in patients with stage III non-small-cell lung cancer (NSCLC).

Methods

A total of 34 patients aged less than 75 years old with locally advanced stage III NSCLC were enrolled. The patients received intravenous infusions of cisplatin (80 mg/m2; day 1) and docetaxel (20 mg/m2; days 1, 8, 15), followed by a week’s drug-free interval. Standard concurrent thoracic radiotherapy was given for 6 weeks (2 Gy per fraction; total dose, 60 Gy).

Results

Over Grade 3 neutropenia, esophagitis and pulmonary toxicities were observed in 23.5, 17.6 and 11.8% of the cases, respectively. One complete response and 20 partial responses were obtained, with an objective response rate of 61.8%. The median survival time was 26.4 months (95% CI 16.9—not reached) and the 1- and 3-year survival rates were 76.5 and 41.2%, respectively.

Conclusion

Cisplatin + weekly docetaxel with concurrent radiotherapy is a feasible and effective regimen for locally advanced NSCLC.
Literature
1.
go back to reference Dillman RO, Herndon J, Seagren SL et al (1996) Improved survival in stage III non-small-cell lung cancer: seven-year follow-up of cancer and leukemia group B (CALGB) 8433 trial. J Natl Cancer Inst 88:1210–1215PubMedCrossRef Dillman RO, Herndon J, Seagren SL et al (1996) Improved survival in stage III non-small-cell lung cancer: seven-year follow-up of cancer and leukemia group B (CALGB) 8433 trial. J Natl Cancer Inst 88:1210–1215PubMedCrossRef
2.
go back to reference Sause W, Kolesar P, Taylor SIV et al (2000) Final results of phase III trial in regionally advanced unresectable non-small cell lung cancer: Radiation Therapy Oncology Group, Eastern Cooperative Oncology Group, and Southwest Oncology Group. Chest 117:358–364PubMedCrossRef Sause W, Kolesar P, Taylor SIV et al (2000) Final results of phase III trial in regionally advanced unresectable non-small cell lung cancer: Radiation Therapy Oncology Group, Eastern Cooperative Oncology Group, and Southwest Oncology Group. Chest 117:358–364PubMedCrossRef
3.
go back to reference Belani CP, Choy H, Bonomi P et al (2005) Combined chemoradiotherapy regimens of paclitaxel and carboplatin for locally advanced non-small-cell lung cancer: a randomized phase II locally advanced multi-modality protocol. J Clin Oncol 23:5883–5891PubMedCrossRef Belani CP, Choy H, Bonomi P et al (2005) Combined chemoradiotherapy regimens of paclitaxel and carboplatin for locally advanced non-small-cell lung cancer: a randomized phase II locally advanced multi-modality protocol. J Clin Oncol 23:5883–5891PubMedCrossRef
4.
go back to reference Furuse K, Fukuoka M, Kawahara M et al (1999) Phase III study of concurrent versus sequential thoracic radiotherapy in combination with mitomycin, vindesine, and cisplatin in unresectable stage III non-small-cell lung cancer. J Clin Oncol 17:2692–2699PubMed Furuse K, Fukuoka M, Kawahara M et al (1999) Phase III study of concurrent versus sequential thoracic radiotherapy in combination with mitomycin, vindesine, and cisplatin in unresectable stage III non-small-cell lung cancer. J Clin Oncol 17:2692–2699PubMed
5.
go back to reference Curran D, Scott C, Langer C et al (2003) Long-term benefit is observed in a phase III comparison of sequential versus concurrent chemo-radiotherapy for patients with unresected stage III NSCLC: RTOG 9410. Proc Am Soc Clin Oncol 22:621 Curran D, Scott C, Langer C et al (2003) Long-term benefit is observed in a phase III comparison of sequential versus concurrent chemo-radiotherapy for patients with unresected stage III NSCLC: RTOG 9410. Proc Am Soc Clin Oncol 22:621
6.
go back to reference Fournel P, Robinet G, Thomas P et al (2005) Randomized phase III trial of sequential chemoradiotherapy compared with concurrent chemoradiotherapy in locally advanced non-small-cell lung cancer: Groupe Lyon-Saint-Etienne d’Oncologie Thoracique-Groupe Français de Pneumo-Cancérologie NPC 95–01 Study. J Clin Oncol 23:5910–5917PubMedCrossRef Fournel P, Robinet G, Thomas P et al (2005) Randomized phase III trial of sequential chemoradiotherapy compared with concurrent chemoradiotherapy in locally advanced non-small-cell lung cancer: Groupe Lyon-Saint-Etienne d’Oncologie Thoracique-Groupe Français de Pneumo-Cancérologie NPC 95–01 Study. J Clin Oncol 23:5910–5917PubMedCrossRef
7.
go back to reference Kunitoh H, Watanabe K, Furuse K et al (1996) Phase II trial of Decetaxel in previously untreated advanced non-small–cell lung cancer: a Japanese Cooperative study. J Clin Oncol 14:1649–1655PubMed Kunitoh H, Watanabe K, Furuse K et al (1996) Phase II trial of Decetaxel in previously untreated advanced non-small–cell lung cancer: a Japanese Cooperative study. J Clin Oncol 14:1649–1655PubMed
8.
go back to reference Schiller JH, Harrington D, Belani CP et al (2002) Eastern Cooperative Oncology Group. For the Eastern Cooperative Oncology Group. Comparison of four chemotherapy regimens for advanced non-small-cell lung cancer. N Engl J Med 346:92–98PubMedCrossRef Schiller JH, Harrington D, Belani CP et al (2002) Eastern Cooperative Oncology Group. For the Eastern Cooperative Oncology Group. Comparison of four chemotherapy regimens for advanced non-small-cell lung cancer. N Engl J Med 346:92–98PubMedCrossRef
9.
go back to reference Kubota K, Watanabe K, Kunitoh H et al (2004) Phase III randomized trial of docetaxel plus cisplatin versus vindesine plus cisplatin in patients with stage IV non-small-cell lung cancer: the Japanese Taxotere Lung Cancer Study Group. J Clin Oncol 22:254–261PubMedCrossRef Kubota K, Watanabe K, Kunitoh H et al (2004) Phase III randomized trial of docetaxel plus cisplatin versus vindesine plus cisplatin in patients with stage IV non-small-cell lung cancer: the Japanese Taxotere Lung Cancer Study Group. J Clin Oncol 22:254–261PubMedCrossRef
10.
go back to reference Choy H, Rodriguez S, Koester S et al (1993) Synergic effects of Taxol/Taxotere on radiation sensitivity on human tumor cell lines. Int J Radiat Oncol Biol Phys 24:274–275 Choy H, Rodriguez S, Koester S et al (1993) Synergic effects of Taxol/Taxotere on radiation sensitivity on human tumor cell lines. Int J Radiat Oncol Biol Phys 24:274–275
11.
go back to reference Mason KA, Hunter NR, Milas M et al (1997) Docetaxel enhances tumor radioresponse in vivo. Clin Cancer Res 3(12 Pt 1):2431–2438PubMed Mason KA, Hunter NR, Milas M et al (1997) Docetaxel enhances tumor radioresponse in vivo. Clin Cancer Res 3(12 Pt 1):2431–2438PubMed
12.
go back to reference Karasawa K, Katsui K, Seki K et al (2003) Radiotherapy with concurrent docetaxel for advanced and recurrent breast cancer. Breast Cancer 10:268–274PubMedCrossRef Karasawa K, Katsui K, Seki K et al (2003) Radiotherapy with concurrent docetaxel for advanced and recurrent breast cancer. Breast Cancer 10:268–274PubMedCrossRef
13.
go back to reference Koukourakis MI, Kourousis C, Kamilaki M et al (1998) Weekly docetaxel and concomitant boost radiotherapy for non-small cell lung cancer. A phase I/II dose escalation. Eur J Cancer 34:838–844PubMedCrossRef Koukourakis MI, Kourousis C, Kamilaki M et al (1998) Weekly docetaxel and concomitant boost radiotherapy for non-small cell lung cancer. A phase I/II dose escalation. Eur J Cancer 34:838–844PubMedCrossRef
14.
go back to reference Onishi H, Kuriyama K, Yamaguchi M et al (2003) Concurrent two-dimensional radiotherapy and weekly docetaxel in the treatment of stage III non-small cell lung cancer: a good local response but no gut survival due to radiation pneumonitis. Lung Cancer 40:79–84PubMedCrossRef Onishi H, Kuriyama K, Yamaguchi M et al (2003) Concurrent two-dimensional radiotherapy and weekly docetaxel in the treatment of stage III non-small cell lung cancer: a good local response but no gut survival due to radiation pneumonitis. Lung Cancer 40:79–84PubMedCrossRef
15.
go back to reference Koizumi T, Tsunoda T, Fujimoto K et al (2001) Phase I trial of weekly docetaxel combined with cisplatin in patients with non-small-cell lung cancer. Lung Cancer 34:125–131PubMedCrossRef Koizumi T, Tsunoda T, Fujimoto K et al (2001) Phase I trial of weekly docetaxel combined with cisplatin in patients with non-small-cell lung cancer. Lung Cancer 34:125–131PubMedCrossRef
16.
go back to reference Tsunoda T, Koizumi T, Hayasaka M et al (2004) Phase II study of weekly docetaxel combined with cisplatin in patients with advanced non-small-cell lung cancer. Cancer Chemother Pharmacol 54:173–177PubMedCrossRef Tsunoda T, Koizumi T, Hayasaka M et al (2004) Phase II study of weekly docetaxel combined with cisplatin in patients with advanced non-small-cell lung cancer. Cancer Chemother Pharmacol 54:173–177PubMedCrossRef
17.
go back to reference Alvarez MV, Cobreros G, Heras A et al (1978) Studies on cis-dichlorodiammineplatinum (II) as a radiosensitizer. Br J Cancer 3:68–72 Alvarez MV, Cobreros G, Heras A et al (1978) Studies on cis-dichlorodiammineplatinum (II) as a radiosensitizer. Br J Cancer 3:68–72
18.
go back to reference Dewit L (1987) Combined treatment of radiation and cisdiamminedichloroplatinum (II): a review of experimental and clinical data. Int J Radiat Oncol Biol Phys 13:403–426PubMed Dewit L (1987) Combined treatment of radiation and cisdiamminedichloroplatinum (II): a review of experimental and clinical data. Int J Radiat Oncol Biol Phys 13:403–426PubMed
19.
go back to reference Oken MM, Creech RH, Tormey DC et al (1982) Toxicity and Response Criteria Of The Eastern Cooperative Oncology Group. Am J Clin Oncol 5:649–655PubMedCrossRef Oken MM, Creech RH, Tormey DC et al (1982) Toxicity and Response Criteria Of The Eastern Cooperative Oncology Group. Am J Clin Oncol 5:649–655PubMedCrossRef
21.
go back to reference Miller AB, Hoogstraten B, Staquet M et al (1981) Reporting results of cancer treatment. Cancer 47:207–214PubMedCrossRef Miller AB, Hoogstraten B, Staquet M et al (1981) Reporting results of cancer treatment. Cancer 47:207–214PubMedCrossRef
22.
go back to reference Yamamoto N, Nishimura Y, Nakagawa K et al (2006) Phase I/II study of weekly docetaxel dose escalation in combination with fixed weekly cisplatin and concurrent thoracic radiotherapy in locally advanced non-small cell lung cancer. Cancer Chemother Pharmacol 58:285–291PubMedCrossRef Yamamoto N, Nishimura Y, Nakagawa K et al (2006) Phase I/II study of weekly docetaxel dose escalation in combination with fixed weekly cisplatin and concurrent thoracic radiotherapy in locally advanced non-small cell lung cancer. Cancer Chemother Pharmacol 58:285–291PubMedCrossRef
23.
go back to reference Wu HG, Bang YJ, Choi EK et al (2002) Phase I study of weekly docetaxel and cisplatin concurrent with thoracic radiotherapy in Stage III non-small-cell lung cancer. Int J Radiat Oncol Biol Phys 52:75–80PubMed Wu HG, Bang YJ, Choi EK et al (2002) Phase I study of weekly docetaxel and cisplatin concurrent with thoracic radiotherapy in Stage III non-small-cell lung cancer. Int J Radiat Oncol Biol Phys 52:75–80PubMed
24.
go back to reference Mudad R, Ramsey M, Kovitz K et al (2003) Concomitant weekly docetaxel, cisplatin and radiotherapy in locally advanced non-small cell lung cancer: a dose finding study. Lung Cancer 39:173–177PubMedCrossRef Mudad R, Ramsey M, Kovitz K et al (2003) Concomitant weekly docetaxel, cisplatin and radiotherapy in locally advanced non-small cell lung cancer: a dose finding study. Lung Cancer 39:173–177PubMedCrossRef
25.
go back to reference Kiura K, Ueoka H, Segawa Y et al (2003) Phase I/II study of docetaxel and cisplatin with concurrent thoracic radiation therapy for locally advanced non-small-cell lung cancer. Br J Cancer 89:795–802PubMedCrossRef Kiura K, Ueoka H, Segawa Y et al (2003) Phase I/II study of docetaxel and cisplatin with concurrent thoracic radiation therapy for locally advanced non-small-cell lung cancer. Br J Cancer 89:795–802PubMedCrossRef
26.
go back to reference Iwasaki Y, Ohsugi S, Natsuhara A et al (2006) Phase I/II trial of biweekly docetaxel and cisplatin with concurrent thoracic radiation for stage III non-small-cell lung cancer. Cancer Chemother Pharmacol 58:735–741PubMedCrossRef Iwasaki Y, Ohsugi S, Natsuhara A et al (2006) Phase I/II trial of biweekly docetaxel and cisplatin with concurrent thoracic radiation for stage III non-small-cell lung cancer. Cancer Chemother Pharmacol 58:735–741PubMedCrossRef
27.
go back to reference Albain KS, Crowley JJ, Turrisi AT 3rd et al (2002) A Concurrent cisplatin, etoposide, and chest radiotherapy in pathologic stage IIIB non-small-cell lung cancer: a Southwest Oncology Group phase II study, SWOG 9019. J Clin Oncol 20:3454–3460PubMedCrossRef Albain KS, Crowley JJ, Turrisi AT 3rd et al (2002) A Concurrent cisplatin, etoposide, and chest radiotherapy in pathologic stage IIIB non-small-cell lung cancer: a Southwest Oncology Group phase II study, SWOG 9019. J Clin Oncol 20:3454–3460PubMedCrossRef
28.
go back to reference Robert F, Spencer SA, Childs HA 3rd et al (2002) Concurrent chemoradiation therapy with cisplatin and paclitaxel for locally advanced non-small cell lung cancer: long-term follow-up of a phase I trial. Lung Cancer 37:189–199PubMedCrossRef Robert F, Spencer SA, Childs HA 3rd et al (2002) Concurrent chemoradiation therapy with cisplatin and paclitaxel for locally advanced non-small cell lung cancer: long-term follow-up of a phase I trial. Lung Cancer 37:189–199PubMedCrossRef
29.
go back to reference Hainsworth JD, Burris HA 3rd, Erland JB et al (1998) Phase I trial of docetaxel administered by weekly infusion in patients with advanced refractory cancer. J Clin Oncol 16:2164–2168PubMed Hainsworth JD, Burris HA 3rd, Erland JB et al (1998) Phase I trial of docetaxel administered by weekly infusion in patients with advanced refractory cancer. J Clin Oncol 16:2164–2168PubMed
30.
go back to reference Ohe Y, Niho S, Kakinuma R et al (2001) Phase I studies of cisplatin and docetaxel administration by three consecutive weekly infusions for advanced non-small cell lung cancer in elderly and non-elderly patients. Jpn J Clin Oncol 31:100–106PubMedCrossRef Ohe Y, Niho S, Kakinuma R et al (2001) Phase I studies of cisplatin and docetaxel administration by three consecutive weekly infusions for advanced non-small cell lung cancer in elderly and non-elderly patients. Jpn J Clin Oncol 31:100–106PubMedCrossRef
31.
go back to reference Socinski MA, Zhang C, Herndon JE 2nd et al (2004) Combined modality trials of the Cancer and Leukemia Group B in stage III non-small-cell lung cancer: analysis of factors influencing survival and toxicity. Ann Oncol 15:1033–1041PubMedCrossRef Socinski MA, Zhang C, Herndon JE 2nd et al (2004) Combined modality trials of the Cancer and Leukemia Group B in stage III non-small-cell lung cancer: analysis of factors influencing survival and toxicity. Ann Oncol 15:1033–1041PubMedCrossRef
32.
go back to reference Hirose T, Mizutani Y, Ohmori T et al (2006) The combination of cisplatin and vinorelbine with concurrent thoracic radiation therapy for locally advanced stage IIIA or IIIB non-small-cell lung cancer. Cancer Chemother Pharmacol 58:361–367PubMedCrossRef Hirose T, Mizutani Y, Ohmori T et al (2006) The combination of cisplatin and vinorelbine with concurrent thoracic radiation therapy for locally advanced stage IIIA or IIIB non-small-cell lung cancer. Cancer Chemother Pharmacol 58:361–367PubMedCrossRef
33.
go back to reference Sakai H, Yoneda S, Kobayashi K et al (2004) Phase II study of bi-weekly docetaxel and carboplatin with concurrent thoracic radiation therapy followed by consolidation chemotherapy with docetaxel plus carboplatin for stage III unresectable non-small cell lung cancer. Lung Cancer 43:195–201PubMedCrossRef Sakai H, Yoneda S, Kobayashi K et al (2004) Phase II study of bi-weekly docetaxel and carboplatin with concurrent thoracic radiation therapy followed by consolidation chemotherapy with docetaxel plus carboplatin for stage III unresectable non-small cell lung cancer. Lung Cancer 43:195–201PubMedCrossRef
Metadata
Title
Cisplatin and weekly docetaxel with concurrent thoracic radiotherapy for locally advanced stage III non-small-cell lung cancer
Authors
Masaru Nakamura
Tomonobu Koizumi
Munehara Hayasaka
Masanori Yasuo
Kenji Tsushima
Keishi Kubo
Kotaro Gomi
Naoto Shikama
Publication date
01-05-2009
Publisher
Springer-Verlag
Published in
Cancer Chemotherapy and Pharmacology / Issue 6/2009
Print ISSN: 0344-5704
Electronic ISSN: 1432-0843
DOI
https://doi.org/10.1007/s00280-008-0837-0

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