Modified one-day etoposide and cisplatin combination for previously untreated extensive-disease small-cell lung cancer: A retrospective evaluation of 36 cases
Abstract:Abstract. The combination of etoposide and cisplatin (EP) remains one of the standard first-line treatments for extensive-disease small-cell lung cancer (ED-SCLC) We devised a one-day modified EP regimen for better tolerance and convenience by modifying the dose and schedule of conventional EP with administration over 3-5 consecutive days. The modified EP consists of two infusions of etoposide (120 mg/m 2 each) and 60 mg/m 2 of cisplatin on day 1 of a 21-day cycle and a maximum of 6 cycles of treatment. A tota… Show more
“…5 Thus, etoposide in combination with a platinum agent (carboplatin or cisplatin) remains the standard first-line option for ED-SCLC patients. 6 Despite a high likelihood of initial response to therapy, most patients eventually experience relapse with resistant disease. Median overall survival (OS) times of only 8 to 11 months are achieved with standard therapies.…”
The combination of LM plus carboplatin/etoposide did not improve efficacy over standard carboplatin/etoposide doublet therapy in ED-SCLC patients and showed increased toxicity, including a higher incidence of serious infections with fatal outcomes.
“…5 Thus, etoposide in combination with a platinum agent (carboplatin or cisplatin) remains the standard first-line option for ED-SCLC patients. 6 Despite a high likelihood of initial response to therapy, most patients eventually experience relapse with resistant disease. Median overall survival (OS) times of only 8 to 11 months are achieved with standard therapies.…”
The combination of LM plus carboplatin/etoposide did not improve efficacy over standard carboplatin/etoposide doublet therapy in ED-SCLC patients and showed increased toxicity, including a higher incidence of serious infections with fatal outcomes.
This is a comprehensive analysis of early and late survival following treatments recommended by the European Society of Medical Oncology for small cell lung cancer. Our survival benchmarks can inform the treatment selection process going forward.
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