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- Title
Pemetrexed and Gemcitabine Versus Carboplatin and Gemcitabine in Non-Small Cell Lung Cancer: A Randomized Noninferiority Phase II Study in One Center.
- Authors
Branden, Eva; Hillerdal, Gunnar; Kolbeck, Karl; Koyi, Hirsh
- Abstract
Background. The standard treatment for non-small cell lung cancer (NSCLC) stages 1Mb and IV is a platinum compound combined with a third-generation cytotoxic agent. We decided to conduct a phase II study to assess whether the platinum compound could be replaced with pemetrexed with similar results and without an increase in side effects. Methods. Consecutive eligible patients were randomized to either the standard arm of gemcitabine plus carboplatin (GC) or the experimental arm of gemcitabine plus pemetrexed (GP). Results. Fifty evaluable patients were enrolled in the GC arm, and 44 received GP. There were 10 partial responses in the GC arm and 16 in the GP arm. With GC, mean survival was 9 months compared with 15 months with GP. The side effects were similar in both groups. Conclusion. Pemetrexed can replace platinum compounds in the first-line treatment of stage 1Mb and IV NSCLC without increasing the side effects. A trend toward better survival was observed in the patients receiving pemetrexed instead of a platinum compound, and this should be studied further.
- Subjects
THERAPEUTIC use of antimetabolites; ANTIMETABOLITES; COMBINATION drug therapy; LUNG cancer; SURVIVAL; RANDOMIZED controlled trials; DESCRIPTIVE statistics; CARBOPLATIN; PEMETREXED; THERAPEUTICS
- Publication
Oncologist, 2015, Vol 20, Issue 4, p365
- ISSN
1083-7159
- Publication type
Article
- DOI
10.1634/theoncologist.2014-0181