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异环磷酰胺与长春地辛联合治疗老年及肾功能减退非小细胞肺癌的II期研究

[Phase II study of ifosfamide and vindesine combination of non-small cell lung cancer in elderly patients and patients with reduced renal function].

作者信息

Fujii M, Segawa Y, Matsutomo S, Genba K

机构信息

Dept. of Medicine, Shikoku Cancer Center Hospital, Matsuyama, Japan.

出版信息

Gan To Kagaku Ryoho. 1990 May;17(5):1021-5.

PMID:2159266
Abstract

A pilot phase II study of a ifosfamide and vindesine combination of non-small cell lung cancer was conducted in the elderly patients and patients with reduced renal function. The combination consisted of ifosfamide, 2.3 g/m2, on day 1 through 3, and vindesine, 3 mg/m2, on day 1 and 8. Cycles were repeated at 4-week intervals. The dose of ifosfamide and vindesine was reduced in the elderly. Of 24 evaluable patients, one had a complete response and 8 had partial response, with an overall response rate of 37.5%. The projected median response duration was 6.8 months and the median survival for all patients was 15.1 months. The toxicity was tolerable with moderate myelosuppression. These results indicate that this combination chemotherapy is safe and effective for non-small cell lung cancer in the elderly patients and patients with reduced renal function and warrants further clinical trials.

摘要

一项关于异环磷酰胺与长春地辛联合治疗非小细胞肺癌的II期试验性研究在老年患者和肾功能减退患者中开展。联合用药方案为:第1至3天使用异环磷酰胺,剂量为2.3 g/m²;第1天和第8天使用长春地辛,剂量为3 mg/m²。每4周重复一个周期。老年患者中异环磷酰胺和长春地辛的剂量有所降低。在24例可评估患者中,1例完全缓解,8例部分缓解,总缓解率为37.5%。预计中位缓解持续时间为6.8个月,所有患者的中位生存期为15.1个月。毒性反应可耐受,骨髓抑制程度为中度。这些结果表明,这种联合化疗对于老年患者和肾功能减退患者的非小细胞肺癌是安全有效的,值得进一步开展临床试验。

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