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Oral vinorelbine plus cisplatin with concomitant radiotherapy as induction therapy for stage III non‐small cell lung cancer: Results of a single‐arm prospective cohort study

机译:口服血肠球加顺铂,伴随着放射疗法作为III阶段非小细胞肺癌的感应治疗:单臂前瞻性队列研究结果

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Concurrent chemoradiotherapy (CCRT) is an optimal recommended treatment for stage III non-small cell lung cancer (NSCLC). Herein, we aimed to investigate the efficacy and safety of oral vinorelbine plus cisplatin with concomitant radiotherapy for stage III NSCLC. This prospective, open-label, single-arm, observational cohort study was performed between January 2010 and September 2016. Patients were treated with two?cycles of chemotherapy with 60?mg/m2 intravenous cisplatin on day 1 and 50 mg/m2 oral vinorelbine on days 1, 8, and 15; radiotherapy was administered concurrently from day 1 when chemotherapy was initiated. A total dose of 66-70 Gy radiotherapy was delivered in daily fractions of 2 Gy for 6.5-7 consecutive weeks. The tumor response was assessed after completing concomitant treatment. A total of 58 patients were enrolled and analyzed; 31 patients had stage IIIA NSCLC and 27 had stage IIIB NSCLC. After induction CCRT, 31 patients achieved an objective response (complete response in one and partial response in 30; the response rate was 53.4%). The median progression-free survival was 6.73?months (95% confidence interval [CI], 5.42-7.91), duration of response was 12.30?months (95% CI, 5.59-19.01), and overall survival was 24.83?months (95% CI, 19.26-30.21). No treatment-related mortality was observed, and neutropenia was the most common grade 3 and 4 treatment-related toxicity (11 patients; 18.9%). CCRT with the weekly regimen of oral vinorelbine plus triweekly cisplatin was effective and safe for stage III NSCLC. ? 2019 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.
机译:同时进行化学疗法(CCRT)是III阶段非小细胞肺癌(NSCLC)的最佳推荐治疗。在此,我们旨在探讨口服血红素碱加顺铂的疗效和安全性,伴随着III型NSCLC的伴随放射治疗。 2010年1月至2016年9月在2010年1月至9月之间进行了这一前瞻性,开放标签,单臂,观察队员研究。用两次患者治疗患者,在第1天和第50 Mg / M2口服血管内的60℃和50mg / m2静脉内顺铂治疗患者。在第1,8和15天;在开始化疗时,同时给予放射疗法。总剂量为66-70 Gy放射疗法,每天馏分为2 Gy连续6.5-7周。在完成伴随治疗后评估肿瘤反应。共有58名患者注册并分析; 31例患者患有IIIA阶段,27例患有IIIB阶段的NSCLC。诱导CCRT后,31例患者达到客观反应(在30中的一个和部分反应中的完全反应;响应率为53.4%)。中位进展生存率为6.73?月份(95%置信区间[CI],5.42-7.91),持续时间为12.30?月份(95%CI,5.59-19.01),总生存率为24.83个月(95 %CI,19.26-30.21)。没有观察到治疗相关的死亡率,中性粒细胞贫症是最常见的3级和4名治疗相关的毒性(11名患者; 18.9%)。 CCRT与口服血管内的每周方案加上三周顺铂,对III阶段有效和安全。 ? 2019年的作者。中国肺部肿瘤集团和约翰瓦里和儿子澳大利亚发表的胸癌

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