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Lung Cancer.pdf

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Table 9–6. Comparisons between Different Platinum–Third-Generation-Agent Doublets<br />

Median 1-Year Side Effects<br />

Study and No. of Response Survival Survival P for Quality Worse Than with<br />

Treatment Regimen Patients Rate Time Rate Survival of Life Other Regimen<br />

SWOG 9509 (Kelly, 2001a)<br />

Cisplatin vinorelbine 202 28% 8 months 36% Same Leukopenia,<br />

neutropenia, N/V,<br />

patients quit study<br />

because of toxicity<br />

Carboplatin paclitaxel 206 25% 8 months 38% — Neuropathy<br />

ECOG 1594 (Schiller, 2000) NR<br />

Cisplatin paclitaxel 292 21.3% 7.8 months 31% Cardiac, renal<br />

Cisplatin gemcitabine 288 21% 8.1 months 36% — Platelets, anemia,<br />

weakness<br />

Cisplatin docetaxel 293 17.3% 7.4 months 31% — Hypersensitivity<br />

reactions, renal<br />

Carboplatin paclitaxel 290 15.3% 8.2 months 35% N/V, renal<br />

EORTC 8975 (Van Meerbeeck,<br />

2001)<br />

NR<br />

Cisplatin paclitaxel 153 31% 8.1 months 35.5%<br />

Cisplatin gemcitabine 158 36% 8.8 months 32.6% .9*<br />

Gemcitabine paclitaxel 157 27% 6.9 months<br />

(P .08)<br />

26.5% .09†<br />

172 R. Zinner

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