Docetaxel as neoadjuvant therapy for radically treatable stage III non-small-cell lung cancer: a multinational randomised phase III study.

Abstract

BACKGROUND:

Docetaxel (Taxotere) is a potent anticancer agent, with proven efficacy as first-line therapy in non-small-cell lung cancer (NSCLC). The aim of this large randomised multicentre phase III study was to evaluate docetaxel in the neoadjuvant (pre-operative) setting.

PATIENTS AND METHODS:

Patients with stage IIIA or locally treatable IIIB NSCLC were randomly assigned to receive neoadjuvant docetaxel (n = 134) or no chemotherapy (n = 140) before surgery/curative-intention radiotherapy. Patients received up to three 3-weekly cycles of docetaxel (100 mg/m(2)) as 1-h intravenous infusions.

RESULTS:

Median survival was 14.8 months in the docetaxel group and 12.6 months in the control group. Median times to disease progression were 9.0 months (docetaxel arm) and 7.6 months (control arm). There were three complete responses and 25 partial responses in patients treated with docetaxel who were evaluable for response (n = 101). Docetaxel was well-tolerated: 103 patients (77%) received all three planned cycles. The major toxicity was grade 4 neutropenia (69 patients, 55%) and neutropenic fever (eight patients, 6%). Radiotherapy was well-tolerated after docetaxel administration.

CONCLUSIONS:

Neoadjuvant docetaxel is generally well-tolerated and shows a promising trend towards longer survival in patients with NSCLC.

• Authors: K V Mattson, R P Abratt, G ten Velde, K Krofta
• Journal: Annals of oncology : official journal of the European Society for Medical Oncology (Ann Oncol) Vol. 14 Issue 1 Pg. 116-22 (Jan 2003) ISSN: 0923-7534 [Print] England
• PMID: 12488303 (Publication Type: Clinical Trial, Clinical Trial, Phase III, Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)

Chemical References

• Antineoplastic Agents, Phytogenic
• Taxoids
• Docetaxel
• Paclitaxel

Topics

• Adult
• Aged
• Aged, 80 and over
• Antineoplastic Agents, Phytogenic (adverse effects, therapeutic use)
• Carcinoma, Non-Small-Cell Lung (drug therapy, radiotherapy)
• Case-Control Studies
• Combined Modality Therapy
• Disease Progression
• Docetaxel
• Female
• Humans
• Infusions, Intravenous
• Lung Neoplasms (drug therapy, radiotherapy, surgery)
• Male
• Maximum Tolerated Dose
• Middle Aged
• Neoadjuvant Therapy
• Neoplasm Staging
• Paclitaxel (adverse effects, analogs & derivatives, therapeutic use)
• Postoperative Period
• Safety
• Survival Rate
• Taxoids
• Treatment Outcome