Efficacy of nanoparticle albumin-bound paclitaxel regimens for relapsed small cell lung cancer: A retrospective analysis

Although small cell lung cancer (SCLC) is initially sensitive to chemotherapy, it recurs in most cases. Standard regimens for salvage chemotherapy have not been established, and the prognosis of relapsed SCLC remains poor. In the present study, we investigated the clinical efficacy and safety of nan...

Full description

Saved in:
Bibliographic Details
Published in:Medicine (Baltimore) 2017-09, Vol.96 (35), p.e7884
Main Authors: Naito, Yujiro, Tamiya, Akihiro, Tamiya, Motohiro, Kimura, Yohei, Hamaguchi, Masanari, Saijo, Nobuhiko, Kanazu, Masaki, Tokura, Sayoko, Shiroyama, Takayuki, Morisita, Naoko, Omachi, Naoki, Suzuki, Hidekazu, Okamoto, Norio, Okishio, Kyoichi, Hirashima, Tomonori, Atagi, Shinji
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Albumin-Bound Paclitaxel - administration & dosage
Albumin-Bound Paclitaxel - adverse effects
Albumin-Bound Paclitaxel - therapeutic use
Antineoplastic Agents - administration & dosage
Antineoplastic Agents - adverse effects
Antineoplastic Agents - therapeutic use
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Carboplatin - administration & dosage
Female
Humans
Lung Neoplasms - drug therapy
Lung Neoplasms - mortality
Male
Middle Aged
Neoplasm Recurrence, Local
Observational Study
Retrospective Studies
Small Cell Lung Carcinoma - drug therapy
Small Cell Lung Carcinoma - mortality
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Although small cell lung cancer (SCLC) is initially sensitive to chemotherapy, it recurs in most cases. Standard regimens for salvage chemotherapy have not been established, and the prognosis of relapsed SCLC remains poor. In the present study, we investigated the clinical efficacy and safety of nanoparticle albumin-bound paclitaxel (nab-paclitaxel) regimens for the treatment of relapsed SCLC.In this retrospective multicenter analysis, 14 patients (3 women and 11 men; median age 71 years) with relapsed SCLC received nab-paclitaxel alone or in combination with carboplatin between February 2013 and July 2014. The safety and efficacy of the regimens were evaluated.The response rates, disease control rates, and median overall survival for the total patient population were 36%, 64%, and 7.8 months, respectively. Response rates, disease control rates, and the median overall survival were 11%, 44%, and 4 months, respectively, in the monotherapy group; and 80%, 100%, and 10.6 months, respectively, in the combination therapy group. The most common adverse events were hematological toxicities such as neutropenia and anemia. Severe neutropenia appeared in some patients, although it was resolved by treatment in all. The most common nonhematological toxicity was anorexia (64%), followed by neurotoxicity and constipation. All nonhematological toxicities were mild and manageable.Our results suggest that chemotherapy with nab-paclitaxel regimens for relapsed SCLC exhibits moderate clinical efficacy and is well-tolerated. Further clinical trials in relapsed SCLC patients are warranted.
ISSN:0025-7974
1536-5964
DOI:10.1097/MD.0000000000007884