A randomized trial to compare intravenous and oral etoposide in combination with cisplatin for the treatment of small cell lung cancer

D. H. Johnson, J. C. Ruckdeschel, J. H. Keller, G. H. Lyman, G. J. Kallas, J. Macdonald, R. C. DeConti, J. Lee, Q. S. Ringenberg, W. P. Patterson, H. M. Lazarus, J. Lokich

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Abstract

In a randomized multi‐center study, 83 patients with small cell lung cancer were randomly assigned to treatment with cisplatin 100 mg/m2 intravenously (IV) day 1 and etoposide 120 mg/m2 IV days 1, 2, and 3 or cisplatin 100 mg/m2 IV day 1 and etoposide 120 mg/m2 IV day 1 and 240 mg/m2 orally days 2 and 3. Both regimens were repeated every 4 weeks. Prior to randomization, patients were stratified by extent of disease, performance status, and gender. A total of 41 patients were randomly assigned to the parenteral treatment only regimen, and 42 patients received cisplatin and IV/oral etoposide therapy. Both treatment arms were comparable regarding patient characteristics. Limited disease (LD) patients constituted 52% and 49% of the patient population for the oral and IV etoposide regimens, respectively. The overall complete response (CR) and partial response (PR) rate was 50% (95% confidence interval [CI] 35% to 65%) for the oral etoposide regimen and 59% (95% CI 44% to 74%) for the IV etoposide regimen (P = 0.438). For both regimens, 55% of the LD patients achieved either CR or PR. Time to progression and survival were comparable for both treatment arms. Hematologic toxicity was comparable in both treatment arms, with 80% of patients experiencing grade 3 or 4 neutropenia or thrombocytopenia. Moderate to severe anemia and weight loss were more predominant with the IV than with the oral regimen.

Original languageEnglish (US)
Pages (from-to)245-249
Number of pages5
JournalCancer
Volume67
Issue number1 S
DOIs
StatePublished - Jan 1 1991

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ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Johnson, D. H., Ruckdeschel, J. C., Keller, J. H., Lyman, G. H., Kallas, G. J., Macdonald, J., DeConti, R. C., Lee, J., Ringenberg, Q. S., Patterson, W. P., Lazarus, H. M., & Lokich, J. (1991). A randomized trial to compare intravenous and oral etoposide in combination with cisplatin for the treatment of small cell lung cancer. Cancer, 67(1 S), 245-249. https://doi.org/10.1002/1097-0142(19910101)67:1+<245::AID-CNCR2820671306>3.0.CO;2-Z