YAN Xia,CAO Guan-min,WANG Dao-xin.Gemcitabine plus carboplatin regimen in treatment of advanced non-small cell lung cancer in aged patients[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(19):1913-1915.
YAN Xia,CAO Guan-min,WANG Dao-xin.Gemcitabine plus carboplatin regimen in treatment of advanced non-small cell lung cancer in aged patients[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(19):1913-1915.DOI:
Gemcitabine plus carboplatin regimen in treatment of advanced non-small cell lung cancer in aged patients
Objective To evaluate and the effects and safety of gemcitabine plus carboplatin (GEM+CBP) regimen and navebine plus cisplatin (NVB+DDP) regimens for aged patients with advanced non-small cell lung cancer (NSCLC). Methods The 60 cases of aged patients with NSCLC
over 65 years old and 35 cases beyond 70
were randomly and equally divided into 2 groups. Group A received 1 000 mg/m
2
GEM at day 1 and 8
and 300 mg/m
2
CBP at day 1. Group B underwent the therapy of 25 mg/ m
2
NVB at day 1 and 8
and 80 mg/m
2
DDP at day 1 and 3. Both were treated with 3 weeks as a cycle. Results Overall response rate was 43.3% in group A and 36.7% in group B without significant difference. The median survival time (MST) and disease median response time(DPT) was 9.2 and 4.4 months in A group
and 8.9 and 4.2 months in B group. MST
DPT and one year survival rate were similar in 2 groups. Toxicities: WHO grade Ⅲ/Ⅳ leukopenia occurred in B group was higher than that in A group. The frequence of phlebitis was significantly higher in group B than group A (P0.05). Conclusion There are similar outcomes in the overall response rates
MST
DRT and one year survival rate in 2 groups
but GEM+CBP regimen has a better tolerability and lower toxicities. GEM+CBP regimen is a better chemotherapeutic regimen for aged NSCLC patients.
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