Vindesine/cisplatin chemotherapy in relapsed or primarily resistant small-cell carcinoma of the lung

Thirty-eight pretreated patients with primarily resistant [6] or relapsed [32] small-cell lung cancer were treated with a combination of vindesine (3-4 mg/m2) and cisplatin (60-100 mg/m2). Eight patients responded to this therapy with three (8%) complete and five (13%) partial remissions. Minor resp...

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Veröffentlicht in:Klinische Wochenschrift 1984-08, Vol.62 (16), p.783-786
Hauptverfasser: Niederle, N, Schütte, J, Krischke, W, Seeber, S, Schmidt, C G
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container_issue 16
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container_title Klinische Wochenschrift
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creator Niederle, N
Schütte, J
Krischke, W
Seeber, S
Schmidt, C G
description Thirty-eight pretreated patients with primarily resistant [6] or relapsed [32] small-cell lung cancer were treated with a combination of vindesine (3-4 mg/m2) and cisplatin (60-100 mg/m2). Eight patients responded to this therapy with three (8%) complete and five (13%) partial remissions. Minor responses were noted in 12 (32%) additional patients. Chemotherapeutic response was rare in regions of prior irradiation. In the complete remission group survival from start of vindesine/cisplatin therapy lasted 61, 48 and 38 weeks, respectively. In the "less-than-complete-remission" group median survival was 12 weeks. Nausea and vomiting were the prominent side-effects, while only mild to moderate myelosuppression was noticed in most cases. The vindesine/cisplatin combination showed significant activity in heavily pretreated small-cell lung carcinoma. However, the remission rates remain low in this unfavourable condition, which might be due to pronounced chemotherapeutic resistance in previously irradiated areas.
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subjects Adult
Aged
Antineoplastic Agents - administration & dosage
Antineoplastic Agents - adverse effects
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Carcinoma, Small Cell - drug therapy
Cisplatin - administration & dosage
Cisplatin - adverse effects
Drug Administration Schedule
Drug Resistance
Humans
Lung Neoplasms - drug therapy
Male
Middle Aged
Neoplasm Recurrence, Local - drug therapy
Prognosis
Vinblastine - administration & dosage
Vinblastine - adverse effects
Vinblastine - analogs & derivatives
Vindesine
title Vindesine/cisplatin chemotherapy in relapsed or primarily resistant small-cell carcinoma of the lung
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