Multicenter Phase II Study Evaluating Two Cycles of Docetaxel, Cisplatin and Cetuximab as Induction Regimen Prior to Surgery in Chemotherapy-Naive Patients with NSCLC Stage IB-IIIA (INN06-Study)

Different strategies for neoadjuvant chemotherapy in patients with early stage NSCLC have already been evaluated. The aim of this study was to evaluate the tolerability and efficacy of a chemoimmunotherapy when limited to two cycles. Between 01/2007 and 03/2010 41 patients with primarily resectable...

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Veröffentlicht in:PloS one 2015-05, Vol.10 (5), p.e0125364
Hauptverfasser: Hilbe, Wolfgang, Pall, Georg, Kocher, Florian, Pircher, Andreas, Zabernigg, August, Schmid, Thomas, Schumacher, Michael, Jamnig, Herbert, Fiegl, Michael, Gächter, Anne, Freund, Martin, Kendler, Dorota, Manzl, Claudia, Zelger, Bettina, Popper, Helmut, Wöll, Ewald
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container_issue 5
container_start_page e0125364
container_title PloS one
container_volume 10
creator Hilbe, Wolfgang
Pall, Georg
Kocher, Florian
Pircher, Andreas
Zabernigg, August
Schmid, Thomas
Schumacher, Michael
Jamnig, Herbert
Fiegl, Michael
Gächter, Anne
Freund, Martin
Kendler, Dorota
Manzl, Claudia
Zelger, Bettina
Popper, Helmut
Wöll, Ewald
description Different strategies for neoadjuvant chemotherapy in patients with early stage NSCLC have already been evaluated. The aim of this study was to evaluate the tolerability and efficacy of a chemoimmunotherapy when limited to two cycles. Between 01/2007 and 03/2010 41 patients with primarily resectable NSCLC stage IB to IIIA were included. Treatment consisted of two cycles cisplatin (40 mg/m2 d1+2) and docetaxel (75 mg/m2 d1) q3 weeks, accompanied by the administration of cetuximab (400 mg/m2 d1, then 250 mg weekly). The primary endpoint was radiological response according to RECIST. 40 patients were evaluable for toxicity, 39 for response. The main grade 3/4 toxicities were: neutropenia 25%, leucopenia 11%, febrile neutropenia 6%, nausea 8% and rash 8%. 20 patients achieved a partial response, 17 a stable disease, 2 were not evaluable. 37 patients (95%) underwent surgery and in three of them a complete pathological response was achieved. At a median follow-up of 44.2 months, 41% of the patients had died, median progression-free survival was 22.5 months. Two cycles of cisplatin/ docetaxel/ cetuximab showed promising efficacy in the neoadjuvant treatment of early-stage NSCLC and rapid operation was possible in 95% of patients. Toxicities were manageable and as expected. EU Clinical Trials Register; Eudract-Nr: 2006-004639-31.
doi_str_mv 10.1371/journal.pone.0125364
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Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hilbe, Wolfgang</au><au>Pall, Georg</au><au>Kocher, Florian</au><au>Pircher, Andreas</au><au>Zabernigg, August</au><au>Schmid, Thomas</au><au>Schumacher, Michael</au><au>Jamnig, Herbert</au><au>Fiegl, Michael</au><au>Gächter, Anne</au><au>Freund, Martin</au><au>Kendler, Dorota</au><au>Manzl, Claudia</au><au>Zelger, Bettina</au><au>Popper, Helmut</au><au>Wöll, Ewald</au><au>Santini, Daniele</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multicenter Phase II Study Evaluating Two Cycles of Docetaxel, Cisplatin and Cetuximab as Induction Regimen Prior to Surgery in Chemotherapy-Naive Patients with NSCLC Stage IB-IIIA (INN06-Study)</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-05-28</date><risdate>2015</risdate><volume>10</volume><issue>5</issue><spage>e0125364</spage><pages>e0125364-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Different strategies for neoadjuvant chemotherapy in patients with early stage NSCLC have already been evaluated. The aim of this study was to evaluate the tolerability and efficacy of a chemoimmunotherapy when limited to two cycles. Between 01/2007 and 03/2010 41 patients with primarily resectable NSCLC stage IB to IIIA were included. Treatment consisted of two cycles cisplatin (40 mg/m2 d1+2) and docetaxel (75 mg/m2 d1) q3 weeks, accompanied by the administration of cetuximab (400 mg/m2 d1, then 250 mg weekly). The primary endpoint was radiological response according to RECIST. 40 patients were evaluable for toxicity, 39 for response. The main grade 3/4 toxicities were: neutropenia 25%, leucopenia 11%, febrile neutropenia 6%, nausea 8% and rash 8%. 20 patients achieved a partial response, 17 a stable disease, 2 were not evaluable. 37 patients (95%) underwent surgery and in three of them a complete pathological response was achieved. At a median follow-up of 44.2 months, 41% of the patients had died, median progression-free survival was 22.5 months. Two cycles of cisplatin/ docetaxel/ cetuximab showed promising efficacy in the neoadjuvant treatment of early-stage NSCLC and rapid operation was possible in 95% of patients. Toxicities were manageable and as expected. EU Clinical Trials Register; Eudract-Nr: 2006-004639-31.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26020783</pmid><doi>10.1371/journal.pone.0125364</doi><tpages>e0125364</tpages><oa>free_for_read</oa></addata></record>
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subjects Adjuvant chemotherapy
Adult
Aged
Angina pectoris
Antineoplastic Combined Chemotherapy Protocols - administration & dosage
Antineoplastic Combined Chemotherapy Protocols - adverse effects
Cancer therapies
Carcinoma, Non-Small-Cell Lung - drug therapy
Carcinoma, Non-Small-Cell Lung - pathology
Carcinoma, Non-Small-Cell Lung - surgery
Care and treatment
Cetuximab - administration & dosage
Cetuximab - adverse effects
Chemotherapy
Cisplatin
Cisplatin - administration & dosage
Cisplatin - adverse effects
Clinical trials
Docetaxel
Drug Administration Schedule
Drug dosages
Exanthema
Female
Hematology
Hospitals
Humans
Immunotherapy
Induction Chemotherapy - methods
Internal medicine
Leukopenia
Lung cancer
Lung Neoplasms - drug therapy
Lung Neoplasms - pathology
Lung Neoplasms - surgery
Male
Medical research
Medicine
Middle Aged
Monoclonal antibodies
Nausea
Neoplasm Staging
Neutropenia
Non-small cell lung cancer
Non-small cell lung carcinoma
Oncology
Pathology
Patients
Quality
Response rates
Studies
Surgery
Survival Analysis
Targeted cancer therapy
Taxoids - administration & dosage
Taxoids - adverse effects
Toxicity
Treatment Outcome
title Multicenter Phase II Study Evaluating Two Cycles of Docetaxel, Cisplatin and Cetuximab as Induction Regimen Prior to Surgery in Chemotherapy-Naive Patients with NSCLC Stage IB-IIIA (INN06-Study)
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