Analysis of the Response and Toxicity to Gefitinib of Non-small Cell Lung Cancer

Background: Gefitinib is an oral agent that inhibits the tyrosine kinase of epidermal growth factor receptor (EGFR), which had antitumor activity in patients with previously treated non-small cell lung cancer (NSCLC). We analyzed the efficacy, toxicity and overall survival time of gefitinib treatmen...

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Veröffentlicht in:Anticancer research 2005-01, Vol.25 (1B), p.435-441
Hauptverfasser: KONISHI, Jun, YAMAZAKI, Koichi, HATTORI, Takeshi, ASAHINA, Hajime, IMURA, Mikado, KIKUCHI, Eiki, KIKUCHI, Junko, SHINAGAWA, Naofumi, YOKOUCHI, Hiroshi, MUNAKATA, Mitsuru, DOSAKA-AKITA, Hirotoshi, NISHIMURA, Masaharu, KINOSHITA, Ichiro, ISOBE, Hiroshi, OGURA, Shigeaki, SEKINE, Satoko, ISHIDA, Takashi, TAKASHIMA, Riou, NAKADATE, Megumi, NISHIKAWA, Shyu
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container_issue 1B
container_start_page 435
container_title Anticancer research
container_volume 25
creator KONISHI, Jun
YAMAZAKI, Koichi
HATTORI, Takeshi
ASAHINA, Hajime
IMURA, Mikado
KIKUCHI, Eiki
KIKUCHI, Junko
SHINAGAWA, Naofumi
YOKOUCHI, Hiroshi
MUNAKATA, Mitsuru
DOSAKA-AKITA, Hirotoshi
NISHIMURA, Masaharu
KINOSHITA, Ichiro
ISOBE, Hiroshi
OGURA, Shigeaki
SEKINE, Satoko
ISHIDA, Takashi
TAKASHIMA, Riou
NAKADATE, Megumi
NISHIKAWA, Shyu
description Background: Gefitinib is an oral agent that inhibits the tyrosine kinase of epidermal growth factor receptor (EGFR), which had antitumor activity in patients with previously treated non-small cell lung cancer (NSCLC). We analyzed the efficacy, toxicity and overall survival time of gefitinib treatment in patients with NSCLC. Patients and Methods: One hundred and twenty-two patients with NSCLC, who received gefitinib between 2002 and 2004 in our institutes, were evaluated retrospectively. Results: The objective response rate was 24.6%. The variables identified as significant in univariate analysis included gender and smoking habit. The median overall survival time was 14.4 months. Significant variables associated with improved survival included good performance status (PS), female, adenocarcinoma and never smoked status, while never smoked status and good PS were independent prognostic factors in multivariate analysis. Four patients (3.3%) developed interstitial pneumonitis associated with gefitinib. Conclusion: Gefitinib showed favorable antitumor activity in females, never smokers and adenocarcinoma.
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We analyzed the efficacy, toxicity and overall survival time of gefitinib treatment in patients with NSCLC. Patients and Methods: One hundred and twenty-two patients with NSCLC, who received gefitinib between 2002 and 2004 in our institutes, were evaluated retrospectively. Results: The objective response rate was 24.6%. The variables identified as significant in univariate analysis included gender and smoking habit. The median overall survival time was 14.4 months. Significant variables associated with improved survival included good performance status (PS), female, adenocarcinoma and never smoked status, while never smoked status and good PS were independent prognostic factors in multivariate analysis. Four patients (3.3%) developed interstitial pneumonitis associated with gefitinib. 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We analyzed the efficacy, toxicity and overall survival time of gefitinib treatment in patients with NSCLC. Patients and Methods: One hundred and twenty-two patients with NSCLC, who received gefitinib between 2002 and 2004 in our institutes, were evaluated retrospectively. Results: The objective response rate was 24.6%. The variables identified as significant in univariate analysis included gender and smoking habit. The median overall survival time was 14.4 months. Significant variables associated with improved survival included good performance status (PS), female, adenocarcinoma and never smoked status, while never smoked status and good PS were independent prognostic factors in multivariate analysis. Four patients (3.3%) developed interstitial pneumonitis associated with gefitinib. 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subjects Adenocarcinoma - metabolism
Adult
Aged
Aged, 80 and over
Antineoplastic Agents - therapeutic use
Biological and medical sciences
Carcinoma, Non-Small-Cell Lung - drug therapy
Female
Humans
Lung Neoplasms - drug therapy
Male
Medical sciences
Middle Aged
Multivariate Analysis
Pneumology
Proportional Hazards Models
Quinazolines - therapeutic use
Retrospective Studies
Sex Factors
Smoking
Time Factors
Treatment Outcome
Tumors
Tumors of the respiratory system and mediastinum
title Analysis of the Response and Toxicity to Gefitinib of Non-small Cell Lung Cancer
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