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A phase I and extension study of S-1 and carboplatin for previously untreated patients aged 75 years or more with advanced non-small cell lung cancer -TCOG 1101-

  • Takashi KasaiEmail author
  • Kiyoshi Mori
  • Kazuma Kishi
  • Takayuki Kaburagi
  • Yukio Hosomi
  • Hisao Imai
  • Yutaka Yamada
  • Makiko Yomota
  • Syuhei Moriguchi
  • Masahiro Seike
  • Koichi Minato
  • Akihiko Gemma
  • for The Tokyo Cooperative Oncology Group
Original Article

Abstract

Purpose

Combination carboplatin and S-1 is active in the treatment of non-small cell lung cancer (NSCLC). However, data on this combination for elderly patients with NSCLC are insufficient.

Methods

Eligibility criteria were no prior chemotherapy, Stage IIIB or IV NSCLC, performance status 0–1, age ≥ 75 years, and adequate hematological, hepatic, and renal functions. Carboplatin was administered on day 1 and S-1 was administered orally, twice a day, between days 1 and 14, repeated every 3 weeks. In phase I, the primary purpose was determination of the recommended dose. Starting doses of carboplatin and S-1 were area under the curve (AUC) of 4 and 80 mg/m2/day, respectively. In the extension study, the effects and tolerability of this combination therapy of recommended dose were confirmed.

Results

A total of 10 patients were entered into phase I and 14 patients were entered into the extension study. The recommended doses for this drug combination are AUC 5 for carboplatin and 80 mg/m2/day every 3 weeks for S-1. With carboplatin and S-1 combination therapy at the recommended dose, the response rate was 30.0% [95% confidence interval (CI) 12–54%] and the disease control rate was 90.0% (95% CI 68–99%). Thrombocytopenia and neutropenia were major adverse events.

Conclusions

The recommended doses for this combination therapy are carboplatin AUC 5 and S-1 80 mg/m2/day every 3 weeks, and this combination is effective with tolerable toxicities for advanced NSCLC patients ≥ 75 years old.

Keywords

Phase I study Extension study S-1 Carboplatin Elderly patients Non-small cell lung cancer 

Notes

Funding

This study was supported by The Tokyo Cooperative Oncology Group.

Compliance with ethical standards

Conflict of interest

No author has any conflict of interest.

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Copyright information

© Japan Society of Clinical Oncology 2020

Authors and Affiliations

  • Takashi Kasai
    • 1
    Email author
  • Kiyoshi Mori
    • 2
  • Kazuma Kishi
    • 3
  • Takayuki Kaburagi
    • 4
  • Yukio Hosomi
    • 5
  • Hisao Imai
    • 6
  • Yutaka Yamada
    • 4
  • Makiko Yomota
    • 5
  • Syuhei Moriguchi
    • 7
  • Masahiro Seike
    • 8
  • Koichi Minato
    • 6
  • Akihiko Gemma
    • 8
  • for The Tokyo Cooperative Oncology Group
  1. 1.Division of Thoracic Oncology, Department of Medical OncologyTochigi Cancer CenterUtsunomiyaJapan
  2. 2.Division of Thoracic Oncology, Department of Thoracic DiseasesTsuboi Cancer Center HospitalFukushimaJapan
  3. 3.Department of Respiratory MedicineToho University Omori Medical CenterTokyoJapan
  4. 4.Division of Respiratory MedicineIbaraki Prefectural Central Hospital and Regional Cancer CenterIbarakiJapan
  5. 5.Division of Respiratory MedicineTokyo Metropolitan Cancer and Infectious Diseases Center Komagome HospitalTokyoJapan
  6. 6.Division of Thoracic OncologyGunma Cancer CenterGunmaJapan
  7. 7.Department of Respiratory Medicine, Respiratory CenterToranomon HospitalTokyoJapan
  8. 8.Department of Pulmonary Medicine, Oncology and Infectious Disease, Graduate School of MedicineNippon Medical SchoolTokyoJapan

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