Abstract
Forty-six previously untreated patients with advanced non-small cell lung cancer (NSCLC) were entered into a Hoosier Oncology Group phase II trial of daily oral etoposide 50 mg/m2/d. The dose limiting toxicity was granulocytopenia. The non-hematologic toxicity was mild, with only 19% of patients developing Grade 3 or 4 leukopenia. Two partial responses of 10 and 16 weeks duration were seen in 43 evaluable patients, for an overall response rate of 4%. We conclude that daily oral etoposide has minimal activity in advanced NSCLC, and does not improve response rates over conventional 1–5 day intravenous etoposide administration.
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Williams SD, Birch R, Einhorn LH, Irwin L, Greco FA, Loehrer PJ: Disseminated germ cell tumors: Chemotherapy with cisplatin plus bleomycin plus either vinblastine or etoposide. NEJM 316:1435–1440, 1987
Evans WK, Shepherd FA, Feld R, Osoba D, Dang P, Deboer G: VP-16 and cisplatin as first-line therapy of small-cell lung cancer. J Clin Oncol 3:1471–1477, 1985
Bender RA, Anderson T, Fisher RI, Young RC: Activity of the epipodophyllotoxin VP-16 in the treatment of combination chemotherapy-resistant non-Hodgkin's lymphoma. Am J Hematol 5:203–209, 1978
McElwain TJ, Selby P: Etoposide in combination for the treatment of Hodgkin's disease. In: Issell BF, Muggia FM, Carter SK (eds) Etoposide: Current Status and New Developments. Orlando: Academic Press, Inc., 1984, pp 293–299
Bennett JM, Lymann GH, Cassileth PA, Glick JH, Oken MM: A phase II trial of VP-16–213 in adults with refractory acute myeloid leukemia: An Eastern Cooperative Oncology Group study. Am J Clin Oncol 7:471–473, 1984
Anderson G, Peel ET, Cheong CMB, Broderick NJ: Etoposide — An effective single drug for treating bronchogenic carcinoma. J Clin Oncol 8:215–218, 1982
Chapman R, Itri L, Gralla R, Kelsen D, Casper E, Golbey R: Phase II trial of VP-16–213 in non-small cell lung cancer. Cancer Chemother Pharm 7:205–207, 1982
Slevin ML, Clark PI, Osborne RJ, et al.: A randomized trial to evaluate the effect of schedule on the activity of etoposide in small cell lung cancer. (Abstract) Proc Am Soc Clin Oncol 5:175, 1986
Stewart DJ, Nundy D, Maroun JA, Tetreault L, Prior J: Bioavailability, pharmacokinetics and clinical effects of an oral preparation of etoposide. Cancer Treat Rep 69:269–273, 1985
Cavalli F, Sonntag RW, Jungi F, Senn HS, Brunner KW: VP-16–213 monotherapy for remission induction of small cell lung cancer: A randomized trial using dosage schedules. Cancer Treat Rep 62:473–475, 1978
Hainsworth JD, Johnson DH, Frazier SR, Greco FA: Chronic daily administration of oral etoposide — a phase I trial. J Clin Oncol 7:396–401, 1989
Einhorn LH, Pennington K, McClean J: Phase II trial of daily oral VP-16 in refractory small cell lung cancer: A Hoosier Oncology Group study. Semin Oncol 17:32–35, 1990 (suppl 2)
Miller JC, Einhorn LH: Phase II study of daily oral etoposide in refractory germ cell tumors. Semin Oncol 17:36–39, 1990 (suppl 2)
Kaplan EL, Meier P: Non-parametric estimation from incomplete observations. J Am Stat Assoc 53:457–481, 1981
Brookmeyer R, Crowley J: A confidence interval for the median survival time. Biometrics 38:29–41, 1982
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from the Hoosier Oncology Group, the Walther Cancer Institute, Indianapolis, IN; Department of Medicine, Indiana University, Indianapolis, IN, USA
Dr. Einhorn is the Walther American Cancer Society Professor of Clinical Oncology.
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Saxman, S., Loehrer, P.J., Logie, K. et al. Phase II trial of daily oral etoposide in patients with advanced non-small cell lung cancer. Invest New Drugs 9, 253–256 (1991). https://doi.org/10.1007/BF00176978
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DOI: https://doi.org/10.1007/BF00176978