Docetaxel in the management of advanced non-small cell lung cancer Journal Article


Author: Miller, V. A.
Article Title: Docetaxel in the management of advanced non-small cell lung cancer
Abstract: Following encouraging phase I trials in non-small cell lung cancer, the semisynthetic taxoid docetaxel has been extensively studied in the phase II setting, most commonly using a dose of 100 mg/m2 every 3 weeks. Major objective response rates range from 21% to 38% in previously untreated patients. The pooled response rate is 29% and median survival is nearly 11 months. In combination with cisplatin, docetaxel achieves a pooled response rate of approximately 40%, with neutropenia the dose-limiting toxicity. However, the median survival durations achieved do not clearly exceed those with docetaxel monotherapy. Based on preclinical evidence of synergy, docetaxel also has been combined with vinorelbine and, using prophylactic granulocyte colony-stimulating factor, it has been possible to escalate the doses of both drugs to single-agent phase II dose intensity.
Keywords: cancer survival; treatment outcome; neutropenia; review; cisplatin; drug efficacy; paclitaxel; lung non small cell cancer; antineoplastic combined chemotherapy protocols; carcinoma, non-small-cell lung; lung neoplasms; antineoplastic agents, phytogenic; antineoplastic activity; vinblastine; docetaxel; drug response; taxoids; symptomatology; navelbine; granulocyte colony stimulating factor; clinical trials; humans; human; priority journal
Journal Title: Seminars in Oncology
Volume: 25
Issue: 3 Suppl. 8
ISSN: 0093-7754
Publisher: Elsevier Inc.  
Date Published: 1998-06-01
Start Page: 15
End Page: 19
Language: English
PUBMED: 9704671
PROVIDER: scopus
DOI/URL:
Notes: Review -- Export Date: 12 December 2016 -- Source: Scopus
Citation Impact
MSK Authors
  1. Vincent Miller
    270 Miller