Tuberc Respir Dis.  2004 Sep;57(3):257-264. 10.4046/trd.2004.57.3.257.

Concurrent Docetaxel/Cisplatin and Thoracic Radiotherapy for Locally Advanced Non-Small Cell Lung Cancer

• Jang TW
• Park JP
• Kim HK
• Ok CH
• Jeung TS
• Jung MH

• KMID: 1656515
• DOI: http://doi.org/10.4046/trd.2004.57.3.257

Abstract

BACKGROUND: There are many combinations of treatment for locally advanced non-small cell lung cancer (NSCLC). Recent studies have showed the efficacy of concurrent chemoradiotherapy (CCRT) in NSCLC. At present, however, there is no consensus about the optimal dosages and timing of radiation and chemotherapeutic agents. The aims of study were to determine the feasibility, toxicity, response rate, and survival rate in locally advanced NSCLC patients treated with doxetaxel and cisplatin based CCRT. METHOD: Sixteen patients with unresectable stage III NSCLC were evaluated from May 2000 until September 2001. Induction chemoradiotherapy consisted of 3 cycles of docetaxel (75 mg/m2/IV on day 1) and cisplatin (60 mg/m2/IV on day 1) chemotherapy every 3 weeks and concomitant hyperfractionated chest irradiation (1.15 Gy/BID, total dose of 69 Gy) in 6 weeks. Patient who had complete or partial response, and stable disease were applied consolidation chemotherapy of docetaxel and cisplatin.
RESULTS
All patients showed response to CCRT. Four patients achieved complete response (25%), partial responses in 12 patients (75%). The major common toxicities were grade III or more of neutropenia (87.3%), grade III esophagitis (68.8%), pneumonia (18.8%) and grade III radiation pneumonitis (12.5%). Thirteen patients were ceased during follow-up period. Median survival time was 19.9 months (95% CI; 4.3-39.7 months). The survival rates in one, two, and three years are 68.7%, 43.7%, and 29.1%, respectively. Local recurrence was found in 11 patients (66.8%), bone metastasis in 2, and brain metastasis in 1 patient.
CONCLUSION
The response rate and survival time of CCRT with docetaxel/cisplatin in locally advanced NSCLC were encouraging, but treatment related toxicities were high. Further modification of therapy seems to be warranted.

Keyword

Non-small cell lung cancer; Locally advanced; Concurrent chemoradiotherapy

MeSH Terms

Brain
Carcinoma, Non-Small-Cell Lung*
Chemoradiotherapy
Cisplatin
Consensus
Consolidation Chemotherapy
Drug Therapy
Esophagitis
Follow-Up Studies
Humans
Neoplasm Metastasis
Neutropenia
Pneumonia
Radiation Pneumonitis
Radiotherapy*
Recurrence
Survival Rate
Thorax
Cisplatin