PMID- 10880849 OWN - NLM STAT- MEDLINE DCOM- 20000830 LR - 20221207 IS - 0169-5002 (Print) IS - 0169-5002 (Linking) VI - 29 IP - 1 DP - 2000 Jul TI - A phase II trial testing gemcitabine as second-line chemotherapy for non small cell lung cancer. The European Lung Cancer Working Party. 101473.1044@compuserve.com. PG - 67-73 AB - The purpose of the present trial was to determine the activity of gemcitabine as a second-line chemotherapy for non small cell lung cancer (NSCLC). To be eligible, patients had to have pathologically proven NSCLC that has failed to respond to a first-line chemotherapy with a cisplatin-containing regimen, a Karnofsky performance status greater than 50 and adequate renal, haematological and hepatic functions. After registration, patients were treated by gemcitabine given i.v. at a dose of 1 g/m(2) on days 1, 8, 15 every 4 weeks. Response was assessed after two courses of therapy. Eighty-two patients have been registered, five are ineligible and 65 are assessable for response. Four partial responses were observed (6%). No change was documented in 18 cases (28%). Tolerance was good. A few grade III leucopenia and grade III-IV thrombopenia were observed. We conclude that gemcitabine has a modest activity as second-line chemotherapy for NSCLC. It has the advantage to be well tolerated and may thus be one drug to be proposed to the patients who have disease progression after a first-line chemotherapy and who ask for further treatment. FAU - Sculier, J P AU - Sculier JP AD - Service de Medecine, Institut Jules Bordet, 1, rue Heger-Bordet, B-1000, Brussels, Belgium. FAU - Lafitte, J J AU - Lafitte JJ FAU - Berghmans, T AU - Berghmans T FAU - Thiriaux, J AU - Thiriaux J FAU - Lecomte, J AU - Lecomte J FAU - Efremidis, A AU - Efremidis A FAU - Ninane, V AU - Ninane V FAU - Paesmans, M AU - Paesmans M FAU - Mommen, P AU - Mommen P FAU - Klastersky, J AU - Klastersky J LA - eng PT - Clinical Trial PT - Clinical Trial, Phase II PT - Journal Article PL - Ireland TA - Lung Cancer JT - Lung cancer (Amsterdam, Netherlands) JID - 8800805 RN - 0 (Antimetabolites, Antineoplastic) RN - 0W860991D6 (Deoxycytidine) RN - 0 (Gemcitabine) SB - IM MH - Adult MH - Aged MH - Antimetabolites, Antineoplastic/*therapeutic use MH - Carcinoma, Non-Small-Cell Lung/*drug therapy MH - Deoxycytidine/*analogs & derivatives/therapeutic use MH - Female MH - Humans MH - Lung Neoplasms/*drug therapy MH - Male MH - Middle Aged MH - Salvage Therapy MH - Survival Analysis MH - Treatment Outcome MH - Gemcitabine EDAT- 2000/07/06 11:00 MHDA- 2000/09/02 11:01 CRDT- 2000/07/06 11:00 PHST- 2000/07/06 11:00 [pubmed] PHST- 2000/09/02 11:01 [medline] PHST- 2000/07/06 11:00 [entrez] AID - S0169500200000994 [pii] AID - 10.1016/s0169-5002(00)00099-4 [doi] PST - ppublish SO - Lung Cancer. 2000 Jul;29(1):67-73. doi: 10.1016/s0169-5002(00)00099-4.