PMID- 15340373 OWN - NLM STAT- MEDLINE DCOM- 20041018 LR - 20230917 IS - 0007-0920 (Print) IS - 1532-1827 (Electronic) IS - 0007-0920 (Linking) VI - 91 Suppl 2 IP - Suppl 2 DP - 2004 Aug TI - Treatment of non-small-cell lung cancer: a perspective on the recent advances and the experience with gefitinib. PG - S11-7 AB - Worldwide, non-small-cell lung cancer (NSCLC) is a leading cause of cancer-related mortality and, until screening detects early disease, treatment for the majority of patients will consist of radiation therapy, chemotherapy or combinations thereof. Modern mono and doublet chemotherapy regimens have translated into modest increases in life expectancy and improved quality of life, but at the expense of systemic and pulmonary adverse events (AEs). There is a great unmet need to provide effective therapy for advanced NSCLC that does not have the toxicity burden of conventional chemotherapy and radiotherapy. Novel drugs that inhibit a range of growth factor receptors, such as the epidermal growth factor receptor tyrosine kinase inhibitors gefitinib ('Iressa') and erlotinib ('Tarceva') or the monoclonal antibody cetuximab ('Erbitux'), have recently been evaluated. Having demonstrated antitumour activity and rapid symptom improvement in pretreated patients with advanced NSCLC, gefitinib was approved in the USA, Japan and other countries. Gefitinib is well tolerated with a low incidence of grade 3/4 AEs. Interstitial lung disease has been reported in a small number of patients receiving gefitinib, although this may be attributed to other treatments and conditions. Nevertheless, although the use of novel treatments requires vigilance for unexpected AEs such as pulmonary toxicity, in this area of high unmet clinical need, the benefits outweigh the risks in patients for whom no other proven effective treatment exists. FAU - Onn, A AU - Onn A AD - Department of Thoracic/Head and Neck Medical Oncology, University of Texas MD Anderson Cancer Center, Box 403, 1515 Holcombe Boulevard, Houston, TX 77030-4009, USA. amironn@mdanderson.org FAU - Tsuboi, M AU - Tsuboi M FAU - Thatcher, N AU - Thatcher N LA - eng PT - Journal Article PT - Review PL - England TA - Br J Cancer JT - British journal of cancer JID - 0370635 RN - 0 (Antimetabolites, Antineoplastic) RN - 0W860991D6 (Deoxycytidine) RN - 0 (Gemcitabine) SB - IM MH - Adult MH - Age Factors MH - Aged MH - Antimetabolites, Antineoplastic/adverse effects/*therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Carcinoma, Non-Small-Cell Lung/*drug therapy MH - Clinical Trials as Topic MH - Deoxycytidine/adverse effects/*analogs & derivatives/*therapeutic use MH - Health Status MH - Humans MH - Lung Neoplasms/*drug therapy MH - Middle Aged MH - Gemcitabine PMC - PMC2750809 EDAT- 2004/09/02 05:00 MHDA- 2004/10/19 09:00 PMCR- 2005/08/31 CRDT- 2004/09/02 05:00 PHST- 2004/09/02 05:00 [pubmed] PHST- 2004/10/19 09:00 [medline] PHST- 2004/09/02 05:00 [entrez] PHST- 2005/08/31 00:00 [pmc-release] AID - 6602062 [pii] AID - 10.1038/sj.bjc.6602062 [doi] PST - ppublish SO - Br J Cancer. 2004 Aug;91 Suppl 2(Suppl 2):S11-7. doi: 10.1038/sj.bjc.6602062.