PMID- 1650266 OWN - NLM STAT- MEDLINE DCOM- 19910904 LR - 20131121 IS - 0007-4551 (Print) IS - 0007-4551 (Linking) VI - 78 IP - 4 DP - 1991 TI - [Is chemotherapy with cisplatin useful in non small cell bronchial cancer at staging IV? Results of a randomized study]. PG - 341-6 AB - The benefit of chemotherapy for patients with disseminated non small cell lung cancer (NSCLC) is controversial. The introduction of cisplatinum in the combination chemotherapy for NSCLC gave rise to higher response rates. To study the question of the usefulness of cisplatinum-based chemotherapy in disseminated NSCLC we conducted a prospective randomized trial comparing best supportive care to vindesine + cisplatin. Between December 1985 and March 1988, 49 patients with stage IV NSCLC were enrolled. Of the 46 eligible patients 24 were in the chemotherapy group and 22 in the best supportive care group. The treatment groups were not significantly different in terms of age, performance status, histology. Toxicity on the chemotherapy arm grade 3 or more was observed in 17.5% for neutropenia, in 8.75% for vomiting. There was one death related to treatment. The overall response rate in the chemotherapy group was 41.7%. Patients of the chemotherapy group had a median survival time of 199 days and the patients of the best supportive care group had a median survival time of 73 days. The difference in survival is highly significant (p less than 0.001). FAU - Quoix, E AU - Quoix E AD - Pavillon Laennec, CHRU, Strasbourg, France. FAU - Dietemann, A AU - Dietemann A FAU - Charbonneau, J AU - Charbonneau J FAU - Boutin, C AU - Boutin C FAU - Meurice, J C AU - Meurice JC FAU - Orlando, J P AU - Orlando JP FAU - Ducolone, A AU - Ducolone A FAU - Pauli, G AU - Pauli G FAU - Roegel, E AU - Roegel E LA - fre PT - Clinical Trial PT - English Abstract PT - Journal Article PT - Randomized Controlled Trial TT - La chimiotherapie comportant du cisplatine est-elle utile dans le cancer bronchique non microcellulaire au stade IV? Resultats d'une etude randomisee. PL - France TA - Bull Cancer JT - Bulletin du cancer JID - 0072416 RN - Q20Q21Q62J (Cisplatin) RN - RSA8KO39WH (Vindesine) SB - IM MH - Adult MH - Aged MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/epidemiology/pathology MH - Cisplatin/administration & dosage/*therapeutic use MH - Female MH - Humans MH - Lung Neoplasms/*drug therapy/epidemiology/pathology MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Prospective Studies MH - Vindesine/administration & dosage/therapeutic use EDAT- 1991/01/01 00:00 MHDA- 1991/01/01 00:01 CRDT- 1991/01/01 00:00 PHST- 1991/01/01 00:00 [pubmed] PHST- 1991/01/01 00:01 [medline] PHST- 1991/01/01 00:00 [entrez] PST - ppublish SO - Bull Cancer. 1991;78(4):341-6.