PMID- 16736888 OWN - NLM STAT- MEDLINE DCOM- 20060928 LR - 20131121 IS - 1120-009X (Print) IS - 1120-009X (Linking) VI - 18 IP - 2 DP - 2006 Apr TI - Oral etoposide in elderly patients with advanced non small cell lung cancer: a clinical and pharmacological study. PG - 188-91 AB - Seventeen elderly patients with advanced progressive non small cell lung cancer (NSCLC) were treated with oral etoposide at the daily dose of 100 mg for 14 days every 3-4 weeks with pharmacokinetic monitoring. One partial response and 6 stabilizations were documented with a median overall duration of 13 weeks (range 8-32). The median survival was 24 weeks with an apparent advantage for non-progressive patients (40 weeks vs. 18 weeks). The treatment was well tolerated especially by those patients without concomitant illness, suggesting the crucial role of a careful selection of the geriatric population. Toxicity was not related to the etoposide plasma level, but was clearly dependent on comorbidity. A geriatric assessment rather than chronological age therefore appears to be more reliable in the selection of elderly patients for clinical trials. The easy self-management, favorable toxicity profile and synergy with other compounds makes oral etoposide suitable for further clinical-pharmacological studies in elderly patients. FAU - Sorio, R AU - Sorio R AD - Medical Department, Centro di Riferimento Oncologico, Aviano, Italy. rsorio@cro.it FAU - Toffoli, G AU - Toffoli G FAU - Crivellari, D AU - Crivellari D FAU - Bearz, A AU - Bearz A FAU - Corona, G AU - Corona G FAU - Colussi, A M AU - Colussi AM FAU - Libra, M AU - Libra M FAU - Talamini, R AU - Talamini R FAU - Veronesi, A AU - Veronesi A LA - eng PT - Clinical Trial, Phase II PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - J Chemother JT - Journal of chemotherapy (Florence, Italy) JID - 8907348 RN - 0 (Antineoplastic Agents, Phytogenic) RN - 6PLQ3CP4P3 (Etoposide) SB - IM MH - Administration, Oral MH - Aged MH - Aged, 80 and over MH - Antineoplastic Agents, Phytogenic/adverse effects/pharmacokinetics/*therapeutic use MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/metabolism/pathology MH - Etoposide/adverse effects/pharmacokinetics/*therapeutic use MH - Female MH - Humans MH - Lung Neoplasms/*drug therapy/metabolism/secondary MH - Male MH - Neoplasm Staging MH - Survival Rate EDAT- 2006/06/02 09:00 MHDA- 2006/09/29 09:00 CRDT- 2006/06/02 09:00 PHST- 2006/06/02 09:00 [pubmed] PHST- 2006/09/29 09:00 [medline] PHST- 2006/06/02 09:00 [entrez] AID - 10.1179/joc.2006.18.2.188 [doi] PST - ppublish SO - J Chemother. 2006 Apr;18(2):188-91. doi: 10.1179/joc.2006.18.2.188.