PMID- 20685634 OWN - NLM STAT- MEDLINE DCOM- 20101202 LR - 20221207 IS - 1973-9478 (Electronic) IS - 1120-009X (Linking) VI - 22 IP - 4 DP - 2010 Aug TI - Low dose fractionated cisplatin plus gemcitabine for elderly patients with advanced non small cell lung cancer: a retrospective analysis. PG - 275-9 AB - The aim of the study was to evaluate safety and efficacy of gemcitabine-cisplatin in elderly patients with advanced non small cell lung cancer (NSCLC). This study included 59 patients aged >70 years consecutively admitted to our Department. treatment consisted of gemcitabine 1000 mg/m(2) on days 1 and 8, and low-dose fractionated cisplatin 20 mg/m(2) on days 1, 2, 3 of a 21-day cycle. Toxicity was graded according to the world Health Organization (WHO) criteria.A total of 281 cycles was administered. Hematological toxicities of grade 3 and 4 were seen in 17% and 5% of patients, respectively. Grade 3 gastrointestinal toxicity was 3%, grade 2 neuropathy was 2%. Twenty-nine partial responses with an objective response rate of 49% were obtained. No complete responses were observed. The median progression-free survival (PFS) and overall survival (OS) were 7.8 and 15.5 months respectively. Cisplatin-based combination chemotherapy at low doses appears to be safe and active in older patients with advanced NSCLC. FAU - Pezzuolo, D AU - Pezzuolo D AD - Department of Oncology, USL1, Massa Carrara, Italy. FAU - Pennucci, M C AU - Pennucci MC FAU - Mambrini, A AU - Mambrini A FAU - Pacetti, P AU - Pacetti P FAU - Orlandi, M AU - Orlandi M FAU - Tartarini, R AU - Tartarini R FAU - Del Freo, A AU - Del Freo A FAU - Cantore, M AU - Cantore M LA - eng PT - Journal Article PL - England TA - J Chemother JT - Journal of chemotherapy (Florence, Italy) JID - 8907348 RN - 0W860991D6 (Deoxycytidine) RN - Q20Q21Q62J (Cisplatin) RN - 0 (Gemcitabine) SB - IM MH - Aged MH - Aged, 80 and over MH - Antineoplastic Combined Chemotherapy Protocols/*therapeutic use MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/mortality/pathology MH - Cisplatin/administration & dosage/adverse effects MH - Deoxycytidine/administration & dosage/adverse effects/analogs & derivatives MH - Disease-Free Survival MH - Female MH - Humans MH - Kaplan-Meier Estimate MH - Lung Neoplasms/*drug therapy/mortality/pathology MH - Male MH - Neoplasm Staging MH - Retrospective Studies MH - Gemcitabine EDAT- 2010/08/06 06:00 MHDA- 2010/12/14 06:00 CRDT- 2010/08/06 06:00 PHST- 2010/08/06 06:00 [entrez] PHST- 2010/08/06 06:00 [pubmed] PHST- 2010/12/14 06:00 [medline] AID - 10.1179/joc.2010.22.4.275 [doi] PST - ppublish SO - J Chemother. 2010 Aug;22(4):275-9. doi: 10.1179/joc.2010.22.4.275.