PMID- 25944796 OWN - NLM STAT- MEDLINE DCOM- 20160121 LR - 20221207 IS - 1559-131X (Electronic) IS - 1357-0560 (Linking) VI - 32 IP - 6 DP - 2015 Jun TI - A phase II clinical study of using nab-paclitaxel as second-line chemotherapy for Chinese patients with advanced non-small cell lung cancer. PG - 498 LID - 10.1007/s12032-015-0498-x [doi] AB - The aim of this clinical study was to evaluate the efficacy and safety of nab-paclitaxel to treat patients with advanced non-small cell lung cancer (NSCLC) who failed first-line chemotherapy. Eligible patients had advanced NSCLC and had been treated with first-line platinum-based chemotherapy but still had disease progression. Patients received nab-paclitaxel 100 mg/m(2) (i.v.) on days 1, 8 and 15 of a 28-day cycle. Primary endpoint is 6-month progression-free survival (PFS). Fifty-six patients with advanced NSCLC were enrolled in the study (55.4 % male patients, 44.6 % female patients; median age 59.6 years; ranging from 32 to 83 years). Six-month PFS rate was 18 % (95 % CI 7.8-28.7 %). Median PFS was 3.5 months (95 % CI 1.9-5.8 months). Median overall survival was 6.8 months (95 % CI 4.7-9.3 months). No complete responses were achieved. Overall response rate was 16.1 % (95 % CI 8.9-24.7 %). Grade 3 or 4 adverse events (AEs) were observed in patients receiving nab-paclitaxel. The most common grade 3 or 4 AEs were dizziness, pulmonary embolism and fatigue. Nab-paclitaxel showed clinically equivalent efficacy on patients' survivals and response rates, as compared with other FDA-approved second-line chemotherapy agents. Given the tolerability on grade 3 or 4 adverse events, nab-paclitaxel may be considered an alternative second-line treatment option for NSCLC. FAU - Hu, Wei AU - Hu W AD - Department of Oncology, Jining First People's Hospital, 6 Jiankang Road, Shi Zhong Qu, Jining, 272011, Shandong, China. FAU - Zhang, Zhiping AU - Zhang Z LA - eng PT - Clinical Trial, Phase II PT - Journal Article DEP - 20150506 PL - United States TA - Med Oncol JT - Medical oncology (Northwood, London, England) JID - 9435512 RN - 0 (130-nm albumin-bound paclitaxel) RN - 0 (Albumins) RN - 0 (Antineoplastic Agents) RN - P88XT4IS4D (Paclitaxel) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Albumins/*therapeutic use MH - Antineoplastic Agents/*therapeutic use MH - Asian People MH - Carcinoma, Non-Small-Cell Lung/*drug therapy MH - Disease-Free Survival MH - Female MH - Humans MH - Lung Neoplasms/*drug therapy MH - Male MH - Middle Aged MH - Paclitaxel/*therapeutic use MH - Treatment Outcome EDAT- 2015/05/07 06:00 MHDA- 2016/01/23 06:00 CRDT- 2015/05/07 06:00 PHST- 2015/01/07 00:00 [received] PHST- 2015/01/23 00:00 [accepted] PHST- 2015/05/07 06:00 [entrez] PHST- 2015/05/07 06:00 [pubmed] PHST- 2016/01/23 06:00 [medline] AID - 10.1007/s12032-015-0498-x [doi] PST - ppublish SO - Med Oncol. 2015 Jun;32(6):498. doi: 10.1007/s12032-015-0498-x. Epub 2015 May 6.