PMID- 31773897 OWN - NLM STAT- MEDLINE DCOM- 20200720 LR - 20200720 IS - 1743-7563 (Electronic) IS - 1743-7555 (Linking) VI - 16 IP - 2 DP - 2020 Apr TI - S-1 plus cisplatin as first-line treatment of patients with advanced non-small cell lung cancer in Taiwan. PG - e68-e73 LID - 10.1111/ajco.13294 [doi] AB - AIM: S-1 combined with cisplatin is known to be noninferior to taxanes plus platinum as the first-line treatment for patients with advanced nonsmall cell lung cancer (NSCLC) in the Japanese population. This study aimed to evaluate the efficacy and safety profiles of oral S-1 plus cisplatin (SP) in Taiwanese patients. METHODS: Patients with previously untreated stage IIIB or IV NSCLC were prospectively recruited to receive 40-60 mg of S-1 twice daily on days 1-21 plus 60 mg/m(2) of cisplatin on day 8 in a 5-week cycle for up to six cycles. RESULTS: A total of 55 patients from five cancer centers in Taiwan were enrolled. Among the 46 evaluable patients, those administered with SP achieved disease control rate of 69.6% (partial response, 19.6%; stable disease, 50.0%), with median overall survival and progression-free survival (PFS) of 15.1 and 5.7 months, respectively. Moreover, a better survival trend was observed in epidermal growth factor receptor mutation-positive patients versus mutation-negative patients treated with SP (PFS, 8.6 vs 5.6 months). The most commonly observed treatment-related adverse events (AEs) were nausea (41.8%), followed by decreased appetite, anemia, and diarrhea. Grade of >/=3 AEs related to the study treatment occurred in 11 patients (20.0%). No febrile neutropenia or treatment-related death was found in this study. CONCLUSIONS: This study demonstrated that SP is an effective and safe first-line regimen for Taiwanese patients with advanced NSCLC. CI - (c) 2019 John Wiley & Sons Australia, Ltd. FAU - Lai, Chun-Liang AU - Lai CL AD - Division of Pulmonology and Critical Care, Department of Internal Medicine, Buddhish Dalin Tzu Chi Hospital, Chiayi, Taiwan. AD - School of Medicine, Buddhist Tzu Chi University, Hualien, Taiwan. AD - Institute of Molecular Biology, Department of Life Science, National Chung Cheng University, Chiayi, Taiwan. FAU - Wei, Yu-Fen AU - Wei YF AD - Division of Respiratory and Chest Medicine, E-Da Hospital/I-Shou University, Kaohsiung, Taiwan. AD - Institute of Biotechnology and Chemical Engineering, I-Shou University, Kaohsiung, Taiwan. FAU - Hsia, Te-Chun AU - Hsia TC AD - Department of Respiratory Therapy, China Medical University Hospital, Taichung, Taiwan. FAU - Chang, Gee-Chen AU - Chang GC AD - Division of Chest Medicine, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan and Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan. FAU - Wu, Jiun-Ting AU - Wu JT AD - Division of Respiratory and Chest Medicine, E-Da Cancer Hospital/I-Shou University, Kaohsiung, Taiwan. FAU - Chen, Jung-Yueh AU - Chen JY AD - Division of Respiratory and Chest Medicine, E-Da Hospital/I-Shou University, Kaohsiung, Taiwan. FAU - Chen, Yuh-Min AU - Chen YM AUID- ORCID: 0000-0003-0585-8463 AD - Department of Chest Medicine, Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University, Taipei, Taiwan. LA - eng GR - TTY Biopharm Co., Ltd. (Taipei, Taiwan)/ PT - Journal Article DEP - 20191126 PL - Australia TA - Asia Pac J Clin Oncol JT - Asia-Pacific journal of clinical oncology JID - 101241430 RN - 0 (Antineoplastic Agents) RN - 0 (Drug Combinations) RN - 150863-82-4 (S 1 (combination)) RN - 1548R74NSZ (Tegafur) RN - 5VT6420TIG (Oxonic Acid) RN - Q20Q21Q62J (Cisplatin) SB - IM MH - Adult MH - Aged MH - Antineoplastic Agents/pharmacology/*therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols/pharmacology/*therapeutic use MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/mortality/pathology MH - Cisplatin/pharmacology/*therapeutic use MH - Drug Combinations MH - Female MH - Humans MH - Lung Neoplasms/*drug therapy/mortality/pathology MH - Male MH - Middle Aged MH - Oxonic Acid/pharmacology/*therapeutic use MH - Survival Analysis MH - Taiwan MH - Tegafur/pharmacology/*therapeutic use OTO - NOTNLM OT - S-1 OT - chemotherapy OT - nonsmall cell lung cancer OT - single-arm prospective study EDAT- 2019/11/28 06:00 MHDA- 2020/07/21 06:00 CRDT- 2019/11/28 06:00 PHST- 2019/03/04 00:00 [received] PHST- 2019/10/26 00:00 [accepted] PHST- 2019/11/28 06:00 [pubmed] PHST- 2020/07/21 06:00 [medline] PHST- 2019/11/28 06:00 [entrez] AID - 10.1111/ajco.13294 [doi] PST - ppublish SO - Asia Pac J Clin Oncol. 2020 Apr;16(2):e68-e73. doi: 10.1111/ajco.13294. Epub 2019 Nov 26.