PMID- 36241930 OWN - NLM STAT- MEDLINE DCOM- 20221129 LR - 20221129 IS - 1437-7772 (Electronic) IS - 1341-9625 (Linking) VI - 27 IP - 12 DP - 2022 Dec TI - Phase I/II study of nedaplatin and nab-paclitaxel for patients with previously untreated advanced squamous cell lung cancer: Kanto Respiratory Disease Study Group (KRSG) 1302. PG - 1841-1848 LID - 10.1007/s10147-022-02241-6 [doi] AB - BACKGROUND: Nedaplatin and nab-paclitaxel are each efficacious in the treatment of squamous cell lung cancer. PATIENTS AND METHODS: Eligibility criteria were: no prior chemotherapy, advanced squamous cell lung cancer; performance status 0-1, age > 20 years but < 75 years, and adequate hematologic, hepatic and renal function. Patients received escalating doses of nab-paclitaxel under a fixed dose of nedaplatin (100 mg/m(2), day 1) every 3 weeks in phase I. The initial nab-paclitaxel dose was 100 mg/m(2) on days 1 and 8 (level 1), and the next dose was 100 mg/m(2) on days 1, 8, and 15 (level 2). In phase II, patients received the recommended doses. The primary endpoint was tumor response rate. RESULTS: In phase I, three patients at level 1 experienced no dose-limiting toxicities (DLTs) and two patients at level 2 experienced DLTs. Level 1 was thus determined as the recommended dose. Twenty-three patients were enrolled in phase II. The 3 patients in level 1 and 23 patients in phase II were included together for analyses. Three of these 26 patients were excluded from response analysis due to pneumonia and patient refusal. Response rate was 91.3% (95% confidence interval, 72.0-98.9%). Toxicities observed during all cycles were tolerable. CONCLUSIONS: The recommended dose for this combination was nedaplatin at 100 mg/m(2) on day 1 and nab-paclitaxel at 100 mg/m(2) on days 1 and 8 every 3 weeks. The combination of nedaplatin and nab-paclitaxel appears safe and efficacious in patients with untreated advanced squamous cell lung cancer. CI - (c) 2022. The Author(s) under exclusive licence to Japan Society of Clinical Oncology. FAU - Kasai, Takashi AU - Kasai T AUID- ORCID: 0000-0002-3112-4001 AD - Division of Thoracic Oncology, Department of Medical Oncology, Tochigi Cancer Center, 4-9-13 Yonan, Utsunomiya, Tochigi, Japan. takasai@tochigi-cc.jp. FAU - Mori, Kiyoshi AU - Mori K AD - Division of Thoracic Oncology, Department of Thoracic Diseases, Utsunomiya Memorial Hospital, Tochigi, Japan. FAU - Sugiyama, Tomohide AU - Sugiyama T AD - Division of Thoracic Oncology, Department of Medical Oncology, Tochigi Cancer Center, 4-9-13 Yonan, Utsunomiya, Tochigi, Japan. FAU - Koyama, Nobuyuki AU - Koyama N AD - Department of Respiratory Medicine, Saitama Medical Center, Saitama Medical University, Saitama, Japan. FAU - Nakamura, Yoichi AU - Nakamura Y AD - Division of Thoracic Oncology, Department of Medical Oncology, Tochigi Cancer Center, 4-9-13 Yonan, Utsunomiya, Tochigi, Japan. FAU - Ohyanagi, Fumiyoshi AU - Ohyanagi F AD - Department of Respiratory Medicine, Saitama Cancer Center, Saitama, Japan. FAU - Fukuda, Hiroki AU - Fukuda H AD - Department of General Thoracic Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan. FAU - Hoshi, Eishin AU - Hoshi E AD - Department of General Thoracic Surgery, Saitama Cardiovascular and Respiratory Center, Saitama, Japan. FAU - Kobayashi, Kunihiko AU - Kobayashi K AD - Department of Respiratory Medicine, Saitama Medical University International Medical Center, Saitama, Japan. FAU - Nakayama, Mitsuo AU - Nakayama M AD - Department of General Thoracic Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan. LA - eng PT - Clinical Trial, Phase I PT - Clinical Trial, Phase II PT - Journal Article DEP - 20221014 PL - Japan TA - Int J Clin Oncol JT - International journal of clinical oncology JID - 9616295 RN - 0 (130-nm albumin-bound paclitaxel) RN - 8UQ3W6JXAN (nedaplatin) RN - P88XT4IS4D (Paclitaxel) SB - IM MH - Humans MH - Young Adult MH - Adult MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects MH - *Carcinoma, Non-Small-Cell Lung/drug therapy MH - Paclitaxel/adverse effects MH - *Carcinoma, Squamous Cell/drug therapy/pathology MH - *Lung Neoplasms/drug therapy/etiology MH - Epithelial Cells/pathology OTO - NOTNLM OT - Nab-paclitaxel OT - Nedaplatin OT - Phase I/II study OT - Platinum compound OT - Squamous cell lung cancer EDAT- 2022/10/15 06:00 MHDA- 2022/11/30 06:00 CRDT- 2022/10/14 23:40 PHST- 2022/06/10 00:00 [received] PHST- 2022/08/17 00:00 [accepted] PHST- 2022/10/15 06:00 [pubmed] PHST- 2022/11/30 06:00 [medline] PHST- 2022/10/14 23:40 [entrez] AID - 10.1007/s10147-022-02241-6 [pii] AID - 10.1007/s10147-022-02241-6 [doi] PST - ppublish SO - Int J Clin Oncol. 2022 Dec;27(12):1841-1848. doi: 10.1007/s10147-022-02241-6. Epub 2022 Oct 14.