PMID- 36331673 OWN - NLM STAT- MEDLINE DCOM- 20230323 LR - 20230512 IS - 1573-0646 (Electronic) IS - 0167-6997 (Linking) VI - 41 IP - 1 DP - 2023 Feb TI - Necitumumab plus gemcitabine and cisplatin in previously treated lung squamous cell carcinoma. PG - 168-172 LID - 10.1007/s10637-022-01312-9 [doi] AB - BACKGROUND: The efficacy and safety of the anti-EGFR antibody necitumumab combined with gemcitabine and cisplatin (N + GC) in the first-line treatment of advanced lung squamous cell carcinoma (LSCC) have been proven. However, the efficacy and safety of N + GC in the second line or later treatment remain unclear. METHODS: Eleven patients who received N + GC for advanced-stage or recurrent LSCC were enrolled. We retrospectively assessed the patients' clinical characteristics and efficacy and safety of treatment. RESULTS: The median patient age was 73 years (range, 63-77 years). The cohort included nine (81.8%) men and two (18.2%) women. Two (18.2%) patients had postoperative recurrence, and one (9.1%), three (27.3%), one (9.1%), and four (36.4%) patients were diagnosed with stage IIIA, IIIB, IVA, and IVB disease, respectively. Concerning the best overall response, partial response was achieved in five (45.5%) patients, four (36.4%) patients displayed stable disease, and two (18.2%) patients were not evaluable. Median progression-free survival was 6.8 months (range, 1.4-10.3 months). The grade 3 or higher neutropenia, thrombocytopenia, and anemia occurred in six (54.5%), three (27.3%), and two (18.2%) patients, respectively. Additionally, grade 3 skin reaction, rash, lung infection, duodenal ulcer, and febrile neutropenia were observed in one (9.1%) patient each. Two (18.2%) patients required treatment interruption because of adverse events. CONCLUSION: N + GC displayed good efficacy in the second line or later treatment among patients with LSCC. This study suggested that N + GC is a useful option even after second-line treatment of advanced-stage or recurrent LSCC, although the management of adverse events is essential. CI - (c) 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. FAU - Kinoshita, Fumihiko AU - Kinoshita F AD - Department of Thoracic Oncology, National Hospital Organization Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, 811-1395, Fukuoka, Japan. kinoshita2315@gmail.com. FAU - Oku, Yuka AU - Oku Y AD - Department of Thoracic Oncology, National Hospital Organization Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, 811-1395, Fukuoka, Japan. FAU - Takamori, Shinkichi AU - Takamori S AD - Department of Thoracic Oncology, National Hospital Organization Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, 811-1395, Fukuoka, Japan. FAU - Fujishita, Takatoshi AU - Fujishita T AD - Department of Thoracic Oncology, National Hospital Organization Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, 811-1395, Fukuoka, Japan. FAU - Toyozawa, Ryo AU - Toyozawa R AD - Department of Thoracic Oncology, National Hospital Organization Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, 811-1395, Fukuoka, Japan. FAU - Ito, Kensaku AU - Ito K AD - Department of Thoracic Oncology, National Hospital Organization Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, 811-1395, Fukuoka, Japan. FAU - Shoji, Fumihiro AU - Shoji F AD - Department of Thoracic Oncology, National Hospital Organization Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, 811-1395, Fukuoka, Japan. FAU - Okamoto, Tatsuro AU - Okamoto T AD - Department of Thoracic Oncology, National Hospital Organization Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, 811-1395, Fukuoka, Japan. LA - eng PT - Journal Article DEP - 20221104 PL - United States TA - Invest New Drugs JT - Investigational new drugs JID - 8309330 RN - 0 (Gemcitabine) RN - Q20Q21Q62J (Cisplatin) RN - 2BT4C47RUI (necitumumab) RN - 0 (Antibodies, Monoclonal) SB - IM MH - Male MH - Humans MH - Female MH - Middle Aged MH - Aged MH - Gemcitabine MH - Cisplatin/adverse effects MH - *Lung Neoplasms/pathology MH - Retrospective Studies MH - Antibodies, Monoclonal/therapeutic use MH - Treatment Outcome MH - Neoplasm Staging MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects MH - Neoplasm Recurrence, Local/drug therapy MH - *Carcinoma, Non-Small-Cell Lung/drug therapy MH - *Carcinoma, Squamous Cell/pathology MH - Lung/pathology OTO - NOTNLM OT - Chemotherapy OT - Lung cancer OT - Necitumumab OT - Squamous cell carcinoma EDAT- 2022/11/05 06:00 MHDA- 2023/03/24 06:00 CRDT- 2022/11/04 12:18 PHST- 2022/09/23 00:00 [received] PHST- 2022/10/07 00:00 [accepted] PHST- 2022/11/05 06:00 [pubmed] PHST- 2023/03/24 06:00 [medline] PHST- 2022/11/04 12:18 [entrez] AID - 10.1007/s10637-022-01312-9 [pii] AID - 10.1007/s10637-022-01312-9 [doi] PST - ppublish SO - Invest New Drugs. 2023 Feb;41(1):168-172. doi: 10.1007/s10637-022-01312-9. Epub 2022 Nov 4.