A randomized trial of amifostine as a cytoprotective agent in patients receiving chemotherapy for small cell lung cancer


Johnson, P.W.M., Muers, M.F., Peake, M.D., Poulter, K.M., Gurney, E.M., Napp, V.V., Hepburn, P.M. and Brown, J.M. (2001) A randomized trial of amifostine as a cytoprotective agent in patients receiving chemotherapy for small cell lung cancer. British Journal of Cancer, 84, (1), 19-24. (doi:10.1054/bjoc.2000.1539).

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Original Publication URL: http://dx.doi.org/10.1054/bjoc.2000.1539

Description/Abstract

A randomized trial was conducted to determine whether administration of Amifostine with chemotherapy for small cell lung cancer could decrease the toxicity. 84 patients with small cell lung cancer of favourable prognosis (limited disease, performance status 0-1; limited disease with performance status 2 but normal sodium and alkaline phosphatase, or extensive diseas with performance status 0-1, normal sodium and alkaline phosphatase) received treatment with Ifosfamide 3 g/m2intravenously, Carboplatin (Glomerular filtration rate + 25) ´6 mg intravenously, Etoposide 50 mg orally, twice daily, for 7 days, every 3 weeks. Patients were randomized to receive amifostine 740 mg/m2immediately prior to the intravenous drugs (n = 42) or to receive chemotherapy alone (n = 42). The two groups were similar with respect to baseline prognostic factors. There was no significant difference in the occurrence of grade III or IV neutropenia or thrombocytopenia between the two groups, nor in the response rate or overall survival, for which the median was 11 months in the chemotherapy only group and 14 months in the group treated with amifostine. This study has not shown a protective effect from the use of amifostine with this regimen and there does not appear to be any effect upon the efficacy of treatment.

Item Type: Article
Related URLs:
Keywords: small cell lung cancer, chemotherapy, myelotoxicity, chemoprotection, amifostine, survival
Subjects: R Medicine > R Medicine (General)
R Medicine > RM Therapeutics. Pharmacology
Divisions: University Structure - Pre August 2011 > School of Medicine > Cancer Sciences
ePrint ID: 26413
Date Deposited: 24 Apr 2006
Last Modified: 27 Mar 2014 18:15
URI: http://eprints.soton.ac.uk/id/eprint/26413

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