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ORIGINAL ARTICLE Neoadjuvant Chemotherapy with Gemcitabine-Containing Regimens in Patients with Early-Stage Non-small Cell Lung Cancer Frank C. Detterbeck, MD, FACS, FCCP,* Mark A. Socinski, MD,† Richard J. Gralla, MD,‡ Martin J. Edelman, MD,§ Thierry M. Jahan, MD, David M. Loesch, MD,¶ Steven A. Limentani, MD,# Ramaswamy Govindan, MD,** M. B. Zaman, MD,†† Zhishen Ye, PhD,‡‡ Matthew J. Monberg, MS,‡‡ and Coleman K. Obasaju, MD, PhD‡‡ survival for all patients was 45 months (65.5% censored), with Background: Surgical resection alone remains suboptimal for pa- 87.2% alive at 1 year and 69.8% alive at 2 years. tients with early-stage (I or II) non-small cell lung cancer. Two Discussion: Neoadjuvant chemotherapy with gemcitabine was fea- similar randomized phase II trials were conducted to define an active sible and well tolerated, and outcomes were similar to other reports preoperative regimen in this disease state. of this treatment strategy. However, no regimen achieved the pre- Methods: In the first study, patients were randomized to receive defined pCR rate that would be sufficient to warrant further evalu- 2 2 gemcitabine 1000 mg/m on days 1 and 8 plus cisplatin 80 mg/m on ation in the phase III setting. This trial design provides an efficient day
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Jan 1, 2008
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