Skip to main content

Advertisement

Log in

A pilot study of weekly docetaxel chemotherapy combined with regional hyperthermia for pretreated stage III non-small cell lung cancer

  • Published:
The Chinese-German Journal of Clinical Oncology

Abstract

Objective

To evaluate the feasibility and therapeutic effect of chemotherapy combined with regional radio frequency hyperthermia for pretreated locally advanced non-small cell lung cancer.

Methods

29 patients with stage IIIb non-small cell lung cancer were enrolled in present study, administered chemotherapy up to 4 cycles and radio frequency hyperthermia up to 32 times. The primary end points were grade 3, 4 hematological or non-hematological toxicities and progression free survival, the secondary end points were response rate, tumor control rate and overall survival. Method of Kaplan-Meier was used to do the survival analysis.

Results

21 patients completed whole treatment. The most common grade 3, 4 toxicity was neutropenia (24.1%). Median progression free survival was 4 months (range 0–13 months), one year progression free survival rate was 10.3%. Overall response rate was 25.9%, tumor control rate was 66.6%. Median overall survival was 11 months (range 2–18+ months), one year overall survival rate was 44.8%.

Conclusion

Treatment of chemotherapy in conjunction with regional hyperthermia was safe and well tolerant, and it showed an impressive tumor control rate and an acceptable one year progression free survival.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Jemal A, Tiwari RC, Murray T, et al. Cancer statistics, 2004. CA Cancer J Clin, 2004, 54: 8–29.

    Article  PubMed  Google Scholar 

  2. Clinical practice guidelines for the treatment of unresectable non-small-cell lung cancer. Adopted on May 16, 1997 by the American Society of Clinical Oncology. J Clin Oncol, 1997, 15: 2996–3018.

  3. Schiller JH, Harrington D, Belani CP, et al. Comparison of four chemotherapy regimens for advanced non-small-cell lung cancer. N Engl J Med, 2002, 346: 92–98.

    Article  PubMed  CAS  Google Scholar 

  4. Comella P, Filippelli G, De Cataldis G, et al. Efficacy of the combination of cisplatin with either gemcitabine and vinorelbine or gemcitabine and paclitaxel in the treatment of locally advanced or metastatic non-small-cell lung cancer: a phase III randomised trial of the Southern Italy Cooperative Oncology Group (SICOG 0101). Ann Oncol, 2007,18: 324–330.

    Article  PubMed  CAS  Google Scholar 

  5. D’Addario G, Pintilie M, Leighl NB, et al. Platinum-based versus nonplatinum-based chemotherapy in advanced non-small-cell lung cancer: a meta-analysis of the published literature. J Clin Oncol, 2005, 23: 2926–2936.

    Article  PubMed  CAS  Google Scholar 

  6. Aupérin A, Le Péchoux C, Pignon JP, et al. Concomitant radio-chemotherapy based on platin compounds in patients with locally advanced non-small cell lung cancer (NSCLC): a meta-analysis of individual data from 1764 patients. Ann Oncol, 2006, 17: 473–483.

    Article  PubMed  Google Scholar 

  7. Schuette W, Nagel S, Blankenburg T, et al. Phase III study of second-line chemotherapy for advanced non-small-cell lung cancer with weekly compared with 3-weekly docetaxel. J Clin Oncol, 2005, 23: 8389–8395.

    Article  PubMed  CAS  Google Scholar 

  8. Pectasides D, Pectasides M, Farmakis D, et al. Comparison of docetaxel and docetaxel-irinotecan combination as second-line chemotherapy in advanced non-small-cell lung cancer: a randomized phase II trial. Ann Oncol, 2005,16: 294–299.

    Article  PubMed  CAS  Google Scholar 

  9. Cho KH, Song YB, Choi IS, et al. A phase II study of single-agent gemcitabine as a second-line treatment in advanced non-small cell lung cancer. Jpn J Clin Oncol, 2006, 36: 50–54.

    Article  PubMed  Google Scholar 

  10. Weiss GJ, Rosell R, Fossella F, et al. The impact of induction chemotherapy on the outcome of second-line therapy with pemetrexed or docetaxel in patients with advanced non-small-cell lung cancer. Ann Oncol, 2007, 18: 453–460.

    Article  PubMed  CAS  Google Scholar 

  11. Gervais R, Ducolone A, Breton JL, et al. Phase II randomised trial comparing docetaxel given every 3 weeks with weekly schedule as second-line therapy in patients with advanced non-small-cell lung cancer (NSCLC). Ann Oncol, 2005, 16: 90–96.

    Article  PubMed  CAS  Google Scholar 

  12. Di Maio M, Perrone F, Chiodini P, et al. Individual patient data meta-analysis of docetaxel administered once every 3 weeks compared with once every week second-line treatment of advanced non-small-cell lung cancer. J Clin Oncol, 2007, 25: 1377–1382.

    Article  PubMed  CAS  Google Scholar 

  13. Katschinski DM, Robins HI, Schad M, et al. Role of tumor necrosis factor alpha in hyperthermia-induced apoptosis of human leukemia cells. Cancer Res, 1999, 59: 3404–3410.

    PubMed  CAS  Google Scholar 

  14. Engelhardt R. Hyperthermia and drugs. Recent Results Cancer Res, 1987, 104: 136–203.

    PubMed  CAS  Google Scholar 

  15. Hahn GM. Potential for therapy of drugs and hyperthermia. Cancer Res, 1979, 39: 2264–2268.

    PubMed  CAS  Google Scholar 

  16. Jones EL, Oleson JR, Prosnitz LR, et al. Randomized trial of hyperthermia and radiation for superficial tumors. J Clin Oncol, 2005, 23: 3079–3085.

    Article  PubMed  Google Scholar 

  17. Wendtner CM, Abdel-Rahman S, Krych M, et al. Response to neoadjuvant chemotherapy combined with regional hyperthermia predicts long-term survival for adult patients with retroperitoneal and visceral high-risk soft tissue sarcomas. J Clin Oncol, 2002, 20: 3156–3164.

    Article  PubMed  CAS  Google Scholar 

  18. Lindner LH, Schlemmer M, Hohenberger P, et al. First interim report on the randomized EORTC 62961/ESHO-RHT 95 Intergroup Study (phase III) combined with regional hyperthermia (RHT) versus chemotherapy alone in the treatment of high-risk soft tissue sarcomas (HR-STS) in adults. ASCO Meeting Abstracts, 2004, 22: 9015.

    Google Scholar 

  19. Hiramoto RN, Ghanta VK, Lilly MB. Reduction of tumor burden in a murine osteosarcoma following hyperthermia combined with cyclophosphamide. Cancer Res, 1984, 44: 1405–1408.

    PubMed  CAS  Google Scholar 

  20. Kalapurakal JA, Mittal BB, Sathiaseelan V. Re-irradiation and external hyperthermia in locally advanced, radiation recurrent, hormone refractory prostate cancer: a preliminary report. Br J Radiol, 2001, 74: 745–751.

    PubMed  CAS  Google Scholar 

  21. Kouloulias VE, Dardoufas CE, Kouvaris JR, et al. Liposomal doxorubicin in conjunction with reirradiation and local hyperthermia treatment in recurrent breast cancer: a phase I/II trial. Clin Cancer Res, 2002, 8: 374–382.

    PubMed  CAS  Google Scholar 

  22. Therasse P, Arbuck SG, Eisenhauer EA, et al. New guidelines to evaluate the response to treatment in solid tumors. European Organization for Research and Treatment of Cancer, National Cancer Institute of the United States, National Cancer Institute of Canada. J Natl Cancer Inst, 2000, 92: 205–216.

    Article  PubMed  CAS  Google Scholar 

  23. Shibata HR, MacClean LD. Blood flow to tumors. Progress Clin Cancer, 1966, 2: 33–47.

    Google Scholar 

  24. Mohamed F, Stuart OA, Glehen O, et al. Docetaxel and hyperthermia: factors that modify thermal enhancement. J Surg Oncol, 2004, 88: 14–20.

    Article  PubMed  CAS  Google Scholar 

  25. Yang HJ, Jiang GL, Fu XL, et al. Radiotherapy and hyperthermia for NSCLC. ASCO Meeting Abstracts, 2005, 23: 7289.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jiang Zhu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zhu, J., Diao, Y., Jiang, M. et al. A pilot study of weekly docetaxel chemotherapy combined with regional hyperthermia for pretreated stage III non-small cell lung cancer. Chin. -Ger. J. Clin. Oncol. 7, 35–39 (2008). https://doi.org/10.1007/s10330-007-0109-1

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10330-007-0109-1

Key words

Navigation