Table 4 Evaluated drugs in relapsed SCLC
From: Treatment options for small cell lung cancer – do we have more choice?
Results | ||||||||
---|---|---|---|---|---|---|---|---|
Drug | Dose/schedule | Authors | Population | Phase | Patients ( n) | Response (%) | OS | Conclusion |
Gemcitabine | 1250 mg m–2 days 1, 8; q3w | Hoang et al (2003) | Se, Rs, Re | II | 27 | No response | 6.4 months | Limited activity |
1000 mg m–2 days 1, 8, 15; q4w | Rs, Re (76% >1 earlier line) | II | 41 | 13% | 17 weeks | Modest activity | ||
1000 mg m–2 days 1, 8, 15 q4w | Se, Rs, Re | II | 46 | 11.9% | 7.1 months | Modest activity | ||
Irinotecan | 100 mg m–2 weekly | Se, Rs, Re | II | 16 | 47% | 6.8 months | Active agent | |
Paclitaxel | 175 mg m–2; q3w | Rs | II | 24 | 29% | 100 days | Active agent | |
200 mg m–2; q3w | Joos et al (2004) | Rs, Re | II | 44 | 20% | 4 months | Active agent | |
Vinorelbine | 25 mg m–2 weekly | Furuse et al (1996) | Se, Rs, Re | II | 24 | 12.5% | — | Modest activity |
30 mg m–2 weekly | Jassem et al (1993) | Se | II | 26 | 16% | — | Modest activity | |
Pemetrexed | 500 mg m–2; q3w | Se, Rs | II | 43 | Se: 1 PR Rs: 1 PR | — | Minimal activity | |
900 mg m–2; q3w | Se, Rs | II | 34 | Se: 4.5% Rs: 2.9% | 17.6 weeks | Limited activity | ||
900 mg m–2; q3w | Se, Rs | II | 121 | 0.9% (1 PR in Se) | 2.5–6.1 months | Minimal activity | ||
Amrubicin | 40 mg m–2 days 1–3; q3w | Se, Rs | II | 60 | Se OR: 52% Rs OR: 50% | Se: 11.6 months Rs: 10.3 months | Significant activity | |
45 mg m–2 days 1–3; q3w | Se, Rs | II | 35 | Se OR: 50% Rs OR: 60% | 8.8 months | Significant activity | ||
40 mg m–2 days 1–3; q3w | Se, Rs | II | 19 | OR: 37% | — | Active agent | ||
40 mg m–2 days 1–3; q3w | Rs, Re | II | 63 | PR: 13/39 | — | Active agent | ||
Amrubicin: 40 mg m–2 days 1–3; q3w Topotecan: 1 mg m–2 days 1–5 | Se, Rs | II | 60 | 38% vs 13% | — | Amrubicin may be superior to topotecan | ||
Picoplatin | 150 mg m–2; q3w | Se, Rs, Re | II | 77 | — | 28.1 weeks | Compares favourably with other therapeutic options |