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

van der Lee et al (2001)

Rs, Re (76% >1 earlier line)

II

41

13%

17 weeks

Modest activity

 

1000 mg m–2 days 1, 8, 15 q4w

Masters et al (2003)

Se, Rs, Re

II

46

11.9%

7.1 months

Modest activity

Irinotecan

100 mg m–2 weekly

Masuda et al (1992)

Se, Rs, Re

II

16

47%

6.8 months

Active agent

Paclitaxel

175 mg m–2; q3w

Smit et al (1998)

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

Hanna et al (2006b)

Se, Rs

II

43

Se: 1 PR

Rs: 1 PR

Minimal activity

 

900 mg m–2; q3w

Gronberg et al (2008)

Se, Rs

II

34

Se: 4.5%

Rs: 2.9%

17.6 weeks

Limited activity

 

900 mg m–2; q3w

Socinski et al (2008)

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

Onoda et al (2006)

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

Kato et al (2006)

Se, Rs

II

35

Se OR: 50%

Rs OR: 60%

8.8 months

Significant activity

 

40 mg m–2 days 1–3; q3w

Kudoh et al (2006)

Se, Rs

II

19

OR: 37%

Active agent

 

40 mg m–2 days 1–3; q3w

Ettinger et al (2008)

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

Inoue et al (2008)

Se, Rs

II

60

38% vs 13%

Amrubicin may be superior to topotecan

Picoplatin

150 mg m–2; q3w

Bentzion et al (2007)

Se, Rs, Re

II

77

28.1 weeks

Compares favourably with other therapeutic options

  1. Abbreviations: OS=overall survival; Se=sensitive (initially responded and then relapsed/progressed between 60 and 180 days); Rs=resistant (initially responded to first-line platinum-containing chemotherapy and then relapsed/progressed within 60–90 days); Re=refractory (failed or progressed with first-line platinum-containing chemotherapy); PR=partial response; OR=overall response.