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Carboplatin - a very active new cisplatin analog in the treatment of small cell lung cancer

Lookup NU author(s): Professor Alan Calvert

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Abstract

Carboplatin, a cisplatin analog without significant clinical nephrotoxicity, has been evaluated in the treatment of 56 patients with small cell lung carcinoma at a dose of 300-400 mg/m2 iv monthly in a phase II study. Twenty-three patients (41%) achieved a response, including five (9%) complete remissions. Of 30 previously untreated patients, 18 (60%) achieved a response, including three (10%) complete remissions. Median response duration was 4.5 months (range, 2-9). No nephrotoxicity was seen and hydration was not required. Nausea or vomiting occurred in only 24 patients (43%) and was rarely severe. Myelosuppression was dose-limiting: 20 patients (36%) developed leukopenia and eight (14%) developed thrombocytopenia, but leukopenic infections occurred in only three patients. Carboplatin is a very active new agent in the treatment of small cell lung cancer, with less toxicity and better tolerance than cisplatin. It merits further investigation in combination chemotherapy and against non-small cell lung cancer.


Publication metadata

Author(s): Smith IE, Harland SJ, Robinson BA, Evans BD, Goodhart LC, Calvert AH, Yarnold J, Glees JP, Baker J, Ford HT

Publication type: Article

Publication status: Published

Journal: Cancer Treatment Reports

Year: 1985

Volume: 69

Issue: 1

Pages: 43-46

Print publication date: 01/01/1985

ISSN (print): 0361-5960

ISSN (electronic): 1460-2105

PubMed id: 2981620

Notes:


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