The salvage regimen for patients with advanced non-small cell lung cancer who failed prior chemotherapy: once-daily single oral agent Iressa / 中国肺癌杂志

ABSTRACT

<p><b>BACKGROUND</b>To summarize the effect of Iressa for refractory patients with advanced non small cell lung cancer (NSCLC) failed to prior chemotherapy.</p><p><b>METHODS</b>Thirty-one patients, with unresectable stage IIIB or IV NSCLC who had disease progression or relapse after prior chemotherapy using platinum-based regimen for at least 2 cycles, were admitted to the Osaka Prefectural Hobikino Hospital. Iressa 250 mg was administered once a day until disease progression was noted. Weekly chest x-ray and monthly CT scan were performed for response assessment each month.</p><p><b>RESULTS</b>Among the 31 patients, one complete response (CR) and 7 partial responses (PR) were observed. CR rate was 3.2% (95% confidence interval 0-17%), PR rate 22.6% (95% confidence interval 10%-41%), disease control rate including both tumor responses and stable disease was 80.6% (95% confidence interval 52%-92%). The rate of symptoms relieves was 51.6% (95% confidence interval 33%-70%), the most effective symptoms being cough and pain. The median time to improved symptoms was 14 days. The most common adverse events were grade I or II skin rash and diarrhea which were readily manageable and reversible. No patients were withdrawn due to the adverse events</p><p><b>CONCLUSIONS</b>Monotherapy using Iressa is effective and tolerable for the patients with advanced NSCLC who failed prior chemotherapy.</p>