吉西他滨联合奥沙利铂或顺铂一线治疗老年晚期非小细胞肺癌的随机研究

BACKGROUND AND OBJECTIVE: Platinum-based chemotherapy is considered the standard treatment of advanced non-small cell lung cancer (NSCLC). The aim of this study is to evaluate the efficacy and safety of gemcitabine plus oxaliplatin (GO) versus gemcitabine plus cisplatin (GP) regimens as the 1(st) line chemotherapy for elderly patients with advanced NSCLC. METHODS: Sixty-six advanced NSCLC patients confrmed with pathology or cytology, who had not received treatment, were randomly divided into GO group (The patients received gemcitabine 1, 000 mg/m(2) on day 1 and day 8 and oxaliplatin 130 mg/m(2) on day 1 by intravenous infusion, with 21 days as one cycle) and GP group (The patients received gemcitabine 1, 000 mg/m(2) on day 1 and day 8 and cisplatin 25 mg/m(2) on day 1, day 2 and day 3) by intravenous infusion, with 21 days as one cycle). All patients who received 2 or more cycles could be evaluated. RESULTS: Tere were no statistical differences between GO and GP groups in the efciency of disease (36.4% vs 40.6%, P=0.801), the median progression-free survival (24 weeks vs 18 weeks, P=0.565), the median survival time (44 weeks vs 36 weeks, P=0.918), but anemia at grade Ⅲ and Ⅳ (0 vs 33.3%, P < 0.001) and nausea/vomiting at grade Ⅲ and Ⅳ (0 vs 27.3%, P=0.004) were signifcantly different. CONCLUSION: The clinical efciency of GO and GP regimens as the 1(st) line chemotherapy for advanced NSCLC in elderly patients was similar, but the toxicity of GO regimen has the tendency to be more tolerable and safer.