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. 2008 Apr 4;105(14):249–254. doi: 10.3238/arztebl.2008.0249

Table. Overview of randomized phase III studies of adjuvant cisplatin based chemotherapy versus observation in non-small cell lung cancer.

Study Tumor stage No of patients Chemotherapeutic regimen/No of cycles Median follow-up in months Median survival in months: chemotherapy versus observation 5 year survival rate: chemotherapy versus observation
ALPI (9) p I–IIIA 1209 Cisplatin + mitomycin C + vindesine; 3 cycles 64.5 55.2 vs. 48 p = 0.6 No data
BLT (10) p I–III 381 Cisplatin + mitomycin C + ifosfamide or Cisplatin + mitomycin C + vinblastine or Cisplatin + vindesine or Cisplatin + vinorelbine; 3 cycles 34.6 33.9 vs. 32.6 p = 0.9 No data
IALT (11) p I–III 1867 Cisplatin + etoposide or Cisplatin + vinorelbine or Cisplatin + vinblastine or Cisplatin + vindesine; 3–4 cycles 56 No data 44.5 % vs. 40.4 % p < 0.03
Intergroup JBR.10 of NCIC (12) p IB–IIB (without T3NOMO) 482 Cisplatin + vinorelbine; 4 cycles 62 94 vs. 63 p = 0.009 69 % vs. 54 % p = 0.03
ANITA (14) p IB–IIIA 840 Cisplatin + vinorelbine; 4 cycles > 70 65.7 vs. 43.7 p = 0.02 51 % vs. 43 % p = 0.02

The pooled analysis (LACE, lung adjuvant cisplatin evaluation) of the data from the 5 studies using cisplatin based chemotherapy (BLT, ALPI, IALT, NCIC JBR.10, ANITA) including 4584 patients showed an absolute 5 year benefit of 4.2% for the patients treated with cisplatin (15).