Table 4. Results of phase III studies comparing platinum and non-platinum containing regimens.
Reference | Number | Regimen | Response rate | Median survival | Survival (at year) |
---|---|---|---|---|---|
Roth et al.23 | 159 | PE | 61% | 8.6 m | NR |
156 | CAV | 51% | 8.3 m | NR | |
162 | CAV/PE | 59% | 8.1 m | NR | |
P value | 0.175 | 0.425 | |||
Fukuoka24 | 97 | PE | 78% | 9.9 m | 11.5 (2y) |
97 | CAV | 55% | 9.9 m | 10.4 (2y)* | |
94 | CAV/PE | 76% | 11.8 m | 21.4 (2y)* | |
P value | <0.01 | 0.027 | |||
Evans4 | CAV | 63% | Longer for CAV/PE | ||
CAV/PE | 80% | ||||
P value | 0.002 | 0.03 | |||
Chut25 | Platinum regimens | NR | 9.5 m | NR | |
(Meta-analysis of 21 studies) | Non-platinum regimens | NR | 7.1 m | ||
P value | 0.04 | ||||
Pujol26 | 1814 | Platinum | OR=1.35 | NR | 0.8 (1y) |
(Meta-analysis of 19 studies) | 2240 | Non-platinum | NR | Death OR | |
P value | <0.0001 | 0.002 | |||
Sundstrom et al.27 | 218 | PE | NR | 14.5 m | 14% (2y) |
218 | CEV | NR | 9.7 m | 6% (2y) | |
P value | (Limited disease) | 0.0004 | |||
0.001 | |||||
Thatcher28 | 203 | ICE-V | 83% | 15.6 m | 20% (2y) |
199 | CDE or PE | 80% | 11.6 m | 11% (2y) | |
P value | NR | 0.026 | NR | ||
Johnson29 | 72 | CAV+(PE×2) | NR | 21.1 m | 44% (2y) |
79 | CAV | NR | 13.2 m | 26% (2y) | |
P value | 0.028 | 0.028 | |||
Beith30 | 50 | PE | 76% | 52 w | NR |
54 | PE+(CAV) | NR | 54 w | NR | |
P value | 0.636 | ||||
Mascaux31 | Platinum | NR | |||
Meta-analysis of 31 studies | Non-platinum | HR=0.61 | NR | ||
P value | 95% CI (0.57–0.66) | ||||
White32 | 59 | CAV | 38% | 17 w | 12% (1y) |
60 | Carboplatin | 25% | 15.9 w | 6% (1y) | |
P value | 0.15 | NS | 0.8 |
ICE-V, ifosfamide, cisplatin, etoposide, vincristine; CDE, cyclophosphamide, doxorubicin, etoposide; CAV, cyclophosphamide, adriamycin, vincristine; PE, cisplatin, etoposide;
P value=0.059.