Table 4. Landmark studies reporting on palliative chemotherapy regimens in advanced thymic malignancies.
Primary chemotherapy regimen | Subjects n | Tumour | Design | Response rate | Subsequent treatment | ||||||
Type | Stage | Surgery | Radiotherapy | None | |||||||
Patients | Complete resection | ||||||||||
Chemotherapy | |||||||||||
Macchiarini [78] | CEE | 7 | T/TC | III | Phase II | 100 | 100 | 57 | 0 | 0 | |
Berruti [79] | ADOC | 6 | T | III–IVA | Phase II | 83 | NR | 17 | NR | NR | |
Rea [80] | ADOC | 16 | T | III–IVA | Retrosp | 100 | 100 | 69 | 0 | 0 | |
Berruti [81] | ADOC | 16 | T | III–IVA | Phase II | 81 | 56 | 56 | 31 | 13 | |
Venuta [82] | CEE | 15 | T/TC | III | Retrosp | 66 | 100 | NR | NR | NR | |
Bretti [83] | ADOC/PE | 25 | T/TC | III–IVA | Retrosp | 72 | 68 | 44 | NR | NR | |
Kim [74] | CAPP | 22 | T | III/IVA | Phase II | 77 | 100 | 72 | 0 | 0 | |
Lucchi [84] | CEE | 36 | T/TC | III–IVA | Retrosp | 67 | 69 | 78 | 19 | 3 | |
Jacot [85] | CAP | 5 | T/TC | III–IVA | Retrosp | 75 | 38 | 25 | 50 | 12 | |
Yokoi [86] | CAMP | 14 | T/TC | III, IV | Retrosp | 93 | 64 | 14 | 14 | 21 | |
Kunitoh [87] | CODE | 21 | T | III | Phase II | 62 | 62 | 43 | 24 | 14 | |
Park [88] | DDP-Docetaxel | 27 | T/TC | III/IV | Phase II | 63 | 70 | 63 | 4 | 25 | |
Chemoradiation | |||||||||||
Loehrer [72] | CAP/54 Gy | 23 | T/TC | III–IVA | Phase II | 70 | 0 | 0 | 0 | 100 | |
Wright [37] | PE, ADOC, CAP, CEE/45–60 Gy | 10 | T/TC | III–IVA | Retrosp | 40 | 100 | 80 | 0 | 0 |
Data are presented as %, unless otherwise stated. CEE: cisplatin, epirubicin and etoposide; ADOC: adriamycin, cisplatin, vincristine and cyclophosphamide; PE: platin and etoposide; CAP: cyclophosphamide, doxorubicin and cisplatin; CAPP: CAP and prednisone; CAMP: cisplatin, adriamycin and methylprednisolone; CODE: cisplatin, vincristine, adriamycin and etoposid; DDP: cisplatin; T: thymoma; TC: thymic carcinoma; Retrosp: retrospective; NR: not reported.