We believe that this attempt enables clinicians to choose appropriate treatment easier .
According to rapid development of chemotherapy in advanced non-small cell lung cancer ( NSCLC ) , the Japan Lung Cancer Society has been up date d its own guideline annually since 2010 .
Recently , we have had various types of chemotherapeutic drugs like kinase inhibitors or immune-checkpoint inhibitors .
Thus , the guideline proposes to categorize patients into three entities : ( 1 ) driver oncogene-positive , ( 2 ) PD-L1 ≥ 50 % , and ( 3 ) others .
Here , we report an English version of the Japan Lung Cancer Society Guidelines 2018 for NSCLC , stages IV
Phase III study of docetaxel compared with vinorelbine in elderly patients with advanced non-small-cell lung cancer: results of the West Japan Thoracic Oncology Group Trial (WJTOG 9904).
PURPOSE Docetaxel has shown activity in elderly patients with advanced non-small-cell lung cancer ( NSCLC ) . This r and omized phase III trial evaluated the efficacy and safety of docetaxel versus vinorelbine ( the current st and ard treatment ) in elderly patients . PATIENTS AND METHODS Chemotherapy-naïve patients age 70 years or older with stage IIIB/IV NSCLC and performance status 2 or lower were eligible . Patients r and omly received docetaxel 60 mg/m2 ( day 1 ) or vinorelbine 25 mg/m2 ( days 1 and 8) every 21 days for four cycles . The primary end point was overall survival . Overall disease-related symptom improvement was assessed using an eight-item question naire . RESULTS In total , 182 patients were enrolled . Median age was 76 years ( range , 70 years to 86 years ) . There was no statistical difference in median overall survival with docetaxel versus vinorelbine ( 14.3 months v 9.9 months ; hazard ratio , 0.780 ; 95 % CI , 0.561 to 1.085 ; P = .138 ) . There was a significant difference in median progression-free survival ( 5.5 months v 3.1 months ; P < .001 ) . Response rates were also significantly improved with docetaxel versus vinorelbine ( 22.7 % v 9.9 % ; P = .019 ) . The most common grade 3 to 4 toxicities were neutropenia ( 82.9 % for docetaxel ; 69.2 % for vinorelbine ; P = .031 ) and leukopenia ( 58.0 % for docetaxel ; 51.7 % for vinorelbine ) . Other toxicities were mild and generally well tolerated . Docetaxel improved overall disease-related symptoms over vinorelbine ( odds ratio , 1.86 ; 95 % CI , 1.09 to 3.20 ) . CONCLUSION Docetaxel improved progression-free survival , response rate , and disease-related symptoms versus vinorelbine . Overall survival was not statistically significantly improved at this time . Docetaxel monotherapy may be considered as an option in the st and ard treatment of elderly patients with advanced NSCLC
We believe that this attempt enables clinicians to choose appropriate treatment easier .
According to rapid development of chemotherapy in advanced non-small cell lung cancer ( NSCLC ) , the Japan Lung Cancer Society has been up date d its own guideline annually since 2010 .
Recently , we have had various types of chemotherapeutic drugs like kinase inhibitors or immune-checkpoint inhibitors .
Thus , the guideline proposes to categorize patients into three entities : ( 1 ) driver oncogene-positive , ( 2 ) PD-L1 ≥ 50 % , and ( 3 ) others .
Here , we report an English version of the Japan Lung Cancer Society Guidelines 2018 for NSCLC , stages IV