PurposeMetronomic oral vinorelbine (MOV) could be a treatment option for unfit patients with advanced non-small cell lung cancer (NSCLC) based on its safety profile and high patient compliance.MethodsWe retrospectively collected data on 270 patients [median age 76 (range 48-92) years, M/F 204/66, PS 0 (27)/1 (110)/2 (133), median of 3 serious comorbidities] with stage IIIB-IV NSCLC treated with MOV as first (T1) (67%), second (T2) (19%) or subsequent (T3) (14%) line. Schedules consisted of vinorelbine 50mg (138), 40mg (68) or 30mg (64) three times a week continuously.ResultsPatients received an overall median of 6 (range 1-25) cycles with a total of 1253 cycles delivered. The overall response rate was 17.8% with 46 partial and 2 complete responses and 119 patients (44.1%) experienced stable disease>12weeks with an overall disease control rate of 61.9%. Median overall time to progression was 5 (range 1-21) months [T1 7 (1-21), T2 5.5 (1-19) and T3 4 (1-19) months] and median overall survival 9 (range 1-36) months [T1 10 (1-31), T2 8 (1-36) and T3 6.5 (2-29) months]. Treatment was extremely well tolerated with 2% (25/1253) G3/4 toxicity (mainly G3 fatigue and anemia) and no toxic deaths. We observed the longer OS 14 (range 7-36) months in a subset of squamous NSCLC patients receiving immunotherapy after metronomic oral vinorelbine.ConclusionWe confirmed MOV as an extremely safe treatment in a large real world population of advanced NSCLC with an interesting activity mainly consisting of long-term disease stabilization. We speculate the possibility of a synergistic effect with subsequent immunotherapy.

Metronomic oral vinorelbine for the treatment of advanced non-small cell lung cancer. a multicenter international retrospective analysis / Camerini, A; Banna, G L; Cinieri, S; Pezzuto, A; Mencoboni, M; Rosetti, F; Figueiredo, A; Rizzo, P; Ricci, A; Langenhoven, L; Santo, A; Addeo, A; Amoroso, D; Barata, F. - In: CLINICAL & TRANSLATIONAL ONCOLOGY. - ISSN 1699-3055. - 21:6(2019), pp. 790-795. [10.1007/s12094-018-1989-y]

Metronomic oral vinorelbine for the treatment of advanced non-small cell lung cancer. a multicenter international retrospective analysis

Pezzuto, A;Ricci, A
Conceptualization
;
Addeo, A;
2019

Abstract

PurposeMetronomic oral vinorelbine (MOV) could be a treatment option for unfit patients with advanced non-small cell lung cancer (NSCLC) based on its safety profile and high patient compliance.MethodsWe retrospectively collected data on 270 patients [median age 76 (range 48-92) years, M/F 204/66, PS 0 (27)/1 (110)/2 (133), median of 3 serious comorbidities] with stage IIIB-IV NSCLC treated with MOV as first (T1) (67%), second (T2) (19%) or subsequent (T3) (14%) line. Schedules consisted of vinorelbine 50mg (138), 40mg (68) or 30mg (64) three times a week continuously.ResultsPatients received an overall median of 6 (range 1-25) cycles with a total of 1253 cycles delivered. The overall response rate was 17.8% with 46 partial and 2 complete responses and 119 patients (44.1%) experienced stable disease>12weeks with an overall disease control rate of 61.9%. Median overall time to progression was 5 (range 1-21) months [T1 7 (1-21), T2 5.5 (1-19) and T3 4 (1-19) months] and median overall survival 9 (range 1-36) months [T1 10 (1-31), T2 8 (1-36) and T3 6.5 (2-29) months]. Treatment was extremely well tolerated with 2% (25/1253) G3/4 toxicity (mainly G3 fatigue and anemia) and no toxic deaths. We observed the longer OS 14 (range 7-36) months in a subset of squamous NSCLC patients receiving immunotherapy after metronomic oral vinorelbine.ConclusionWe confirmed MOV as an extremely safe treatment in a large real world population of advanced NSCLC with an interesting activity mainly consisting of long-term disease stabilization. We speculate the possibility of a synergistic effect with subsequent immunotherapy.
2019
elderly; metronomic; non-small cell lung cancer; oral vinorelbine; unfit patients; adenocarcinoma; administration, metronomic; aged; aged, 80 and over; antineoplastic agents, phytogenic; carcinoma, large cell; carcinoma, non-small-cell lung; carcinoma, squamous cell; female; follow-up studies; humans; international agencies; lung neoplasms; male; middle aged; palliative care; remission induction; retrospective studies; survival rate; vinorelbine
01 Pubblicazione su rivista::01a Articolo in rivista
Metronomic oral vinorelbine for the treatment of advanced non-small cell lung cancer. a multicenter international retrospective analysis / Camerini, A; Banna, G L; Cinieri, S; Pezzuto, A; Mencoboni, M; Rosetti, F; Figueiredo, A; Rizzo, P; Ricci, A; Langenhoven, L; Santo, A; Addeo, A; Amoroso, D; Barata, F. - In: CLINICAL & TRANSLATIONAL ONCOLOGY. - ISSN 1699-3055. - 21:6(2019), pp. 790-795. [10.1007/s12094-018-1989-y]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1658300
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