Abstract:
Objective :To observe clinical effect and adverse effect of the combined therapy of gemcitabine with nedaplatin for advanced NSCLC.
Methods :A total of 32 patients were pathologically confirmed as stage Ⅲ or Ⅳ NSCLC missing opportunity of surgical operation.Gemcitabine was given on day 1,8 or 15 at a dose of 1000mg/m
2 and nedaplatin on days 1 at a dose of 80mg/m
2.The chemotherapy was repeated every 21 or 28 days up to 3~4 cycles.
Results :No complete response occurred in the patients and the overall response rate was 46.8%.The median survival time was 325 days and the 1-year survival rate was 32.1%.The main adverse effects were myelosuppression,nausea and vomiting.However,there was no severe grade-Ⅳ damage.No treatment with chemotherapy was delayed due to adverse effect.
Conclusion :The combined therapy with gemcitabine and nedaplation is effective and well tolerated in treatment of the advanced NSCLC.