Table 7—

Impact of granulocyte colony stimulating factor and dose intensity in treatment of small cell lung cancer

First author [ref. no.]Study periodPatients nArmExtensive stage %RegimeSurvivalToxicity
Median months2 yr %≥2 neutr- %thr. penia %
Woll 551990–199165C31 (10)VCR 1 mg·m−2 day 1C: 1615
G34 (6)IFX 5 g·m−2 day 1GM: 1732
Carbo 300 mg·m−2 day 1–3
E 120 mg·m−2 day 1–2
240 mg·m−2 day 3
S: q. 2–3 wk ×6
Chest irr: 12.5 Gy ×1
PCI: 8 Gy ×1
Furuse 561998227C113 (100)CAVLEE
G114 (100)CODE:
P25 mg·m−2 weekly
VCR 1 mg·m−2 week 1, 2, 4, 6
ADR 40 mg·m−2 +
S 80 mg·m−2 week 1, 3, 5, 7, 9
Thatcher 571993–1996403S202 (23)ADR 40 mg·m−2 day 1S: 1188325
I201 (22)CTX 1 g·m−2 day 1I: 12132136
E 120 mg·m−2 day 1
240 mg·m−2 day 2–3
S: q. 3 wk I: q. 2 wks
Chest irr: After chemo.
No standard regime
  • IFX: ifosphamide

  • CTX: cyclophosphamide

  • ADR: doxorubicine

  • Carbo: carboplatin

  • P: cisplatin

  • E: etoposide

  • PCI: prophylactic cranial irradiation

  • S: standard

  • I: intensified

  • neutr: neutropenia

  • VCR: vincristine