Evaluation of topotecan monotherapy for relapsed small-cell lung cancer after amrubicin monotherapy failure
Kohei Fujita1, Makoto Nakao1, Sosuke Arakawa1
1Department of Respiratory Medicine, Kainan Hospital Aichi Prefectural Welfare Federation of Agricultural Cooperatives, Japan.
Abstract:
Objective: The utility of topotecan monotherapy for relapsed small-cell lung cancer (SCLC) after failure of amrubicin monotherapy has not been evaluated. We aimed to investigate the efficacy and safety of topotecan monotherapy in patients with relapsed SCLC after amrubicin monotherapy. Patients and Methods: We retrospectively analyzed data from 16 patients with relapsed SCLC who were treated with topotecan monotherapy after amrubicin monotherapy at our hospital. Results: The response rate, progression-free survival, and overall survival were 0%, 32.5 days (95% confidence interval [CI] = 18-51), and 112 days (95% CI = 55-267), respectively. The most common adverse events (grade ≥3) were leukopenia (31.3%) and thrombocytopenia (31.3%), followed by anemia, anorexia, edema, and lung infections. Conclusion: The efficacy of topotecan monotherapy for relapsed SCLC after amrubicin monotherapy is inconclusive. Therefore, further studies are warranted.
Insights
Topotecan monotherapy showed no response in relapsed small-cell lung cancer (SCLC) patients previously treated with amrubicin. Further research is needed to determine its effectiveness and safety in this patient population.
Area of Science:
- Oncology
- Pharmacology
Background:
- Relapsed small-cell lung cancer (SCLC) after amrubicin treatment presents a therapeutic challenge.
- The efficacy of topotecan monotherapy in this specific clinical scenario remains unevaluated.
Purpose of the Study:
- To assess the efficacy and safety of topotecan monotherapy in patients with relapsed SCLC following amrubicin monotherapy.
Main Methods:
- Retrospective analysis of 16 patients with relapsed SCLC.
- Patients received topotecan monotherapy after prior amrubicin treatment.
Main Results:
- No response was observed (response rate = 0%).
- Median progression-free survival was 32.5 days; median overall survival was 112 days.
- Common grade ≥3 adverse events included leukopenia (31.3%) and thrombocytopenia (31.3%).
Conclusions:
- Topotecan monotherapy demonstrates inconclusive efficacy for relapsed SCLC after amrubicin failure.
- Further clinical studies are warranted to clarify the role of topotecan in this setting.
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