Gemcitabine Versus Cisplatin and Gemcitabine in First-line Treatment of Patients With Advanced Non-small Cell Lung Cancer in Poor Physical Condition (Performance Status 2)
Performance status is one of the most important prognostic factors for patients with
advanced non-small cell lung cancer (NSCLC), regardless of treatment received. Chemotherapy
is recommended for advanced NSCLC patients in good clinical condition, but it is not clear
how much benefit is gained from giving chemotherapy to patients in poor general condition
(performance status 2). This category of patients represents about 20% of all patients at
initial diagnosis of NSCLC, and remains a treatment challenge for the clinician. There have
been very few studies that have evaluated the impact of chemotherapy for this group of
patients, and there is no established standard therapy. Studies evaluating single agent and
combination two-agent chemotherapy regimens' impact on survival and improving symptoms are
needed.
Interventional
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
overall survival
one year
No
Cesare Gridelli, M.D.
Principal Investigator
APRIC/CTPG
Italy: Ethics Committee
CAPPA-2
NCT00526643
November 2007
September 2012
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