J 2024

Comparison of the efficacy of cisplatin and carboplatin in combination with etoposide in firstline treatment of extensive-stage small cell lung cancer in real-world practice in the Czech Republic - a retrospective analysis of patients from the LUCAS project

BEJCKOVA, Alzbeta, Miloslav MAREL, Zdenka CHLADKOVA, Libor FILA, Luis Fernando CASAS-MENDEZ et. al.

Basic information

Original name

Comparison of the efficacy of cisplatin and carboplatin in combination with etoposide in firstline treatment of extensive-stage small cell lung cancer in real-world practice in the Czech Republic - a retrospective analysis of patients from the LUCAS project

Authors

BEJCKOVA, Alzbeta, Miloslav MAREL, Zdenka CHLADKOVA, Libor FILA, Luis Fernando CASAS-MENDEZ, Ondřej VENCLÍČEK, Petr JAKUBEC, Marketa CERNOVSKA, Michal HRNCIARIK, Jana KREJCI, Petr DOMECKY and Martin SVATON

Edition

Biomedical Papers, Olomouc, Palacky University, 2024, 1213-8118

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30203 Respiratory systems

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 0.900 in 2022

Organization unit

Faculty of Medicine

UT WoS

001261202100001

Keywords in English

small cell lung cancer; extensive-stage; carboplatin; cisplatin

Tags

Tags

International impact, Reviewed
Změněno: 12/7/2024 10:36, Mgr. Tereza Miškechová

Abstract

V originále

Background. Patients with extensive-stage small-cell lung cancer (ES-SCLC) have a poor prognosis. The standard palliative treatment for four decades has been chemotherapy as a combination of etoposide with carboplatin or cisplatin, and in recent years, immunotherapy in addition. Aims. To determine whether there is a difference in the efficacy of palliative chemotherapy as cisplatin or carboplatin in combination with etoposide in patients with ES-SCLC in real-world practice in the Czech Republic. Methods. This was a retrospective analysis of a cohort of 348 patients from the LUCAS project with ES-SCLC. 79 were treated with etoposide plus cisplatin and 265 were treated with etoposide plus carboplatin. Kaplan-Meier curves and the Cox regression model were used for analysis. Results. No statistically significant difference in median overall survival (mOS) or median progression free survival (mPFS) was found between groups or between patients grouped according to age and performance status (PS) in mOS. The Cox regression result was similar. Conclusion. This study shows that cisplatin and carboplatin do not differ in efficacy in a given indication, thus when choosing a treatment, the physician should consider the expected toxicity in a particular patient, assessing the patient's general condition and comorbidities.