Thoracic Cancer (Nov 2021)

Phase I/II study of biweekly nab‐paclitaxel in patients with platinum‐pretreated non‐small cell lung cancer: NJLCG1402

  • Eisaku Miyauchi,
  • Hisashi Tanaka,
  • Atsushi Nakamura,
  • Toshiyuki Harada,
  • Taku Nakagawa,
  • Mami Morita,
  • Daisuke Jingu,
  • Tomoya Kuda,
  • Shunichi Gamou,
  • Ryota Saito,
  • Akira Inoue

DOI
https://doi.org/10.1111/1759-7714.14149
Journal volume & issue
Vol. 12, no. 21
pp. 2886 – 2893

Abstract

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Abstract Background NJLCG1402 was a phase I/II trial investigating biweekly nanoparticle albumin‐bound paclitaxel (nab‐PTX) in patients with advanced non‐small cell lung cancer (NSCLC). Methods The study included patients aged ≥20 years with previously treated NSCLC. Nab‐PTX (100–150 mg/m2) was administered biweekly in a 28‐day cycle. The phase I portion was performed to determine the recommended phase II dose of nab‐PTX. In the phase II portion, the primary endpoint was the objective response rate. Secondary endpoints were disease control rate, progression‐free survival, overall survival, and safety. Results A total of 15 patients received biweekly nab‐PTX (100–150 mg/m2) and 12 patients in phase II were treated with 150 mg/m2. In the phase I portion, 150 mg/m2 was determined as the recommended dose. Among those treated with 150 mg/m2, the objective response rate was 22%, and the median progression‐free and overall survival was 3.6 and 11.2 months, respectively. Adverse events grade ≥3 were observed in 39% of patients. Conclusions Biweekly nab‐PTX monotherapy was well tolerated and exhibited favorable antitumor activity in patients with previously treated NSCLC.

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