Standard versus Dose-Intensified Chemotherapy with Sequential Reinfusion of Hematopoietic Progenitor Cells in Small Cell Lung Cancer Patients with Favorable.

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Standard versus Dose-Intensified Chemotherapy with Sequential Reinfusion of Hematopoietic Progenitor Cells in Small Cell Lung Cancer Patients with Favorable Prognosis  Erika Buchholz, MD, Christian Manegold, MD, Lothar Pilz, Nick Thatcher, MD, BChir, PhD, Peter Drings, MD  Journal of Thoracic Oncology  Volume 2, Issue 1, Pages 51-58 (January 2007) DOI: 10.1097/JTO.0b013e31802baf9d Copyright © 2007 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 1 Ifosfamide, carboplatin, and etoposide (ICE) chemotherapy schedules. The upper panel shows the 28-day standard ICE (SCT) schedule, and the lower panel shows the dose-intensified ICE (ICT) schedule. In the ICT group, filgrastim was given on days 4 to 14, and hematopoietic progenitor cells in 750 ml of whole blood were collected on day 1 of cycle 2, with reinfusion on day 3 of cycles 2 to 6. Journal of Thoracic Oncology 2007 2, 51-58DOI: (10.1097/JTO.0b013e31802baf9d) Copyright © 2007 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 2 Patient dose intensity in milligrams per meter squared per week for the ICT and SCT groups. Patients in both groups received a weekly dose of ifosfamide (A), carboplatin (B), and etoposide (B). ICT, dose-intensified ICE; SCT, standard ICE. Journal of Thoracic Oncology 2007 2, 51-58DOI: (10.1097/JTO.0b013e31802baf9d) Copyright © 2007 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 3 Median overall Kaplan-Meier survival curves for patients receiving ICT (censored = 16) and SCT (censored = 5). Median overall survival was statistically significantly improved for patients receiving ICT (p = 0.001). ICT, dose-intensified ICE (ifosfamide, carboplatin, and etoposide); SCT, standard ICE. Journal of Thoracic Oncology 2007 2, 51-58DOI: (10.1097/JTO.0b013e31802baf9d) Copyright © 2007 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 4 Median time-to-progression Kaplan-Meier curves for patients receiving ICT (censored = 14) and SCT (censored = 2). Median time to progression was statistically significantly improved for patients receiving ICT (p = 0.0001). ICT, dose-intensified ICE (ifosfamide, carboplatin, and etoposide); SCT, standard ICE. Journal of Thoracic Oncology 2007 2, 51-58DOI: (10.1097/JTO.0b013e31802baf9d) Copyright © 2007 International Association for the Study of Lung Cancer Terms and Conditions