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Qamruzzaman Chowdhury

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    P3.01 - Advanced NSCLC (Not CME Accredited Session) (ID 967)

    • Event: WCLC 2018
    • Type: Poster Viewing in the Exhibit Hall
    • Track:
    • Presentations: 1
    • Moderators:
    • Coordinates: 9/26/2018, 12:00 - 13:30, Exhibit Hall
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      P3.01-116 - Randomized Clinical Trial on Three Different Platinum Based Chemotherapy in Advanced NSCLC in Bangladeshi Population (ID 12413)

      12:00 - 13:30  |  Author(s): Qamruzzaman Chowdhury

      • Abstract
      • Slides


      Lung cancer constitutes the major mortality in the world and incidence of the disease varies considerably among different ethnic population throughout the world. Palliative chemotherapy has been a choice in advance Non-Small Cell Lung Cancer (NSCLC) due to better result. The primary objective of the study was to evaluate the response and toxicity of three different platinum based regimens in Bangladeshi people.

      a9ded1e5ce5d75814730bb4caaf49419 Method

      This Randomized Clinical Trial (RCT) was carried out in the Department of Medical Oncology at National Institute of Cancer Research & Hospital (NICRH), Mohakhali, Dhaka. Patients were enrolled from January 2012 for one year. Total 90 patients with above 18 years of age, both sexes presented with histologically confirmed stage IIIA, IIIB & IV NSCLC were enrolled and randomized (1:1:1) in to three arms. Cumulatively 26 patients were lost to follow up.

      Chemotherapy was given in 21 days interval (4-6 cycles). Toxicities were measured on Day 1, 7, 21, 28, 42, 3 months and on 6 months. Median follow up period was 6 months. Survival data was estimated by Kaplan-Meier method.

      4c3880bb027f159e801041b1021e88e8 Result

      Significant G-1/2 Hb% was found in Day7 in TP (16.67%) and EP (10.52%) arm and in 6 months EP (31.58%) & TP (29.17%). WBC G-1/2 toxicity was found in EP (31.58%) & TP (20.83%) arm at 6 months. Similarly, in case of neutropenia and thrombocytopenia, GP arm was found to be significantly less toxic than TP and EP arm at 6 months. Response rate and survival data are provided in table 1.

      response rate and survival table wclc.jpg

      8eea62084ca7e541d918e823422bd82e Conclusion

      In locally advanced or metastatic NSCLC response rate of platinum based combination therapy was satisfactory with increased survival than other reference trials along with lower G1/2 toxicity in GP arm followed by TP and EP in Bangladeshi Ethnic population.


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