RESULTS OF VINORELBINE TREATMENT IN METASTATIC RECURRENT NON-SMALL CELL LUNG CANCER AT THANH HOA ONCOLOGY HOSPITAL
Main Article Content
Abstract
Objective: Assessing the treatment outcomes of vinorelbine in patients with recurrent or metastatic non-small cell lung cancer (NSCLC) in Thanh Hoa Oncology Hospital. Patients and Methods: Descriptive, longitudinal study in 135 patients with recurrent or metastatic NSCLC who received vinorelbine in Thanh Hoa Oncology Hospital from June 2021 to September 2024. Results: The study was carried out on 135 patients. Median age was 66,7 ± 8,2; the male/female ratio was 1,9/1. The most common presenting symptoms were cough, chest pain, dyspnea were 81,5%, 68,9%, 60%, respectively. The most frequent sites of recurrence were local, pleural and supraclavicular lymph nodes, and most patients had lesions in two or more sites (68,1%). The mean number of vinorelbine cycles administered was 6,8 ± 3,2, with most patients receiving ≥ 85% of the planned dose. The disease control rate was 65,2%. There was no significant difference in response rate according to age, sex, histological subtype or number of metastatic sites. The mean progression-free survival (PFS) was 7,1±12,4 months, with a median of 4,6 months. Conclusion: Vinorelbine monotherapy for patients with recurrent or metastatic NSCLC achieved a high disease control rate and prolonged progression-free survival.
Article Details
Keywords
non-small cell lung cancer, recurrence, metastasis, vinorelbine, Thanh Hoa Oncology Hospital.
References
[2] Travis WD, Brambilla E, Nicholson AG, et al. The 2015 World Health Organization Classification of Lung Tumors: Impact of Genetic, Clinical and Radiologic Advances Since the 2004 Classification. J Thorac Oncol Off Publ Int Assoc Study Lung Cancer. 2015;10(9):1243-1260. doi:10.1097/JTO.0000000000000630
[3] Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020;70(1):7-30. doi:10.3322/caac.21590
[4] Dương Thị Quỳnh Nga, Nguyễn Thị Thái Hòa, Trương Công Minh, Nguyễn Thị Hương, Nguyễn Văn Đăng. Kết quả điều trị duy trì ung thư phổi không tế bào nhỏ giai đoạn IV bằng vinorelbine đường uống tại Bệnh viện K. Tạp Chí Học Việt Nam. 2024;543(3). doi:10.51298/vmj.v543i3.11503
[5] Yamazaki K, Sugio K, Yamanaka T, et al. Prognostic factors in non-small cell lung cancer patients with postoperative recurrence following third-generation chemotherapy. Anticancer Res. 2010;30(4):1311-1315.
[6] Trịnh Lê Huy, Nguyễn Thanh Loan. Evaluating the treatment results of vinorelbine monotherapy in non-small cell lung cancer. Tạp Chí Học Lâm Sàng Bệnh Viện Trung Ương Huế. 2021;(69):20-26. doi:10.38103/jcmhch.2021.69.4
[7] Hirsh V, Desjardins P, Needles BM, et al. Oral versus intravenous administration of vinorelbine as a single agent for the first-line treatment of metastatic nonsmall cell lung carcinoma (NSCLC): A randomized phase II trial. Am J Clin Oncol. 2007;30(3):245-251. doi:10.1097/01.coc.0000256103.21797.e5
[8] Gridelli C, Balducci L, Ciardiello F, et al. Treatment of Elderly Patients With Non-Small-Cell Lung Cancer: Results of an International Expert Panel Meeting of the Italian Association of Thoracic Oncology. Clin Lung Cancer. 2015;16(5):325-333. doi:10.1016/j.cllc.2015.02.006
[9] Camerini A, Valsuani C, Mazzoni F, et al. Phase II trial of single-agent oral vinorelbine in elderly (> or =70 years) patients with advanced non-small-cell lung cancer and poor performance status. Ann Oncol Off J Eur Soc Med Oncol. 2010;21(6):1290-1295. doi:10.1093/annonc/mdp525
[10] Oral vinorelbine in first line treatment of NSCLC in elderly: Updated results of a low dose schedule in a single institution experience | Journal of Clinical Oncology. Accessed January 26, 2026. https://ascopubs.org/doi/10.1200/jco.2007.25.18_suppl.18192