Gajra, Ajeet; Karim, Nagla Abdel; Mulford, Deborah A.; Villaruz, Liza Cosca; Matrana, Marc Ryan; Ali, Haythem Y.; Santos, Edgardo S.; Berry, Tymara; Ong, Teng Jin; Sanford, Alexandra; Amiri, Katayoun; Spigel, David R.
Abstract
Introduction: The phase II ABOUND. PS2 study (NCT02289456) assessed safety/tolerability of a first-line modified nab-paclitaxel/carboplatin regimen for patients with advanced non-small cell lung cancer (NSCLC) and Eastern Cooperative Oncology Group (ECOG) performance status (PS) 2.; Methods: Chemotherapy-naive patients with stage IIIB/IV NSCLC and ECOG PS 2 received four cycles of nab-paclitaxel 100 mg/m(2) days 1 and 8 plus carboplatin area under the curve 5 day 1 q3w (induction). Patients without progression received nab-paclitaxel monotherapy (100 mg/m(2) days 1 and 8 q3w) until progression/unacceptable toxicity.; Primary endpoint: percentage of patients discontinuing induction due to treatment- emergent adverse events (TEAEs).; Results: 11/40 treated patients (27.5%; 95% CI, 14.60-43.89) discontinued chemotherapy induction due to TEAEs; 16/40 (40.0%) continued nab-paclitaxel monotherapy. Median progression-free and overall survival were 4.4 (95% CI, 2.99-7.00) and 7.7 (95% CI, 4.93-13.17) months. Grade 3/4 TEAEs during induction included neutropenia (22.5%), anemia (17.5%), thrombocytopenia (5.0%), and peripheral neuropathy (2.5%).; Conclusion: This nab-paclitaxel-based regimen was tolerable in patients with advanced NSCLC and ECOG PS 2, with efficacy comparable to historical chemotherapy data.
