Lung Cancer Clinical Trial
Official title:
Phase II Study of Weekly Paclitaxel, Carboplatin and Irinotecan in Patients With Advanced Non-Small Cell Lung Cancer Nad Malignant Pleural Effusion
Evaluate the efficacy and toxicity of the weekly combination chemotherapy of Paclitaxel, Carboplatin and Irinotecan in Stage IIIb and IV NSCLC with malignant pleural effusion
Lung cancer is the leading cancer death in many countries of the world including Singapore.
Non-small cell lung cancer (NSCLC) consists of 80-85% of lung cancers, and is a major health
problem. The main etiology of lung cancer is well recognized and established to be cigarette
smoking which accounts for up to 80% of the cases in the western countries. Due to success of
anti-smoking campaign, we anticipate to see less smoking related lung cancer and more
non-smoking related lung cancer which is rising rapidly. For eg, currently in Singapore,
smoking only accounts for 50-60% of all lung cancers, this is particularly true in female
patients, as smoking occured in 30-40% of female lung cancer patients only.
It is unclear if there is any significant difference in the fundamental biology between
smoking and non-smoking related lung cancers, particularly in areas of natural course of
disease, genetic changes of tumor cells, clinical presentation, response to treatment or
survival. These are potential aspects for further investigation.
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