Cisplatin or carboplatin in the treatment of non-small cell lung cancer: a comprehensive review

Cisplatin has a pivotal role in the treatment of non-small cell lung cancer (NSCLC). However, it is associated with a number of serious and unpleasant side effects (nausea-vomiting, myelo-suppression, neuro-toxicity and renal function impairment). To overcome these limitations, most clinicians have...

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Main Authors: Marcello Tiseo, Andrea Ardizzoni
Format: Article
Language:English
Published: Frontiers Media S.A. 2011-12-01
Series:Oncology Reviews
Subjects:
Online Access:http://www.oncologyreviews.org/index.php/or/article/view/151
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author Marcello Tiseo
Andrea Ardizzoni
author_facet Marcello Tiseo
Andrea Ardizzoni
author_sort Marcello Tiseo
collection DOAJ
description Cisplatin has a pivotal role in the treatment of non-small cell lung cancer (NSCLC). However, it is associated with a number of serious and unpleasant side effects (nausea-vomiting, myelo-suppression, neuro-toxicity and renal function impairment). To overcome these limitations, most clinicians have turned towards the use of the cisplatin analog carboplatin, which is associated with a lower incidence of toxicity. Although carboplatin and cisplatin have a similar mechanism of action and pre-clinical spectrum of activity, it is still unclear whether they actually have the same clinical efficacy in all types of tumors. While for some tumors, such as ovarian cancer, equivalent efficacy has been convincingly proven, for others, such as germ cell and headneck tumors, there is some evidence that carboplatin is inferior to cisplatin. It has never been convincingly proven that carboplatin and cisplatin have the same efficacy in the treatment of NSCLC. This review provides an update of available evidences about this important scientific question.
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spelling doaj.art-5cdab410590449f98810c36d734069572023-01-03T09:35:31ZengFrontiers Media S.A.Oncology Reviews1970-55571970-55652011-12-0113Cisplatin or carboplatin in the treatment of non-small cell lung cancer: a comprehensive reviewMarcello Tiseo0Andrea Ardizzoni1Division of Medical Oncology, University Hospital of Parma, Parma; Division of Medical Oncology, University Hospital of ParmaDivision of Medical Oncology, University Hospital of ParmaCisplatin has a pivotal role in the treatment of non-small cell lung cancer (NSCLC). However, it is associated with a number of serious and unpleasant side effects (nausea-vomiting, myelo-suppression, neuro-toxicity and renal function impairment). To overcome these limitations, most clinicians have turned towards the use of the cisplatin analog carboplatin, which is associated with a lower incidence of toxicity. Although carboplatin and cisplatin have a similar mechanism of action and pre-clinical spectrum of activity, it is still unclear whether they actually have the same clinical efficacy in all types of tumors. While for some tumors, such as ovarian cancer, equivalent efficacy has been convincingly proven, for others, such as germ cell and headneck tumors, there is some evidence that carboplatin is inferior to cisplatin. It has never been convincingly proven that carboplatin and cisplatin have the same efficacy in the treatment of NSCLC. This review provides an update of available evidences about this important scientific question.http://www.oncologyreviews.org/index.php/or/article/view/151Non-small cell lung cancer - Cisplatin - Carboplatin
spellingShingle Marcello Tiseo
Andrea Ardizzoni
Cisplatin or carboplatin in the treatment of non-small cell lung cancer: a comprehensive review
Oncology Reviews
Non-small cell lung cancer - Cisplatin - Carboplatin
title Cisplatin or carboplatin in the treatment of non-small cell lung cancer: a comprehensive review
title_full Cisplatin or carboplatin in the treatment of non-small cell lung cancer: a comprehensive review
title_fullStr Cisplatin or carboplatin in the treatment of non-small cell lung cancer: a comprehensive review
title_full_unstemmed Cisplatin or carboplatin in the treatment of non-small cell lung cancer: a comprehensive review
title_short Cisplatin or carboplatin in the treatment of non-small cell lung cancer: a comprehensive review
title_sort cisplatin or carboplatin in the treatment of non small cell lung cancer a comprehensive review
topic Non-small cell lung cancer - Cisplatin - Carboplatin
url http://www.oncologyreviews.org/index.php/or/article/view/151
work_keys_str_mv AT marcellotiseo cisplatinorcarboplatininthetreatmentofnonsmallcelllungcanceracomprehensivereview
AT andreaardizzoni cisplatinorcarboplatininthetreatmentofnonsmallcelllungcanceracomprehensivereview