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High-dose Chemotherapy for Small Cell Lung Cancer
Small cell lung cancers often become resistant to chemotherapy and recur. To determine whether increasing the dose intensity of treatment with ifosfamide, carboplatin, and etoposide (ICE) would improve survival outcomes of patients with small cell lung cancer, Leyvraz et al. (p. 533) performed a randomized phase III clinical trial in which they compared 3-year survival rates of patients who were treated with high-dose (High-ICE, n = 69) vs standard-dose (Std-ICE, n = 71) therapy and the subsequent toxic effects of treatment. The median relative intensity of the treatment dose in the High-ICE arm was almost three times that in the
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