Table 6 Widely used chemotherapeutic regimens with effect against small cell lung cancer [6]
RegimenDosageApplicationCycles/Precautions
CisEtoEvery 3 weeks, or after nadir, normal renal function and diuretics are mandatory
 Cisplatin80 mg·m−2i.v. d1
 Etoposide100 mg·m−2i.v. d1–d3
ACO-I after Livingston and SeeberEvery 3 weeks; vincristine dosage has to be adjusted to age; >60 years reduce to 1 mg·m−2
 Adriamycin60 mg·m−2i.v. d1
 Cyclophosphamide750 mg·m−2i.v. d1
 Vincristine2 mg·m−2i.v. d1/d8/d16
ACE combination after Klastersky
 Adriamycin45 mg·m−2i.v. d1
 Cyclophosphamide1000 mg·m−2i.v. d1
 Etoposide80 mg·m−2i.v. d1–d3Every 3 weeks.
EpiCO therapy after DringsEvery 3 weeks; vincristine dosage has to be adjusted to age; >60 years reduce to 1 mg·m−2
 Epirubicin70 mg·m−2i.v. d1
 Cyclophosphamide1000 mg·m−2i.v. d1
 Vincristine2 mg·m−2i.v. d1/d8/d16
Carboplatin/etoposideEvery 3 weeks, or after nadir, normal renal function and diuretics are mandatory
 CarboplatinAUC 5i.v. d1
 Etoposide100 mg·m−2i.v. d1-d3
Paclitaxel/etoposide/carboplatinEvery 3 weeks, steroids to prevent anaphylactic crisis after administration of paclitaxel is mandatory
 Paclitaxel175 mg·m−2i.v. for 3 h
 CarboplatinAUC 5d4
 EtoposideI–III: 100 mg·m−2i.v. d4
IV: 100 mg·m−2d1–d3
Cisplatin/irinotecanAtropine 0.25 mg 1/2 h before irinotecan s.c. Every 4 weeks and/or after nadir; diarrhoea is common
 Cisplatin60 mg·m−2i.v. d1
 Irinotecan60 mg·m−2i.v. d 1, 8,15
Topotecan (second-line)
 Topotecan1.25 mg·m−2 with subsequent dose adjustment according to haematological toxicityi.v. d 1–5Every 3 weeks and/or after reaching normal laboratory values