TABLE 1

Highlighted studies of photodynamic therapy in lung cancer

First author [reference]YearStudy subjectsOutcome measure(s)Results
Hugh-Jones [28]198715 patients, squamous cell carcinomaAirway obstructionComplete relief of obstruction in 25%, partial relief in remaining 75%
Kato [17]1996240 patients, bronchogenic carcinomaComplete remissionComplete remission obtained in 83.2% of early-stage lesions
Cortese
[29]
199721 patients, squamous cell carcinomaComplete responseComplete response lasting 12 months obtained in 52%
McCaughan [24]1997175 patients with NSCLCSurvival, KPSMedian survival by clinical stage: IIIa 5.7 months, IIIb 5.5 months, IV 5 months; KPS had significant impact on survival
Moghissi [20]1999100 patients: 90 with NSCLC, 10 SCLCPercentage of obstruction, FVC, FEV1, WHO performance status67% mean improvement in obstruction, improvements in FEV1, FVC and performance status
Diaz-Jiménez [30]199914 patients with NSCLCTime to recurrence, symptoms compared to Nd-YAG laser resectionSimilar efficacy, PDT showed longer time to treatment failure (50 versus 38 days)
Moghissi [31]200721 patients, early central lung cancer, NSCLCComplete response, survivalComplete response in 100%, mean survival 39.3 months
Minnich [32]2010133 patients, NSCLCMean mMRC dyspnoea scale, complications, survivalMean mMRC improved from 3 to 2.7, complications in 15%, median survival 4.4 years
Cai [33]201330 patients, NSCLCTotal response, mean tumour obstruction, KPSTotal response in 86.7%, mean tumour obstruction decreased from 90% to 16.7%, mean KPS increased from 40 to 80

NSCLC: nonsmall cell lung cancer; KPS: Karnofsky Performance Score; SCC: small cell lung cancer; FVC: forced vital capacity; FEV1: forced expiratory volume in 1 s; WHO: World Health Organization; Nd-YAG: neodymium-doped yttrium aluminium garnet; mMRC: modified Medical Research Council.