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First-line erlotinib versus gemcitabine/cisplatin in patients with advanced EGFR mutation-positive non-small-cell lung cancer: analyses from the phase III, randomized, open-label, ENSURE study  期刊论文   WOS高被引论文

  • 编号:
    8e70d4d6-9633-46d9-bf2d-8965dac4fd38
  • 作者:
    Wu, Y. L.(吴一龙)#*[1,2]Zhou, C.[3];Liam, C. K.[4];Wu, G.[5];Liu, X.[6];Zhong, Z.[7];Lu, S.[8];Cheng, Y.[9];Han, B.[8];Chen, L.[10];Huang, C.[11];Qin, S.[12];Zhu, Y.(朱允中)[13]Pan, H.[14];Liang, H.[15];Li, E.[16];Jiang, G.[17];How, S. H.[18];Fernando, M. C. L.[19];Zhang, Y.[20];Xia, F.[20];Zuo, Y.[20];
  • 语种:
    英文
  • 期刊:
    ANNALS OF ONCOLOGY ISSN:0923-7534 2015 年 26 卷 9 期 (1883 - 1889) ; SEP
  • 收录:
  • 学科:
    肿瘤学科肺癌学科
  • 关键词:
  • 摘要:

    The phase III, randomized, open-label ENSURE study (NCT01342965) evaluated first-line erlotinib versus gemcitabine/cisplatin (GP) in patients from China, Malaysia and the Philippines with epidermal growth factor receptor (EGFR) mutation-positive non-small-cell lung cancer (NSCLC).
    Patients a parts per thousand yen18 years old with histologically/cytologically confirmed stage IIIB/IV EGFR mutation-positive NSCLC and Eastern Cooperative Oncology Group performance status 0-2 were randomized 1:1 to receive erlotinib (oral; 150 mg once daily until progression/unacceptable toxicity) or GP [G 1250 mg/m(2) i.v. days 1 and 8 (3-weekly cycle); P 75 mg/m(2) i.v. day 1, (3-weekly cycle) for up to four cycles]. Primary end point: investigator-assessed progression-free survival (PFS). Other end points include objective response rate (ORR), overall survival (OS), and safety.
    A total of 217 patients were randomized: 110 to erlotinib and 107 to GP. Investigator-assessed median PFS was 11.0 months versus 5.5 months, erlotinib versus GP, respectively [hazard ratio (HR), 0.34, 95% confidence interval (CI) 0.22-0.51; log-rank P < 0.0001]. Independent Review Committee-assessed median PFS was consistent (HR, 0.42). Median OS was 26.3 versus 25.5 months, erlotinib versus GP, respectively (HR, 0.91, 95% CI 0.63-1.31; log-rank P = .607). ORR was 62.7% for erlotinib and 33.6% for GP. Treatment-related serious adverse events (AEs) occurred in 2.7% versus 10.6% of erlotinib and GP patients, respectively. The most common grade a parts per thousand yen3 AEs were rash (6.4%) with erlotinib, and neutropenia (25.0%), leukopenia (14.4%), and anemia (12.5%) with GP.
    These analyses demonstrate that first-line erlotinib provides a statistically significant improvement in PFS versus GP in Asian patients withEGFR mutation-positive NSCLC (NCT01342965).

  • 推荐引用方式
    GB/T 7714:
    Wu Y. -L.,Zhou C.,Liam C. -K., et al. First-line erlotinib versus gemcitabine/cisplatin in patients with advanced EGFR mutation-positive non-small-cell lung cancer: analyses from the phase III, randomized, open-label, ENSURE study [J].ANNALS OF ONCOLOGY,2015,26(9):1883-1889.
  • APA:
    Wu Y. -L.,Zhou C.,Liam C. -K.,Wu G.,&Zuo Y..(2015).First-line erlotinib versus gemcitabine/cisplatin in patients with advanced EGFR mutation-positive non-small-cell lung cancer: analyses from the phase III, randomized, open-label, ENSURE study .ANNALS OF ONCOLOGY,26(9):1883-1889.
  • MLA:
    Wu Y. -L., et al. "First-line erlotinib versus gemcitabine/cisplatin in patients with advanced EGFR mutation-positive non-small-cell lung cancer: analyses from the phase III, randomized, open-label, ENSURE study" .ANNALS OF ONCOLOGY 26,9(2015):1883-1889.
  • 入库时间:
    11/11/2019 4:51:08 PM
  • 更新时间:
    11/11/2019 4:51:08 PM
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