Added by | standudu |
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Last modified by | mollevi |
Group name | EquipeCTCS |
Item Type | Journal Article |
Title | Second-line therapy in elderly patients with advanced nonsmall cell lung cancer |
Creator | Quoix et al. |
Author | E. Quoix |
Author | V. Westeel |
Author | L. Moreau |
Author | E. Pichon |
Author | A. Lavole |
Author | J. Dauba |
Author | D. Debieuvre |
Author | P. J. Souquet |
Author | L. Bigay-Game |
Author | E. Dansin |
Author | M. Poudenx |
Author | O. Molinier |
Author | F. Vaylet |
Author | D. Moro-Sibilot |
Author | D. Herman |
Author | H. Sennelart |
Author | J. Tredaniel |
Author | B. Mennecier |
Author | F. Morin |
Author | L. Baudrin |
Author | B. Milleron |
Author | G. Zalcman |
Author | Thoracique Intergroupe Francophone de Cancerologie |
Abstract | There is no dedicated study on second-line treatment for elderly patients with advanced nonsmall cell lung cancer (NSCLC). We report the results on second-line erlotinib therapy from our previously published phase III study comparing single-agent therapy with platinum-based doublet (carboplatin plus paclitaxel) therapy in 451 elderly patients. Erlotinib was given to patients exhibiting disease progression or experiencing excessive toxicity during first-line therapy, until further progression or unacceptable toxicity. In total, 292 (64.7%) patients received erlotinib as second-line therapy. Initial performance status 0-1, stage IV NSCLC and an Activities of Daily Living score of 6 were independent factors for receiving erlotinib. Median (95% CI) overall survival was 4 (3.2-6.7) versus 6.8 (5.0-8.3) months in the single-agent and doublet arms, respectively (p=0.089). Performance status 0-1, never having smoked, adenocarcinoma and weight loss =5% were favourable independent prognostic factors of survival, whereas the randomisation arm had no significant impact. Among the 292 patients who received erlotinib, 60 (20.5%) experienced grade 3-4 toxic effects, the most frequent being rash. Erlotinib as second-line therapy is feasible, leading to efficacy results similar to those obtained in a previous randomised study that was not dedicated to elderly patients, with acceptable toxicity. |
Publication | Eur Respir J |
Volume | 43 |
Pages | 240-9 |
Date | Jan 2014 |
Journal Abbr | The European respiratory journal |
DOI | 10.1183/09031936.00048213 |
ISSN | 1399-3003 (Electronic) 0903-1936 (Linking) |
Tags | Aged, Aged, 80 and over, Carcinoma, Non-Small-Cell Lung/*drug therapy/pathology, Cohort Studies, Disease Progression, Female, Humans, Lung Neoplasms/*drug therapy/pathology, Male, Protein Kinase Inhibitors/*therapeutic use, Quinazolines/*therapeutic use, Receptor, Epidermal Growth Factor/*antagonists & inhibitors, Treatment Failure, Treatment Outcome |
Date Added | 2018/11/14 - 15:25:02 |
Date Modified | 2018/11/14 - 15:25:02 |
Notes and Attachments | (Note) (Note) 24114964 (Attachment) |