scholarly journals Gemcitabine-based doublets versus single-agent therapy for elderly patients with advanced nonsmall cell lung cancer

Cancer ◽  
2009 ◽  
Vol 115 (9) ◽  
pp. 1924-1931 ◽  
Author(s):  
Antonio Russo ◽  
Sergio Rizzo ◽  
Fabio Fulfaro ◽  
Vincenzo Adamo ◽  
Daniele Santini ◽  
...  
2015 ◽  
Vol 24 (138) ◽  
pp. 582-593 ◽  
Author(s):  
Maria-Virginia Bluthgen ◽  
Benjamin Besse

In advanced nonsmall cell lung cancer (NSCLC) patients, platinum-based combination chemotherapy is standard treatment in the first-line setting; however, the large majority of patients ultimately progress. For more than a decade, single-agent therapy with docetaxel, pemetrexed or erlotinib has been the standard of care after failure with platinum salts, showing some benefit over best supportive care. Nonetheless, prognosis remains poor and new second-line strategies are urgently needed. Combinations of cytotoxic agents, including rechallenge with platinum salts, do not offer clear benefit over single-agent therapy for the majority of patients. In patients without a known tumoural oncogenic driver mutation, regimens based on combinations of targeted agents have shown promising results; however, a clear role in therapeutic management is yet to be established. Some success has been reported in recent research combining a cytotoxic agent with targeted therapies.In this review, we summarise published data for the various strategies evaluated over the past decade in second-line treatment of NSCLC patients without a known driver mutation. We focus on combination treatments and consider future perspectives, including the need to identify predictive markers to support personalised therapeutic strategies.


2007 ◽  
Vol 14 (1) ◽  
pp. 57-62 ◽  
Author(s):  
Cesare Gridelli ◽  
Paolo Maione ◽  
Daniela Comunale ◽  
Antonio Rossi

Cancer ◽  
2009 ◽  
Vol 115 (20) ◽  
pp. 4807-4818 ◽  
Author(s):  
Dale Hardy ◽  
Rui Xia ◽  
Chih-Chin Liu ◽  
Janice N. Cormier ◽  
Zhannat Nurgalieva ◽  
...  

2014 ◽  
Vol 15 (2) ◽  
pp. 96-102 ◽  
Author(s):  
Ikuo Sekine ◽  
Hiroaki Okamoto ◽  
Takeshi Horai ◽  
Kazuhiko Nakagawa ◽  
Hironobu Ohmatsu ◽  
...  

2021 ◽  
Author(s):  
Alessandro Di Federico ◽  
Andrea De Giglio ◽  
Giacomo Nuvola ◽  
Chiara Deiana ◽  
Nicole Conci ◽  
...  

Introduction: The best treatment for advanced, PD-L1-high non-small-cell lung cancer remains a debated issue. Methods: A meta-analysis of randomized clinical trials (RCTs) was performed to compare the efficacy and safety of PD-(L)1 inhibitors alone or plus chemotherapy (CT) for advanced, PD-L1-high non-small-cell lung cancer. Results: 14 RCTs were included. The combination of a PD-(L)1 inhibitor with CT resulted in the improvement of progression-free survival (HR: 0.59; 95% CI: 0.43–0.79; p = 0.0005) and objective response rate (RR: 1.66; 95% CI: 1.14–2.42; p = 0.008). No overall survival difference was documented (HR: 0.99; 95% CI: 0.77–1.27; p = 0.95). The risk of grade ≥3 treatment-related adverse events was significantly reduced with immune-checkpoint inhibitor single-agent therapy compared with immune-checkpoint inhibitors plus CT (RR: 0.38; 95% CI: 0.32–0.45; p = 0.00001). Conclusion: The combination of a PD-(L)1 inhibitor and CT appears to be associated with improved PFS and ORR, but similar OS, compared with PD-(L)1 inhibitor single-agent therapy in patients with PD-L1-high non-small-cell lung cancer.


2013 ◽  
Vol 2013 ◽  
pp. 1-11 ◽  
Author(s):  
Mridul Roy ◽  
Yu-Hao Luo ◽  
Mao Ye ◽  
Jing Liu

To date, lung cancer is the leading cause of cancer-related death worldwide, among which nonsmall cell lung cancer (NSCLC) comprises about 85%. Taking into account the side effects of surgery, radiation, platinum-based doublet chemotherapy, and the growth self-sufficiency characteristic of cancer cells, drugs have been discovered toward growth factor receptor (GFR) to treat NSCLC. As expected, these drugs provide a greater benefit. To increase the efficacy of such growth factor receptor tyrosine kinase inhibitors (RTKIs), coinhibition of GFR signaling pathways and combination of inhibitors along with radiation or chemotherapy have drew intense insight. Although clinical trials about single-agent RTKIs or their combination strategies suggest their increase potency against cancer, they are not beyond adverse effects, and sometimes the effects are more deadly than chemotherapy. Nevertheless the hope for RTKIs may be proved true by further researches and digging deep into cancer therapeutics.


2007 ◽  
Vol 30 (1) ◽  
pp. 51-56 ◽  
Author(s):  
Kyoichi Kaira ◽  
Satoshi Tsuchiya ◽  
Noriaki Sunaga ◽  
Noriko Yanagitani ◽  
Satoru Watanabe ◽  
...  

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