Apatinib in Patients with Extensive-Stage Small-Cell Lung Cancer After Second or Third-Line Chemotherapy: A Phase II, Single-Arm, Multi-Center, Prospective Study

2019 ◽  
Author(s):  
Yan-jun Xu ◽  
Zhi-yu Huang ◽  
Hong-yang Lu ◽  
Xin-ming Yu ◽  
Yu-ping Li ◽  
...  
2011 ◽  
Vol 29 (16) ◽  
pp. 2215-2222 ◽  
Author(s):  
David R. Spigel ◽  
Peter M. Townley ◽  
David M. Waterhouse ◽  
Liang Fang ◽  
Ibrahim Adiguzel ◽  
...  

PurposeBecause of promising efficacy signals in single-arm studies, a placebo-controlled, double-blind, randomized phase II trial was designed to assess the efficacy and safety of adding bevacizumab to first-line standard chemotherapy for treatment of extensive-stage small-cell lung cancer (SCLC).Patients and MethodsPatients with SCLC were randomly assigned to receive bevacizumab or placebo, with cisplatin or carboplatin plus etoposide, for four cycles followed by single-agent bevacizumab or placebo until progression or unacceptable toxicity. The primary end point was progression-free survival (PFS).ResultsFifty-two patients were randomly assigned to the bevacizumab group and 50 to the placebo group; 69% versus 66%, respectively, completed four cycles of therapy. Median PFS was higher in the bevacizumab group (5.5 months) than in the placebo group (4.4 months; hazard ratio [HR], 0.53; 95% CI, 0.32 to 0.86). Median overall survival (OS) was similar for both groups (9.4 v 10.9 months for bevacizumab and placebo groups, respectively), with an HR of 1.16 (95% CI, 0.66 to 2.04). Overall response rates were 58% (95% CI, 43% to 71%) for the bevacizumab group and 48% (95% CI, 34% to 62%) for the placebo group. Median duration of response was 4.7 months for the bevacizumab group and 3.2 months for the placebo group. In the bevacizumab and placebo groups, 75% versus 60% of patients, respectively, experienced one or more grade 3 or higher adverse events. No new or unexpected safety signals for bevacizumab were observed.ConclusionThe addition of bevacizumab to cisplatin or carboplatin plus etoposide for treatment of extensive-stage SCLC improved PFS, with an acceptable toxicity profile. However, no improvement in OS was observed.


2007 ◽  
Vol 2 (4) ◽  
pp. 312-316 ◽  
Author(s):  
Wolf Köster ◽  
Andrea Heider ◽  
Norbert Niederle ◽  
Hansjochen Wilke ◽  
Georgios Stamatis ◽  
...  

Lung Cancer ◽  
2014 ◽  
Vol 85 (2) ◽  
pp. 245-250 ◽  
Author(s):  
Julian R. Molina ◽  
Nathan R. Foster ◽  
Thanyanan Reungwetwattana ◽  
Garth D. Nelson ◽  
Andrew V. Grainger ◽  
...  

2014 ◽  
Vol 15 (2) ◽  
pp. 110-118 ◽  
Author(s):  
Demetrios Simos ◽  
Golmehr Sajjady ◽  
Melissa Sergi ◽  
Mun Sem Liew ◽  
Raffaele Califano ◽  
...  

2021 ◽  
Vol 16 (10) ◽  
pp. S1078
Author(s):  
T. Beninato ◽  
S. Manglaviti ◽  
E. Zattarin ◽  
G. Apollonio ◽  
E. Galli ◽  
...  

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