Impact of Maintenance Therapy for Patients with Non-small Cell Lung Cancer in a Real-world Setting

The purpose of this study was to explore the role of maintenance therapy for patients with advanced non-small cell lung cancer (NSCLC) in a real-world setting. This was a prospective observational cohort multicenter study. Eligible patients were observed from initiation of first-line platinum-based...

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Veröffentlicht in:Anticancer research 2017-03, Vol.37 (3), p.1507-1514
Hauptverfasser: Yoh, Kiyotaka, Goto, Yasushi, Naito, Yoichi, Kishi, Kazuma, Mori, Kiyoshi, Hotta, Katsuyuki, Hosomi, Yukio, Yamada, Kazuhiko, Tanai, Chiharu, Tomizawa, Yoshio, Inoue, Akira, Hasegawa, Yoshinori, Nishio, Makoto, Ohashi, Yasuo, Kunitoh, Hideo
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container_end_page 1514
container_issue 3
container_start_page 1507
container_title Anticancer research
container_volume 37
creator Yoh, Kiyotaka
Goto, Yasushi
Naito, Yoichi
Kishi, Kazuma
Mori, Kiyoshi
Hotta, Katsuyuki
Hosomi, Yukio
Yamada, Kazuhiko
Tanai, Chiharu
Tomizawa, Yoshio
Inoue, Akira
Hasegawa, Yoshinori
Nishio, Makoto
Ohashi, Yasuo
Kunitoh, Hideo
description The purpose of this study was to explore the role of maintenance therapy for patients with advanced non-small cell lung cancer (NSCLC) in a real-world setting. This was a prospective observational cohort multicenter study. Eligible patients were observed from initiation of first-line platinum-based chemotherapy until final follow-up. Between 2010 and 2011, a total of 864 patients were enrolled in this study. The primary study population was 396 patients who had progressive disease during observation after first-line chemotherapy without maintenance. Of these, 113 patients (29%) did not receive second-line therapy. In contrast, only 18% of patients who had progressive disease during maintenance therapy missed second-line therapy. Overall survival of patients without maintenance who received second-line therapy was similar to that of those who received maintenance, but no second-line therapy. Maintenance therapy for patients with advanced NSCLC might be an appropriate strategy to maximize the chance of receiving more active therapy.
doi_str_mv 10.21873/anticanres.11478
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subjects Adult
Aged
Aged, 80 and over
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Bevacizumab - administration & dosage
Carboplatin - administration & dosage
Carcinoma, Non-Small-Cell Lung - drug therapy
Carcinoma, Non-Small-Cell Lung - mortality
Cisplatin - administration & dosage
Disease Progression
Female
Humans
Lung Neoplasms - drug therapy
Lung Neoplasms - mortality
Male
Middle Aged
Multivariate Analysis
Organoplatinum Compounds - administration & dosage
Paclitaxel - administration & dosage
Pemetrexed - administration & dosage
Prospective Studies
Research Design
Treatment Outcome
title Impact of Maintenance Therapy for Patients with Non-small Cell Lung Cancer in a Real-world Setting
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