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 |
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container_title | Anticancer research |
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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 |
format | Article |
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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.</description><identifier>ISSN: 0250-7005</identifier><identifier>EISSN: 1791-7530</identifier><identifier>DOI: 10.21873/anticanres.11478</identifier><identifier>PMID: 28314326</identifier><language>eng</language><publisher>Greece</publisher><subject><![CDATA[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]]></subject><ispartof>Anticancer research, 2017-03, Vol.37 (3), p.1507-1514</ispartof><rights>Copyright© 2017, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-8df338d411f7c7006670da6b2c52010085a3e200d05b4b67cc1787da071e06473</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28314326$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoh, Kiyotaka</creatorcontrib><creatorcontrib>Goto, Yasushi</creatorcontrib><creatorcontrib>Naito, Yoichi</creatorcontrib><creatorcontrib>Kishi, Kazuma</creatorcontrib><creatorcontrib>Mori, Kiyoshi</creatorcontrib><creatorcontrib>Hotta, Katsuyuki</creatorcontrib><creatorcontrib>Hosomi, Yukio</creatorcontrib><creatorcontrib>Yamada, Kazuhiko</creatorcontrib><creatorcontrib>Tanai, Chiharu</creatorcontrib><creatorcontrib>Tomizawa, Yoshio</creatorcontrib><creatorcontrib>Inoue, Akira</creatorcontrib><creatorcontrib>Hasegawa, Yoshinori</creatorcontrib><creatorcontrib>Nishio, Makoto</creatorcontrib><creatorcontrib>Ohashi, Yasuo</creatorcontrib><creatorcontrib>Kunitoh, Hideo</creatorcontrib><title>Impact of Maintenance Therapy for Patients with Non-small Cell Lung Cancer in a Real-world Setting</title><title>Anticancer research</title><addtitle>Anticancer Res</addtitle><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.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>Bevacizumab - administration & dosage</subject><subject>Carboplatin - administration & dosage</subject><subject>Carcinoma, Non-Small-Cell Lung - drug therapy</subject><subject>Carcinoma, Non-Small-Cell Lung - mortality</subject><subject>Cisplatin - administration & dosage</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Humans</subject><subject>Lung Neoplasms - drug therapy</subject><subject>Lung Neoplasms - mortality</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Organoplatinum Compounds - administration & dosage</subject><subject>Paclitaxel - administration & dosage</subject><subject>Pemetrexed - administration & dosage</subject><subject>Prospective Studies</subject><subject>Research Design</subject><subject>Treatment Outcome</subject><issn>0250-7005</issn><issn>1791-7530</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMtOwzAQRS0EoqXwAWyQl2xSxnESu0sU8ahUHoKyjiaO0wYlTrAdVf170lJgM7O55-rqEHLJYBoyKfgNGl8pNFa7KWORkEdkzMSMBSLmcEzGEMYQCIB4RM6c-wRIkpnkp2QUSs4iHiZjks-bDpWnbUmfsDJeGzRK0-VaW-y2tGwtfUVfaeMd3VR-TZ9bE7gG65qmejiL3qxoumMsrQxF-qaxDjatrQv6rr2vzOqcnJRYO31x-BPycX-3TB-DxcvDPL1dBIpHkQ9kUXIui4ixUiix2yqgwCQPVRwCA5Axch0CFBDnUZ4IpZiQokAQTEMSCT4h1z-9nW2_eu181lRODSPR6LZ32WBMSjYDHg9R9hNVtnXO6jLrbNWg3WYMsr3a7F9ttlc7MFeH-j5vdPFH_Lrk39cgdhc</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Yoh, Kiyotaka</creator><creator>Goto, Yasushi</creator><creator>Naito, Yoichi</creator><creator>Kishi, Kazuma</creator><creator>Mori, Kiyoshi</creator><creator>Hotta, Katsuyuki</creator><creator>Hosomi, Yukio</creator><creator>Yamada, Kazuhiko</creator><creator>Tanai, Chiharu</creator><creator>Tomizawa, Yoshio</creator><creator>Inoue, Akira</creator><creator>Hasegawa, Yoshinori</creator><creator>Nishio, Makoto</creator><creator>Ohashi, Yasuo</creator><creator>Kunitoh, Hideo</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170301</creationdate><title>Impact of Maintenance Therapy for Patients with Non-small Cell Lung Cancer in a Real-world Setting</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-8df338d411f7c7006670da6b2c52010085a3e200d05b4b67cc1787da071e06473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</topic><topic>Bevacizumab - administration & dosage</topic><topic>Carboplatin - administration & dosage</topic><topic>Carcinoma, Non-Small-Cell Lung - drug therapy</topic><topic>Carcinoma, Non-Small-Cell Lung - mortality</topic><topic>Cisplatin - administration & dosage</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Humans</topic><topic>Lung Neoplasms - drug therapy</topic><topic>Lung Neoplasms - mortality</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Organoplatinum Compounds - administration & dosage</topic><topic>Paclitaxel - administration & dosage</topic><topic>Pemetrexed - administration & dosage</topic><topic>Prospective Studies</topic><topic>Research Design</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yoh, Kiyotaka</creatorcontrib><creatorcontrib>Goto, Yasushi</creatorcontrib><creatorcontrib>Naito, Yoichi</creatorcontrib><creatorcontrib>Kishi, Kazuma</creatorcontrib><creatorcontrib>Mori, Kiyoshi</creatorcontrib><creatorcontrib>Hotta, Katsuyuki</creatorcontrib><creatorcontrib>Hosomi, Yukio</creatorcontrib><creatorcontrib>Yamada, Kazuhiko</creatorcontrib><creatorcontrib>Tanai, Chiharu</creatorcontrib><creatorcontrib>Tomizawa, Yoshio</creatorcontrib><creatorcontrib>Inoue, Akira</creatorcontrib><creatorcontrib>Hasegawa, Yoshinori</creatorcontrib><creatorcontrib>Nishio, Makoto</creatorcontrib><creatorcontrib>Ohashi, Yasuo</creatorcontrib><creatorcontrib>Kunitoh, Hideo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Anticancer research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yoh, Kiyotaka</au><au>Goto, Yasushi</au><au>Naito, Yoichi</au><au>Kishi, Kazuma</au><au>Mori, Kiyoshi</au><au>Hotta, Katsuyuki</au><au>Hosomi, Yukio</au><au>Yamada, Kazuhiko</au><au>Tanai, Chiharu</au><au>Tomizawa, Yoshio</au><au>Inoue, Akira</au><au>Hasegawa, Yoshinori</au><au>Nishio, Makoto</au><au>Ohashi, Yasuo</au><au>Kunitoh, Hideo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of Maintenance Therapy for Patients with Non-small Cell Lung Cancer in a Real-world Setting</atitle><jtitle>Anticancer research</jtitle><addtitle>Anticancer Res</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>37</volume><issue>3</issue><spage>1507</spage><epage>1514</epage><pages>1507-1514</pages><issn>0250-7005</issn><eissn>1791-7530</eissn><abstract>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.</abstract><cop>Greece</cop><pmid>28314326</pmid><doi>10.21873/anticanres.11478</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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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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