Nintedanib plus docetaxel as second-line therapy in patients with non-small-cell lung cancer: a network meta-analysis

被引:32
作者
Popat, Sanjay [1 ]
Mellemgaard, Anders [2 ]
Fahrbach, Kyle [3 ]
Martin, Alison [4 ]
Rizzo, Maria [4 ]
Kaiser, Rolf [5 ]
Griebsch, Ingolf [5 ]
Reck, Martin [6 ]
机构
[1] Royal Marsden Hosp, Dept Med Lung, London SW3 6JJ, England
[2] Herlev Univ Hosp, Dept Oncol, DK-2730 Copenhagen, Denmark
[3] United BioSource Corp, Evidera, Lexington, MA 02420 USA
[4] Evidera, London W6 8DL, England
[5] Boehringer Ingelheim Pharma GmbH & Co KG, D-55216 Ingelheim, Germany
[6] Airway Res Ctr North, LungenClin Grosshansdorf, Dept Thorac Oncol, D-22927 Grosshansdorf, Germany
关键词
adenocarcinoma; chemotherapy; nintedanib; NSCLC; second-line treatment; RANDOMIZED CONTROLLED-TRIAL; ISPOR TASK-FORCE; PHASE-III TRIAL; WILD-TYPE; ERLOTINIB; CHEMOTHERAPY; GEFITINIB; EFFICACY; INHIBITOR; MUTATIONS;
D O I
10.2217/fon.14.290
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: Nintedanib plus docetaxel has proven an overall survival benefit over docetaxel monotherapy in second-line treatment of non-small-cell lung cancer of adenocarcinoma histology in the LUME-Lung 1 pivotal trial. No published trials have previously compared nintedanib plus docetaxel with agents - other than docetaxel - that are approved second-line treatments for non-small-cell lung cancer. Methods: The relative efficacy of nintedanib plus docetaxel versus second-line agents was evaluated by conducting a network meta-analysis of progression-free survival and overall survival. Results: Nine suitable studies were identified. The estimated probability of nintedanib plus docetaxel being the best treatment with regard to overall survival was 70% (versus 16% for pemetrexed, 10% for docetaxel and 3% for erlotinib). Results for progression-free survival were similar. Conclusion: In patients with advanced non-small-cell lung cancer of adenocarcinoma histology, results suggest that nintedanib plus docetaxel offers clinical benefit compared with docetaxel alone, when used as second-line treatment, and suggests that this combination may also add clinical benefit compared with erlotinib in this patient group.
引用
收藏
页码:409 / 420
页数:12
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