Maintenance strategies in stage IV non-small-cell lung cancer (NSCLC): in which patients, with which drugs?

被引:18
作者
Polo, V. [1 ,2 ]
Besse, B. [1 ]
机构
[1] Gustave Roussy, Dept Canc Med, F-94805 Villejuif, France
[2] Ist Oncol Veneto IRCCS, Dept Med Oncol 2, Padua, Italy
关键词
non-small-cell lung cancer; continuation maintenance; switch maintenance; early second line; PHASE-III TRIAL; CISPLATIN PLUS GEMCITABINE; PLATINUM-BASED CHEMOTHERAPY; DOUBLE-BLIND; 1ST-LINE TREATMENT; RANDOMIZED-TRIAL; SUPPORTIVE CARE; PEMETREXED PLUS; OPEN-LABEL; CARBOPLATIN;
D O I
10.1093/annonc/mdt529
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Four to six cycles of platinum-based chemotherapy are currently recommended for the first-line treatment of advanced non-small-cell lung cancer (NSCLC). Several studies have assessed the benefit of maintenance therapy following platinum-based first-line therapy, to improve disease control, and thus, progression-free and overall survival with minimal toxicity and maintenance or improvement of quality of life of patients. We review here clinical trials evaluating continuation maintenance therapy or switch maintenance therapy in locally advanced or metastatic NSCLC, to highlight the achievements made and critical issues faced. Based on the available results and limitations of these trials, maintenance therapy should be considered a good treatment strategy for a limited subgroup of patients. Maintenance therapy should be personalised according to the characteristics of patients and their disease, taking into account the data available for the agents used in this setting.
引用
收藏
页码:1283 / 1293
页数:11
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