Duration of treatment among patients prescribed afatinib or erlotinib as first-line therapy for EGFR mutation-positive non-small-cell lung cancer in the USA

被引:5
|
作者
Lim, Jonathan [1 ]
Samuelsen, Carl [2 ]
Golembesky, Amanda [2 ]
Shrestha, Sulena [3 ]
Wang, Li [3 ]
Griebsch, Ingolf [2 ]
机构
[1] Boehringer Ingelheim Pharmaceut Inc, 90 E Ridge POB 368, Ridgefield, CT 06877 USA
[2] Boehringer Ingelheim Int GmbH, Ingelheim, Germany
[3] STATinMED Res, Plano, TX 75024 USA
关键词
afatinib; EGFR tyrosine kinase inhibitors; erlotinib; first-line treatment; non-small-cell lung cancer; KINASE INHIBITOR-AFATINIB; HEALTH-CARE UTILIZATION; OPEN-LABEL; PHASE-III; REAL-WORLD; CARBOPLATIN-PACLITAXEL; ACQUIRED-RESISTANCE; TREATMENT PATTERNS; CHANNELING BIAS; GEFITINIB;
D O I
10.2217/fon-2019-0052
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Aim: Evaluate duration of therapy among patients treated with afatinib or erlotinib as first-line therapy for non-small-cell lung cancer (NSCLC). Materials & methods: NSCLC patients initiating afatinib or erlotinib between 2014 and 2017 were identified in three large claims databases in the USA. Propensity score matching was conducted to compare the duration of treatment between patients by treatment. Results: Patients prescribed afatinib had a significantly longer median duration of treatment compared with those prescribed erlotinib (12.1 vs 9.9 months; p = 0.035) and experienced a 14% reduction in risk of discontinuing therapy (adjusted hazard ratio: 0.86; CI: 0.75-0.99). Conclusion: First-line treatment duration in a real-world setting was significantly longer for patients prescribed afatinib compared with erlotinib.
引用
收藏
页码:1493 / 1504
页数:12
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