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Efficacy of bevacizumab with cisplatin and gemcitabine in Asian patients with advanced or recurrent non-squamous non-small cell lung cancer who have not received prior chemotherapy: A substudy of the Avastin in Lung trial

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ชื่อเรื่อง : Efficacy of bevacizumab with cisplatin and gemcitabine in Asian patients with advanced or recurrent non-squamous non-small cell lung cancer who have not received prior chemotherapy: A substudy of the Avastin in Lung trial
นักวิจัย : Mok T.S.K. , Hsia T.-C. , Tsai C.-M. , Tsang K. , Chang G.-C. , Chang J.W.-C. , Thitiya S. , Sriuranpong V. , Thongprasert S. , Chua D.T. , Moore N. , Manegold C.
คำค้น : -
หน่วยงาน : มหาวิทยาลัยเชียงใหม่
ผู้ร่วมงาน : -
ปีพิมพ์ : 2554
อ้างอิง : 17437555 , 10.1111/j.1743-7563.2011.01397.x , 21585703 , http://www.scopus.com/inward/record.url?eid=2-s2.0-79956133688&partnerID=40&md5=cd88f31639aaa798db85abb5e0611d75 , http://cmuir.cmu.ac.th/handle/6653943832/3757
ที่มา : -
ความเชี่ยวชาญ : -
ความสัมพันธ์ : -
ขอบเขตของเนื้อหา : -
บทคัดย่อ/คำอธิบาย :

Aim: The phase III AVAiL study evaluated the efficacy and safety of the anti-vascular epidermal growth factor agent bevacizumab combined with platinum-based chemotherapy as first-line treatment in patients with advanced non-small-cell lung cancer (NSCLC). We report the results of a preplanned analysis of Asian patients enrolled in AVAiL. Methods: Patients with recurrent or advanced non-squamous NSCLC were randomized to receive bevacizumab 7.5mg/kg, bevacizumab 15mg/kg or placebo, plus cisplatin 80mg/m2 and gemcitabine 1250mg/m2 for up to six cycles, followed by bevacizumab or placebo until disease progression. An exploratory analysis was undertaken to assess efficacy and safety in an Asian subgroup. Results: Of the 1043 patients enrolled, 105 were Asian and were included in the subgroup analysis. Progression-free survival was 8.5months (95% CI 7.3-10.8) in the bevacizumab 15-mg/kg group, 8.2 (95% CI 6.6-11.7) in the 7.5-mg/kg group and 6.1 (95% CI 5.1-8.0) in the placebo group. Median overall survival in the 7.5-mg/kg bevacizumab group was prolonged compared with placebo group (HR 0.46; 95% CI 0.22-0.97). Nausea was the most common adverse event, occurring at similar rates (ranging from 69-76%) in all study groups. Hypertension was the most common adverse event of special interest, seen in 29, 55 and 16% of patients in the 7.5-mg/kg and 15-mg/kg bevacizumab and placebo groups, respectively. Conclusion: Study results strongly suggest that bevacizumab at a dose of 7.5mg/kg improves the duration of overall survival when combined with cisplatin-gemcitabine in Asian patients. Bevacizumab was well tolerated in this patient group. © 2011 Blackwell Publishing Asia Pty Ltd.

บรรณานุกรม :
Mok T.S.K. , Hsia T.-C. , Tsai C.-M. , Tsang K. , Chang G.-C. , Chang J.W.-C. , Thitiya S. , Sriuranpong V. , Thongprasert S. , Chua D.T. , Moore N. , Manegold C. . (2554). Efficacy of bevacizumab with cisplatin and gemcitabine in Asian patients with advanced or recurrent non-squamous non-small cell lung cancer who have not received prior chemotherapy: A substudy of the Avastin in Lung trial.
    เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ .
Mok T.S.K. , Hsia T.-C. , Tsai C.-M. , Tsang K. , Chang G.-C. , Chang J.W.-C. , Thitiya S. , Sriuranpong V. , Thongprasert S. , Chua D.T. , Moore N. , Manegold C. . 2554. "Efficacy of bevacizumab with cisplatin and gemcitabine in Asian patients with advanced or recurrent non-squamous non-small cell lung cancer who have not received prior chemotherapy: A substudy of the Avastin in Lung trial".
    เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ .
Mok T.S.K. , Hsia T.-C. , Tsai C.-M. , Tsang K. , Chang G.-C. , Chang J.W.-C. , Thitiya S. , Sriuranpong V. , Thongprasert S. , Chua D.T. , Moore N. , Manegold C. . "Efficacy of bevacizumab with cisplatin and gemcitabine in Asian patients with advanced or recurrent non-squamous non-small cell lung cancer who have not received prior chemotherapy: A substudy of the Avastin in Lung trial."
    เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ , 2554. Print.
Mok T.S.K. , Hsia T.-C. , Tsai C.-M. , Tsang K. , Chang G.-C. , Chang J.W.-C. , Thitiya S. , Sriuranpong V. , Thongprasert S. , Chua D.T. , Moore N. , Manegold C. . Efficacy of bevacizumab with cisplatin and gemcitabine in Asian patients with advanced or recurrent non-squamous non-small cell lung cancer who have not received prior chemotherapy: A substudy of the Avastin in Lung trial. เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ ; 2554.