Sequential treatment of advanced-stage lung adenocarcinoma harboring wild-type EGFR gene: second-line pemetrexed followed by third-line erlotinib versus the reverse sequence.

Abstract:

BACKGROUND:Pemetrexed and erlotinib represent novel agents for the treatment of non-small cell lung cancer (NSCLC). The role of sequential treatment in NSCLC has not been elucidated yet. We compared the efficacy of second-line pemetrexed followed by third-line erlotinib (P-E) to treatment with the reverse sequence (E-P). PATIENTS AND METHODS:We analyzed data of 57 patients with advanced-stage (IIIB/IV) lung adenocarcinoma harboring wild-type epidermal growth factor receptor (EGFR) gene; 31 patients were treated with P-E and 26 patients with the E-P sequence. RESULTS:The median progression-free survival (PFS) for patients treated with P-E was 3.6 months vs. 7.8 months for patients treated with E-P (p=0.029). The median overall survival (OS) for patients treated with P-E was 7.9 months vs. 26.3 months for patients treated with E-P (p=0.006). CONCLUSION:The results proved a significant improvement of both PFS and OS for patients treated with the E-P sequence as compared to the P-E sequence.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Fiala O,Pesek M,Finek J,Benesova L,Bortlicek Z,Minarik M

subject

Has Abstract

pub_date

2013-08-01 00:00:00

pages

3397-402

issue

8

eissn

0250-7005

issn

1791-7530

pii

33/8/3397

journal_volume

33

pub_type

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