Real-world treatment pattern and comprehensive comparative effectiveness of Endostar plus different chemotherapy in advanced patients with non-small cell lung cancer.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
27 06 2022
Historique:
received: 14 01 2022
accepted: 02 06 2022
entrez: 27 6 2022
pubmed: 28 6 2022
medline: 30 6 2022
Statut: epublish

Résumé

Recombinant human endostatin (Endostar) plus vinorelbine/cisplatin (NP) had been approved for the treatment of non-small cell lung cancers (NSCLC). But the real-world treatment pattern and effectiveness of Endostar plus other combination chemotherapy, namely docetaxel/platinum (DP), gemcitabine/platinum (GP), pemetrexed/platinum (PP), and paclitaxel/platinum (TP) in both treatment-naïve and re-treatment patients with advanced NSCLC were still unclear. A retrospective observational study was conducted based on the electronic medical record (EMR) system and advanced patients with NSCLC were identified from 7 cancer hospitals in China from 2012 to 2019. These patients were divided into five groups, Endostar plus NP, Endostar plus DP, Endostar plus GP, Endostar plus PP, and Endostar plus TP groups. The disease control rate (DCR), overall response rate (ORR), and the progression-free survival (PFS) were evaluated. Of the eligible 512 advanced patients with NSCLC, 10.35% were in Endostar plus NP group, while the numbers were 15.43%, 32.42%, 26.56%, 15.23% in Endostar plus DP group, Endostar plus GP group, Endostar plus PP group, and Endostar plus TP group, respectively. The ORRs were 31%, 28%, 22%, 41% and 27%, and the DCRs were 71%, 72%, 57%, 72% and 76%, respectively. The median of PFSs for the above groups were 7.9, 6.8, 5.6, 13.7, and 5.4 months. Compared with Endostar plus NP group, the hazard ratios (HRs) and 95%CIs of Endostar plus other chemotherapy were 1.86 (0.75-4.61), 2.15 (0.83-5.60), 1.33 (0.51-3.44), and 2.42 (0.86-6.81). This real-world study found the effectiveness of Endostar plus DP, Endostar plus GP, Endostar plus PP, and Endostar plus TP were of no statistically significant differences compared with Endostar plus NP and reflected the good effectiveness of Endostar plus different chemotherapy in advanced patients with NSCLC.

Identifiants

pubmed: 35761010
doi: 10.1038/s41598-022-14222-w
pii: 10.1038/s41598-022-14222-w
pmc: PMC9237081
doi:

Substances chimiques

Endostatins 0
Recombinant Proteins 0
Pemetrexed 04Q9AIZ7NO
Platinum 49DFR088MY
endostar protein GVG18ZDN65

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

10841

Informations de copyright

© 2022. The Author(s).

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Auteurs

Wei Jiang (W)

Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital and Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, 518116, Guangdong, China.

Wei Sun (W)

Department of Thoracic Surgery, The Third Clinical College of Xinjiang Medical University, Urumqi, 830000, Xinjiang, China.

Wenhui Li (W)

Department of Radiation Oncology, Yunnan Cancer Hospital, Kunming, 650106, Yunnan, China.

Jin Gao (J)

Department of Radiation Oncology, Anhui Provincial Hospital, Hefei, 230031, Anhui, China.

Hui Wang (H)

Department of Radiation Oncology, Hunan Cancer Hospital, Changsha, 410013, Hunan, China.

Wei Zhou (W)

Department of Radiation Oncology, Chongqing Cancer Hospital, Chongqing, 400030, China.

Jing Liang (J)

Department of Radiation Oncology, Shaanxi Provincial Cancer Hospital, Xi'an, 710061, Shaanxi, China.

Lixiang Aa (L)

The State Key Laboratory of Translational Medicine and Innovative Drug Development, Nanjing, 210042, Jiangsu, China.

Luhua Wang (L)

Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital and Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, 518116, Guangdong, China. wlhwq@yahoo.com.

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