典型文献
Anlotinib as third-or further-line therapy for short-term relapsed small-cell lung cancer:subgroup analysis of a randomized phase 2 study(ALTER1202)
文献摘要:
Patients with small-cell lung cancer(SCLC)relapse within months after completing previous therapies.This study aimed to investigate the efficacy and safety of anlotinib as third-or further-line therapy in patients with short-term relapsed SCLC from ALTER1202.Patients with short-term relapsed SCLC(disease progression within 3 months after completing≥two lines of chemotherapy)in the anlotinib(n=67)and placebo(n=34)groups were analyzed.The primary endpoint was progression-free survival(PFS).The secondary endpoints included overall survival,objective response rate(ORR),disease control rate,and safety.Anlotinib significantly improved median PFS/OS(4.0 vs.0.7 months,P<0.0001)/(7.3 vs.4.4 months,P=0.006)compared with placebo.The ORR was 4.5%/2.9%in the anlotinib/placebo group(P=1.000).The DCR in the anlotinib group was higher than that in the placebo group(73.1%vs.11.8%,P<0.001).The most common adverse events(AEs)were hypertension(38.8%),loss of appetite(28.4%),and fatigue(22.4%)in the anlotinib group and gamma-glutamyl transpeptidase elevation(20.6%)in the placebo group.No grade 5 AEs occurred.For patients with short-term relapsed SCLC,third-or further-line anlotinib treatment was associated with improved survival benefit.Further studies are warranted in this regard.
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作者姓名:
Jianhua Shi;Ying Cheng;Qiming Wang;Kai Li;Lin Wu;Baohui Han;Gongyan Chen;Jianxing He;Jie Wang;Haifeng Qin;Xiaoling Li
作者机构:
Department of Medical Oncology,Linyi Cancer Hospital,Linyi 276002,China;Department of Thoracic Medical Oncology,Jilin Cancer Hospital,Changchun 130012,China;Department of Internal Medicine,Affiliated Cancer Hospital of Zhengzhou University,Henan Cancer Hospital,Zhengzhou 450003,China;Department of Pulmonary Oncology,Tianjin Medical University Cancer Institute and Hospital,Tianjin 300060,China;Department of Thoracic Medical Oncology,The Affiliated Cancer Hospital of Xiangya School of Medicine,Central South University(Hunan Cancer Hospital),Changsha 410031,China;Department of Respiratory Medicine,Shanghai Chest Hospital,Shanghai Jiao Tong University,Shanghai 200030,China;Department of Respiratory Medicine,Harbin Medical University Cancer Hospital,Harbin 150081,China;Department of Thoracic Surgery,The First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510120,China;National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China;Department of Pulmonary Oncology,The Fifth Medical Centre of Chinese PLA General Hospital,Beijing 100039,China;Department of Medical Oncology,Liaoning Cancer Hospital,Shenyang 110042,China
文献出处:
引用格式:
[1]Jianhua Shi;Ying Cheng;Qiming Wang;Kai Li;Lin Wu;Baohui Han;Gongyan Chen;Jianxing He;Jie Wang;Haifeng Qin;Xiaoling Li-.Anlotinib as third-or further-line therapy for short-term relapsed small-cell lung cancer:subgroup analysis of a randomized phase 2 study(ALTER1202))[J].医学前沿,2022(05):766-772
A类:
ALTER1202
B类:
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AB值:
0.46938
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