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NSCLC: Studien

primäre RT

ARO 97-1 Continuous hyperfractionated accelerated radiotherapy. CHARTWEL = CHART weekend less
RTOG 73-02 Strahlentherapie beim fortgeschrittenen NSCLC: 30Gy, 40Gy, 40Gy split course
RTOG 93-11 Phase I-II radiation dose-escalation study in patients with inoperable non-small-cell lung cancer (13).
RTOG 09-15 Comparing 1x 34 Gy versus 4 x 12 Gy for Medically Inoperable Patients With Stage I Peripheral NSCLC
LUSTRE Stereotactic vs Hypofractionated Radiotherapy for Inoperable Stage I NSCLC. SBRT 48 Gy 4 frx peripheral NSCLC or 60 Gy 8 frx central NSCLC vs CRT 60 Gy 15 frx.

postoperative  RT

ARO 2014-2, PORTAF Postoperative Strahlentherapie des nicht - kleinzelligen Lungenkarzinoms: Akzelerierte vs. konventionelle Fraktionierung. Phase III. Baumann, Dresden.

ZNS -  RT

NVALT-11/DLCRG-02 (14) Prophylactic Cranial Irradiation Versus Observation in Radically Treated Stage III Non-Small-Cell Lung Cancer. Phase III. Baumann, Dresden.

Chemotherapie

Tax301 (12)

Cisplatin - Docetaxel höheres Survival als Cisplatin - Vindesine

RCH

GILT

German Intergroup Lung Cancer Trial. Simultane Radiochemotherapie mit Navelbine oral +- Konsolidierung
RTOG 1308

Phase III Randomized Trial Comparing Overall Survival After Photon Versus Proton Chemoradiotherapy for Inoperable Stage II-IIIB NSCLC: geplant

Conrad Eine simultane Radiochemotherapie mit Vinorelbin-Carboplatin verbessert das Überleben beim NSCLC im Stadium IIIb gegenüber einer alleinigen Chemotherapie signifikant!
PET-Plan Optimierung der Strahlentherapieplanung von Patienten mit inoperablen lokal fortgeschrittenen nicht - kleinzelligen Bronchialkarzinomen mittels FDG-PET.

OP - RCH

RTOG 9705

Postoperative Radiochemotherapie mit Paclitaxel - Carboplatin

CH - Immun - OP - Immun

SAKK 16/14 (14) 3x Cisplatin 100 mg/qm + Docetaxel 85 mg/qm, q22. 2x Durvalumab 750 mg q15. OP. Dann 1 Jahr Durvalumab.

RCH - OP

SWOG8805 (1) Concurrent cisplatin/etoposide plus chest radiotherapy followed by surgery for stages IIIA (N2) and IIIB non–small-cell lung cancer.

GLCCG (2)

Cisplatin/etoposide (PE) followed by twice-daily chemoradiation (hfRT/CT) versus PE alone before surgery in stage III non-small cell lung cancer (NSCLC).

RTOG93-09 (4)

Concurrent chemotherapy plus radiotherapy and CT/RT followed by surgical resection for stage IIIA(pN2) NSCLC.

WJTOG 9903

Eine praeoperative Radiochemotherapie erzielt häufiger ein Downstaging als eine Chemotherapie allein.
ARO 2004-4 NSCLC Stad IIIA/IIIB: Prospektiv randomisierte Studie einer Boost-Bestrahlung versus Operation nach Induktionschemotherapie mit Cisplatin/Taxol und neoadjuvanter hyperfraktioniert akzelerierter Radiochemotherapie Phase III Eberhardt, Essen 71/500 rekrutiert

CH - OP oder RT

EORTC08941 (3) Radical surgery versus thoracic radiotherapy in patients with stage IIIA-N2 NSCLC after response to induction chemotherapy.
ESPATUE Surgery Versus Definitive Concurrent Chemoradiotherapy Boost in Patients With Resectable Stage IIIA(N2) and Selected IIIB Non–Small-Cell Lung Cancer After Induction Chemotherapy and Concurrent Chemoradiotherapy .

Target - Therapie

Bevacizumab, Avastin®

AVAiL

ECOG 4599

CALGB-8433 RTOG 8808
Erlotinib, Tarceva® BR.21 TRUST SATURN EURTAG
TITAN OPTIMAL Innovations
Gefitinib, Iressa®INTEREST IPASS V-15-32 CetuximabRTOG 0324
VadimezanATTRACT-1 ATTRACT-2
Onartuzumab MetLung

Immunmodulatoren

Thalidomid ECOG 3598
Nivolumab CheckMate-17 Mit Nivolumab wurde die Überlebenszeit bei einer second-line Therapie fortgeschrittener Plattenepithelkarzinome des Bronchus gegenüber Docetaxel von 6 auf 9,2 Monate verlängert! Die Rate schwerer Nebenwirkungen konnte von 55% auf 7% gesenkt werden.
CheckMate-057 Nivolumab versus Docetaxel in Advanced Nonsquamous Non-Small-Cell Lung Cancer.
FORCE AIO-Studie: FOstering efficacy of anti - PD-1-treatment. Nivolumab plus Radiotherapy in advanced NSCLC  

Pembrolizumab

KEYNOTE-001 Phase 1 - Studie mit Pembrolizumab bei fortgeschrittenem NSCLC
KEYNOTE-010 Pembrolizumab erzielt in der Second - Line - Therapie des fortgeschrittenen NSCLC ein signifikant höheres Gesamtüberleben als Docetaxel!
Atezolizumab OAK Atezolizumab erzielt in der Second - Line - Therapie des fortgeschrittenen NSCLC ein signifikant höheres Gesamtüberleben bei weniger Nebenwirkungen als Docetaxel!
POPLAR Atezolizumab versus docetaxel for patients with previously treated non-small-cell lung cancer  
Ipilimumab Yale-Studie Ipilimumab in Combination With Paclitaxel and Carboplatin As First-Line Treatment in Stage IIIB/IV Non–Small-Cell Lung Cancer
Durvalumab PACIFIC  Der PD-L1-IH Durvalumab verlängert signifikant das progressionsfreie Überleben mit NSCLC im Stadium 3 nach einer platinhaltigen Radiochemotherapie!

Vakzine

Mage-A3 MARGRIT
MUC1 START

Teil von

NSCLC Tumoren des Thorax Onkologie
Quellen 1.) Albain KS, Rusch VW, Crowley JJ, et al.:
Concurrent cisplatin/etoposide plus chest radiotherapy followed by surgery for stages IIIA (N2) and IIIB non–small-cell lung cancer: Mature results of Southwest Oncology Group phase II study 8805.
JCO 13(1995):1880–1892

2.) Thomas M, Macha N, Ukena D, et al.:
Cisplatin/etoposide (PE) followed by twice-daily chemoradiation (hfRT/CT) versus PE alone before surgery in stage III non-small cell lung cancer (NSCLC): A randomized phase III trial of the German Lung Cancer Cooperative Group (GLCCG).
Proc Am Soc Clin Oncol. 22(2003)(abstr 2497):621

3.) van Meerbeeck JP, Kramer G, Van Schil PE, et al.:
A randomized trial of radical surgery (S) versus thoracic radiotherapy (TRT) in patients (pts) with stage IIIA-N2 non-small cell lung cancer (NSCLC) after response to induction chemotherapy (ICT) (EORTC 08941).
JCO (Meeting Abstracts). 2005;23:LBA7015

4.) Albain KS, Scott CB, Rusch VR, et al.
Phase III comparison of concurrent chemotherapy plus radiotherapy (CT/RT) and CT/RT followed by surgical resection for stage IIIA(pN2) non-small cell lung cancer (NSCLC): Initial results from Intergroup trial 0139 (RTOG 93-09).
Proc Am Soc Clin Oncol. 2003;22(abstr 2497):621

5.) Ciuleanu T, et al.:
Erlotinib versus docetaxel or pemetrexed as second line therapy in patients with advanced non small cell lung cancer and poor prognosis: Efficacy and safety results from phase III TITAN study.
Chicago Multidisciplinary Symposium in Thoracic Oncology 9-11.12.2010, Chicago, abstr LBOA5.

6.) Mok TS, et al.:
Gefitinib or carboplatin-paclitaxel in pulmonary adenocarcinoma.
NEJM 361(2009):947–957.

7.) Maruyama R, et al.:
Phase III study, V-15-32, of gefitinib versus docetaxel in previously treated Japanese patients with non–small-cell lung cancer.
JCO 26(2008):4244–4252.

8.) Trodella L, et al.:
Adjuvant radiotherapyin non-small cell lung cancer with pathological stage I: Definitive results of a phase III randomized trial.
Radiother Oncol 62(2002):11–19

9.) Douillard JY, et al., for the Adjuvant Navelbine International Trialist Association:
Impact of postoperative radiation therapy on survival in patients with complete resection and stage I, II, or IIIA non–small-cell lung cancer treated with adjuvant chemotherapy: The adjuvant Navelbine International Trialist Association (ANITA) randomized trial.
IJROBP 72(2008):695–701.

10.) Dillman RO, et al:
Improved survival in stage III non-small-cell lung cancer: Seven-year follow-up of cancer and leukemia group B (CALGB) 8433 trial.
JNCI 88(1996):1210-1215

11.) Sause W, Kolesar P, Taylor S IV, et al:
Final results of phase III trial in regionally advanced unresectable non-small cell lung cancer: Radiation Therapy Oncology Group, Eastern Cooperative Oncology Group, and Southwest Oncology Group.
Chest 117(2000):358-364

12.) Kubota K, et al.:
Phase III randomized trial of docetaxel plus cisplatin versus vindesine plus cisplatin in patients with stage IV non-small-cell lung cancer: the Japanese Taxotere Lung Cancer Study Group.
JCO 22(2004):254-261.

13.) Werner-Wasik M, Swann RS, Bradley J.:
Increasing tumor volume is predictive of poor overall and progression-free survival: Secondary analysis of the Radiation Therapy Oncology Group 93-11 phase I-II radiation dose-escalation study in patients with inoperable non-small lung cancer.
IJROBP 70(2008):385–390

14.) De Ruysscher D, Dingemans AC, Praag J et al.:
Prophylactic Cranial Irradiation Versus Observation in Radically Treated Stage III Non-Small-Cell Lung Cancer: A Randomized Phase III NVALT-11/DLCRG-02 Study.
J Clin Oncol 2018 May 22:JCO2017775817.
doi: 10.1200/JCO.2017.77.5817. [Epub ahead of print]

15.) Rothschild S I, et al.:
SAKK 16/14: Durvalumab in Addition to Neoadjuvant Chemotherapy in Patients With Stage IIIA(N2) Non–Small-Cell Lung Cancer — A Multicenter Single-Arm Phase II Trial.
J Clin Oncol 2021;39:2872-2880

Impressum                                     Zuletzt geändert am 29.08.2017 17:51