zurück Home

EGFR-IH-Therapiedes NSCLC: Studien

Erlotinib, Tarceva®
BR.21 NSCLC, inoperabel, Erlotinib nach Chemotherapie
TRUST NSCLC, inoperabel, Erlotinib nach Chemotherapie
SATURN NSCLC, inoperabel, Erlotinib nach Chemotherapie
EURTAG Erlotinib versus chemotherapy (CT) in advanced non-small cell lung cancer (NSCLC) patients (p) with epidermal growth factor receptor (EGFR) mutations, weiße Patienten
OPTIMAL Phase III, randomized, open-label study of first-line erlotinib versus gemcitabine/carboplatin in patients with EGFR-activating mutation-positive (EGFR Act Mut+) advanced non-small cell lung cancer (NSCLC), asiatische Patienten. Phase III, randomized, open-label study of first-line erlotinib versus gemcitabine/carboplatin in patients with EGFR-activating mutation-positive (EGFR Act Mut+) advanced non-small cell lung cancer (NSCLC). Chinesische Patienten. PFS Erlitinib 13,7M, Gemzitabine-Carboplatin 4,6M.
TITAN NSCLC, inoperabel, Erlotinib v Chemotherapie, 337 Pat. second Line
Innovations Randomized phase II trial of erlotinib (E)/bevacizumab (B) compared with cisplatin (P)/gemcitabine (G) plus B in first-line treatment of advanced nonsquamous (NS) non-small cell lung cancer (NSCLC).
FastAct-2 GC-Erlotinib besser als GC-Placebo
Ensure  
RADIANT Eine postoperative Behandlung mit Erlotinib nach kompletter Resektion ERFR-exprimierender NSCLC verbessert das DFS nicht(10).
Gefitinib, Iressa®
IMPACT Postoperativ Gefitinib v. Cisplatin-Vinorelbine, Stadium II-IIIA, mit EGFR Mutation (13)
INTEREST NSCLC, inoperabel, Platin-vorbehandelt: Gefitinib (Iressa) oder Docetaxel
IPASS NSCLC, inoperabel,Carboplatin - Taxol v Gefitinib, 1217 asiatische Pat. first Line
V-15-32 NSCLC, inoperabel, Docetaxel v Gefitinib, 489 asiatische Pat. second Line
First Signal Iressa v Cisplatin-Gemzitabine, Korea
WJTOG 3405  
NEJSG 002  
IMPRESS Second Line, Cisplatin - Pemetrexed +- Gefitinib
IFUM IRESSA Follow-Up Measure study (9). Phase IV, single-arm, 106 metastasiertes EGFR-mutiertes NSCLC. Europäer. IRESSA® 250mg. ORR 70%, DoR 8.3 months, Disease Control Rate 90.6%, PFS 9.7 M, OS 19.2M
REASON Nicht interventionelle Anwendungsstudie. 4243 Patienten aus 149 deutschen Zentren. 431 EGFR mutiert. Mutation im Exon 19 hatten nach Gefitinib ein signifikant längeres überleben.
NeoIntercal EGFR-mutiertes NSCLC: Induktion mit Gefitinib. Dann Taxan-Platin -Gefitinib. OP ev. PORT. Studie rekrutiert.
Afatinib, GILOTRIF®
LUX-Lung 3
LUX-Lung 6
LUX-Lung 7 Afatinib versus Gefitinib first line bei EGFR-M+ Bronchialkarzinom
LUX-Lung 8 Afatinib (GILOTRIF®) verlängert gegenüber Erlotinib (Tarceva®) das progressionsfreie Überleben und das Gesamtüberleben einer second-line Therapie bei fortgeschrittenen, EGFR-positiver Plattenepithelkarzinomen des Bronchus.
Cetuximab, Erbitux® RTOG 0324 Radiochemotherapie mit Cetuximab bei Patienten mit inoperablem, nicht-kleinzelligem Bronchialkarzinom
RTOG 0617 A randomized phase III comparison of standard-dose (60 Gy) versus high-dose (74 Gy) conformal chemoradiotherapy +/- cetuximab for stage IIIa/IIIb non-small cell lung cancer (7) .

Teil von

Targettherapie des NSCLC NSCLC: Studien NSCLC Tumoren des Thorax Onkologie
Quellen 1.) 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.

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

3.) 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.

4.) 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.

5.) 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

6.) 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

7.) Bradley J, Paulus R, Komaki R, et al.:
A randomized phase III comparison of standard-dose (60 Gy) versus high-dose (74 Gy) conformal chemoradiotherapy +/- cetuximab for stage IIIa/IIIb non-small cell lung cancer: Preliminary findings on radiation dose in RTOG 0617.
53. ASTRO-Kongress, Miami 2.-6.10.2011

8.) Spigel DR, et al.:
JCO 29(2011) Suppl, Abstract 7505

9.) Douillard J-Y, Ostoros G, Cobo M, et al.:
First-line gefitinib in Caucasian EGFR mutation-positive NSCLC patients: a phase-IV, open-label, single-arm study.
Br J Cancer 2014;110:55–62

10.) Kelly K, et al.:
Adjuvant Erlotinib Versus Placebo in Patients With Stage IB-IIIA Non–Small-Cell Lung Cancer (RADIANT): A Randomized, Double-Blind, Phase III Trial.
JCO 2015;34:4007-4014; DOI 10.1200/JCO.2015.61.8918.

11.) Rittmeyer A Barlesi F, et al.:
Atezolizumab versus docetaxel in patients with previously treated non-small-cell lung cancer (OAK): a phase 3, open-label, multicentre randomised controlled trial.
Lancet 2017; 389: 255–65.

12.) J-C Soria, et al. for the FLAURA Investigators:
Osimertinib in Untreated EGFR-Mutated Advanced Non–Small-Cell Lung Cancer.
N Engl J Med 2018;378:113-25.
DOI: 10.1056/NEJMoa1713137

13.) Tada H, et al. for the West Japan Oncology Group:
Randomized Phase III Study of Gefitinib Versus Cisplatin Plus Vinorelbine for Patients With Resected Stage II-IIIA Non–Small-Cell Lung Cancer With EGFR Mutation (IMPACT).
J Clin Oncol 2022;40:231-241

Impressum                         Zuletzt geändert am 14.04.2024 15:57