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postoperative Chemotherapie des NSCLC

Allgemeines

 

Platin-haltige Therapie

Studie Patienten Stadium Population Stage IA Stage IB Stage 11 Stage IIIA Bemerkungen
IALT (2) 1.867 I-III Global NS NS NS signigikant besser
NCIC JBR.10 (4) 482 IB-II Nord Amerika NT NS signigikant besser NT
ANITA (3) 840 IB—IIIA Europa, Amerika, Süd Afrika NT NS signigikant besser signigikant besser
ALPI (7) 1.209 I—IIIA Europa NS NS NS NS
Big Lung Trial (6) 381 I—IIIA UK NS NS NS NS
CALGB 9633 (8) 344 IB USA NT NS NT NT  
LACE (5) 4.584 I-III Global NS NS signigikant besser signigikant besser Metaanalyse
Prospektive Studien, Metaanalyse. NS = nicht signifikant, NT = nicht gestestet
Eine postoperative platinhaltige Chemotherapie ist im Stadium I nicht indiziert. In den Stadien II und IIIA ergaben 2 Studien und eine Metaanalyse einen Benefit.

Quellen

1.) Jacoulet P, et al.:
Phase 1 study of vinorelbin and carboplatin in advanced non-small cell lung cancer.
Lung Cancer 12(1995):247-257

2.) Arriagada R, Bergman B, Dunant A et al.:
International Adjuvant Lung Cancer Trial Collaborative Group. Cisplatin-based adjuvant chemotherapy in patients with completely resected non-small-cell lung cancer.
N Engl J Med 2004;350:351-360.

3.) Douillard JY, Rosell R, De Lena M et al.:
Adjuvant vinorelbine plus cisplatin versus observation in patients with completely resected stage IB-IIIA non-small-cell lung cancer (Adjuvant Navelbine International Trialist Association [ANITA]): A randomised controlled trial.
Lancet Oncol 2006;7:719-727.

4.) Winton T, Livingston R, Johnson D et al.:
National Cancer Institute of Canada Clinical Trials Group; Na­tional Cancer Institute of the United States Intergroup JBR.10 Trial Investigators. Vinorelbine plus cisplatin vs. observation in resected non-small-cell lung cancer.
N Engl J Med 2005;352:2589-2597.

5.) Pignon JP, Tribodet H, Scagliotti GV et al.:
LACE Collaborative Group. Lung Adjuvant Cisplatin Evalua­tion: A pooled analysis by the LACE Collaborative Group.
J Clin Oncol 2008;26:3552-3559.

6.) Waller D, Peake MD, Stephens RJ et al.:
Chemother­apy for patients wich non-small cell lung cancer: The sur­gical setting of the Big Lung Trial.
Eur J Cardiothorac Surg 2004;26:173-182.

7.) Scagliotti GV, Fossati R, Torri V et al.:
Adjuvant Lung Project Italy/European Organisation for Research Treatment of Cancer-Lung Cancer Cooperative Group Investigators. Randomized study of adjuvant chemo­therapy for completely resected stage 1, 11, or IIIA non­small-cell lung cancer.
J Natl Cancer Inst 2003;95:1453­1461.

8.)Strauss GM, et al.:
Adjuvant paclitaxel plus carboplatin compared with observation in stage IB non-small-cell lung cancer: CALGB 9633 with the Cancer and Leukemia Group B, Radiation Therapy Oncology Group, and North Central Cancer Treatment Group Study Groups.
J Clin Oncol 2008;26:5043-51. doi: 10.1200/JCO.2008.16.4855.

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