V体育安卓版 - Symptom improvement in lung cancer patients treated with erlotinib: quality of life analysis of the National Cancer Institute of Canada Clinical Trials Group Study BR.21
- PMID: 16921034
- DOI: 10.1200/JCO.2006.05.8073
Symptom improvement in lung cancer patients treated with erlotinib: quality of life analysis of the National Cancer Institute of Canada Clinical Trials Group Study BR.21
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- J Clin Oncol. 2007 Jan 1;25(1):167
Abstract
Purpose: This report describes the quality of life (QOL) findings of a randomized placebo controlled study of erlotinib, an epidermal growth factor receptor inhibitor, in patients with non-small-cell lung cancer (NSCLC) VSports手机版. .
Patients and methods: This double-blind phase III trial randomly assigned 731 patients with NSCLC who had progressed after prior chemotherapy to erlotinib 150 mg daily or placebo, with survival as the primary study outcome. QOL was assessed by European Organisation for Research and Treatment of Cancer QLQ-C30 and the lung cancer module QLQ-LC13 V体育安卓版. The primary end points for QOL analysis were time to deterioration of three common lung cancer symptoms: cough, dyspnea, and pain. .
Results: Survival was significantly longer (hazard ratio, 0. 70; P < . 0001) in the erlotinib arm. Compliance with QOL was 87% at baseline and more than 70% during treatment. Patients receiving erlotinib had significantly longer median time to deterioration for all three symptoms (4. 9 v 3. 7 months for cough [P = . 04]; 4. 7 v 2. 9 months for dyspnea [P = V体育ios版. 04], and 2. 8 v 1. 9 months for pain [P = . 03]). QOL response analyses showed that 44%, 34%, and 42% of patients receiving erlotinib had improvement in these three symptoms, respectively. This was accompanied by a significant improvement in the physical function (31% erlotinib v 19% placebo, P = . 01), and global QOL (35% v 26%, P < . 0001). Patients with complete or partial response were more likely to have improvement in the QOL response than patients with stable or progressive disease (P < . 01). .
Conclusion: Erlotinib not only improves survival in previously treated patients with NSCLC, but also improves tumor-related symptoms and important aspects of QOL. VSports最新版本.
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V体育平台登录 - Comment in
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Does erlotinib improve symptoms in patients with lung cancer?Nat Clin Pract Oncol. 2007 Mar;4(3):146-7. doi: 10.1038/ncponc0738. Epub 2007 Jan 30. Nat Clin Pract Oncol. 2007. PMID: 17262089 No abstract available.
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Relief of symptoms after gefitinib is associated with improvement of rest/activity rhythm in advanced lung cancer.J Clin Oncol. 2007 Jun 1;25(16):e17-9. doi: 10.1200/JCO.2007.11.3274. J Clin Oncol. 2007. PMID: 17538154 No abstract available.
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