期刊
ANNALS OF ONCOLOGY
卷 25, 期 1, 页码 132-138出版社
OXFORD UNIV PRESS
DOI: 10.1093/annonc/mdt489
关键词
axitinib; bevacizumab; chemotherapy; non-squamous; non-small-cell lung cancer
类别
资金
- Pfizer Inc.
Background: Efficacy and safety of first-line axitinib/paclitaxel/carboplatin versus bevacizumab/paclitaxel/carboplatin in advanced non-squamous non-small-cell lung cancer (NSCLC) was evaluated. Patients and methods: Patients with stage IIIB/IV disease stratified by adjuvant therapy and gender were randomised 1 1 to axitinib (5 mg twice daily) or bevacizumab [15 mg/kg every 3 weeks (Q3W)], both with paclitaxel (200 mg/m(2) Q3W)/carboplatin (AUC 6 mg min/ml Q3W). Results: The trial was discontinued after preliminary analysis. Median progression-free survival (primary end point) for axitinib (N = 58) and bevacizumab (N 60), respectively, was 5.7 and 6.1 months [hazard ratio (HR) 1.09, 95% confidence interval (Cl) 0.68-1.76; one-sided stratified P=0.64]; median overall survival was 10.6 and 13.3 months (HR 1.12, 95% Cl 0.74-1.69; one-sided stratified P=0.70). Objective response rates (95% Cl) were 29.3% (18.1-42.7) and 43.3% (30.6-56.8), respectively; risk ratio 0.676 (95% Cl 0.41-1.11; one-sided stratified P=0.94). The most common grade 3/4 adverse events included neutropenia (28% versus 20%), fatigue (14% versus 7%), and hypertension (14% versus 5%). Patient-reported outcomes based on the EORTC QLQ-C30 were similar between arms. Conclusions: In patients with advanced non-squamous NSCLC, axitinib/paclitaxel/carboplatin did not improve efficacy versus bevacizumab/paclitaxel/carboplatin, and was less well tolerated.
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