|
CANCERS BRONCHIQUES NON A PETITES CELLULES AU STADE AVANCE ESSAIS TESTANT LE ROLE DU PEMETREXED
|
|
référence
|
chimiothérapie
|
n
|
(st IV)
|
% RO
|
p
|
SM
|
p
|
Gridelli,
2007 (1)
|
I. Pemetrexed 500
|
44
|
82 %
|
4,5 %
|
|
4,7
m
|
NS
|
II.
Pemetrexed 500 2x puis
gemcitabine 2x (séquentiel)
|
43
|
81 %
|
11,6 %
|
5,4 m
|
Scagliotti,
2008 (2) I
|
I. cisplatine (75) + gemcitabine
|
863
|
76 %
|
?
|
|
10,3
m
|
NS
|
II. cisplatine (75) + pemetrexed
|
862
|
76 %
|
?
|
10,3
m
|
Gronberg,
2009 (3) I
|
I. pemetrexed 500 + Carbo AUC 5
|
225
|
71 %
|
|
|
7,3
m
|
NS
|
II. gemcitabine 2 x 1 + Carbo AUC
5
|
221
|
72 %
|
|
7,0
m
|
Références
(1) Gridelli C, Kaukel E, Gregorc V, Migliorino MR, Muller TR, Manegold C, et al.
Single-agent pemetrexed or sequential pemetrexed/gemcitabine as front-line treatment of
advanced non-small cell lung cancer in elderly patients or patients ineligible for
platinum-based chemotherapy: a multicenter, randomized, phase II trial. J Thorac Oncol
2007 Mar;2(3):221-9.
(2) Scagliotti GV, Parikh P, von PJ, Biesma B, Vansteenkiste J, Manegold C, et al. Phase III study comparing cisplatin plus gemcitabine with cisplatin plus pemetrexed in chemotherapy-naive patients with advanced-stage non-small-cell lung cancer. J Clin Oncol 2008 Jul 20;26(21):3543-51.
(3) Gronberg BH, Bremnes RM, Flotten O, Amundsen T, Brunsvig PF, Hjelde HH, et al. Phase III study by the Norwegian lung cancer study group: pemetrexed plus carboplatin compared with gemcitabine plus carboplatin as first-line chemotherapy in advanced non-small-cell lung cancer. J Clin Oncol 2009 Jul 1;27(19):3217-24.
|