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CANCERS BRONCHIQUES A PETITES CELLULES : CHIMIOTHERAPIE
META-ANALYSES ET REVUES SYSTEMATIQUES
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Référence
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Méthodologie
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Critère de jugement
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Nombre d'essais
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Nombre de patients
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Résultat
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Rôle de l'étoposide et/ou du cisplatine
(CE) dans la chimiothérapie
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Mascaux,
2000 (1)
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MARSL
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Survie globale
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36
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7173
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S en faveur de l'étoposide
HR
= 0,61 (IC 95 % 0,57 – 0,66)
et de l'association
CE
HR
= 0,57 (0,51 – 0,64)
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Pujol,
2000 (2)
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MAI
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Survie à 1 an
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19
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4050
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S en faveur du cisplatine
OR
= 0,80 (0,69 – 0,93)
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Jiang,
2012 (3)
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MARSL
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Survie globale
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12 (ME)
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S en faveur cisplatine + étoposide
HR = 0,87 (0,78 – 0,97)
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Rôle des facteurs de croissance dans la
chimiothérapie
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Berghmans, 2002 (4)
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MARSL
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Survie globale
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6
(entretien)
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1222
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NS
HR
= 1,004 (0,89 – 1,13)
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Berghmans, 2002 (4)
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Survie globale
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2 (accélération)
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468
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NS
HR
= 0,82 (0,67 - 1,00)
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Entretien/consolidation
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Bozcuk,
2005 (5)
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MARSL
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Survie à 1 an et 2
ans
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14
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2550
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S (en faveur
consolidation/entretien)
OR
= 0,67 (0,56 – 0,79) et 0,67
(0,53
– 0,86)
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Rossi,
2010 (6)
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MARSL
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Survie globale
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22
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3688
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NS
HR
= 0,93 (0,87 - 1,00)
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Chimiothérapie intensive avec greffe de
cellules souches
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Jiang,
2009 (7)
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MAI
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Survie globale
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5
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641
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NS
HR
= 0,94 (0,80 - 1,10)
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Rôle de l'irinotécan avec cisplatine (CI
par rapport à CE) dans la chimiothérapie
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Jiang,
2010 (8)
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MAI
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Survie globale
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6
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1476
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S en faveur CI
HR = 0,81 (0,66 – 0,99)
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Lima,
2010 (9)
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MARSL
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Survie globale
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5
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1561
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S en faveur CI
HR = 0,84 (0,75 – 0,93)
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Shao,
2012 (10)
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MAI
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Survie globale
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7
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2027
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S en faveur CI
HR = 0,81 (0,71 – 0,93)
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Cisplatine vs carboplatine
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Rossi,
2012 (11)
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MADI
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Survie globale
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4
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663
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NS
HR =1,08 (0,92 – 1,27)
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Références
(1) Mascaux C, Paesmans M, Berghmans T, Branle F, Lafitte JJ, Lemaitre F, et al. A systematic review of the role of etoposide and cisplatin in the chemotherapy of small cell lung cancer with methodology assessment and meta-analysis. Lung Cancer 2000 Oct;30(1):23-36.
(2) Pujol JL, Carestia L, Daures JP. Is there a case for cisplatin in the treatment of small-cell lung cancer? A meta-analysis of randomized trials of a cisplatin-containing regimen versus a regimen without this alkylating agent. Br J Cancer 2000 Jul;83(1):8-15.
(3) Jiang L, Yang KH, Guan QL, Mi DH, Wang J. Cisplatin plus etoposide versus other platin-based regimens for patients with extensive small-cell lung cancer: a systematic review and meta-analysis of randomised, controlled trials. Intern Med J 2012 Dec;42(12):1297-309.
(4) Berghmans T, Paesmans M, Lafitte JJ, Mascaux C, Meert AP, Sculier JP. Role of granulocyte and granulocyte-macrophage colony-stimulating factors in the treatment of small-cell lung cancer: a systematic review of the literature with methodological assessment and meta-analysis. Lung Cancer 2002 Aug;37(2):115-23.
(5) Bozcuk H, Artac M, Ozdogan M, Savas B. Does maintenance/consolidation chemotherapy have a role in the management of small cell lung cancer (SCLC)? A metaanalysis of the published controlled trials. Cancer 2005 Dec 15;104(12):2650-7.
(6) Rossi A, Garassino MC, Cinquini M, Sburlati P, Di MM, Farina G, et al. Maintenance or consolidation therapy in small-cell lung cancer: a systematic review and meta-analysis. Lung Cancer 2010 Nov;70(2):119-28.
(7) Jiang J, Shi HZ, Deng JM, Liang QL, Qin SM, Wu C. Efficacy of intensified chemotherapy with hematopoietic progenitors in small-cell lung cancer: A meta-analysis of the published literature. Lung Cancer 2009 Aug;65(2):214-8.
(8) Jiang J, Liang X, Zhou X, Huang L, Huang R, Chu Z, et al. A meta-analysis of randomized controlled trials comparing irinotecan/platinum with etoposide/platinum in patients with previously untreated extensive-stage small cell lung cancer. J Thorac Oncol 2010 Jun;5(6):867-73.
(9) Lima JP, dos Santos LV, Sasse EC, Lima CS, Sasse AD. Camptothecins compared with etoposide in combination with platinum analog in extensive stage small cell lung cancer: systematic review with meta-analysis. J Thorac Oncol 2010 Dec;5(12):1986-93.
(10) Shao N, Jin S, Zhu W. An updated meta-analysis of randomized controlled trials comparing irinotecan/platinum with etoposide/platinum in patients with previously untreated extensive-stage small cell lung cancer. J Thorac Oncol 2012 Feb;7(2):470-2.
(11) Boni C, Tiseo M, Boni L, Baldini E, Recchia F, Barone C, et al. Triplets versus doublets, with or without cisplatin, in the first-line treatment of stage IIIB-IV non-small cell lung cancer (NSCLC) patients: a multicenter randomised factorial trial (FAST). Br J Cancer 2012 Feb 14;106(4):658-65.
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