CANCERS BRONCHIQUES A PETITES CELLULES : CHIMIOTHERAPIE
META-ANALYSES ET REVUES SYSTEMATIQUES

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Référence

Méthodologie

Critère de jugement

Nombre d'essais

Nombre de patients

Résultat

Rôle de l'étoposide et/ou du cisplatine (CE) dans la chimiothérapie

Mascaux,

2000 (1)

MARSL

Survie globale

36

7173

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)

Pujol,

2000 (2)

MAI

Survie à 1 an

19

4050

S en faveur du cisplatine

OR = 0,80 (0,69 – 0,93)

Jiang,

2012 (3)

MARSL

Survie globale

12 (ME)

 

S en faveur cisplatine + étoposide

HR = 0,87 (0,78 – 0,97)

Rôle des facteurs de croissance dans la chimiothérapie

Berghmans, 2002 (4)

MARSL

Survie globale

6

(entretien)

1222

NS

HR = 1,004 (0,89 – 1,13)

Berghmans, 2002 (4)

 

Survie globale

2 (accélération)

468

NS

HR = 0,82 (0,67 - 1,00)

Entretien/consolidation

Bozcuk,

2005 (5)

MARSL

Survie à 1 an et 2 ans

14

2550

S (en faveur consolidation/entretien)

OR = 0,67 (0,56 – 0,79) et 0,67

(0,53 – 0,86)

Rossi,

2010 (6)

MARSL

Survie globale

22

3688

NS

HR = 0,93 (0,87 - 1,00)

Chimiothérapie intensive avec greffe de cellules souches

Jiang,

2009 (7)

MAI

Survie globale

5

641

NS

HR = 0,94 (0,80 - 1,10)

Rôle de l'irinotécan avec cisplatine (CI par rapport à CE) dans la chimiothérapie

Jiang,

2010 (8)

MAI

Survie globale

6

1476

S en faveur CI

HR = 0,81 (0,66 – 0,99)

Lima,

2010 (9)

MARSL

Survie globale

5

1561

S en faveur CI

HR = 0,84 (0,75 – 0,93)

Shao,

2012 (10)

MAI

Survie globale

7

2027

S en faveur CI

HR = 0,81 (0,71 – 0,93)

Cisplatine vs carboplatine

Rossi,

2012 (11)

MADI

Survie globale

4

663

NS

HR =1,08 (0,92 – 1,27)



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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