Dual inhibition of epidermal growth factor receptor (EGFR) and vascular endothelial growth factor (VEGF) pathways may delay therapeutic resistance in advanced non-small cell lung cancer (NSCLC). This phase 3 study investigated the efficacy and safety of an erlotinib plus bevacizumab regimen in untreated patients with advanced NSCLC. In total, 311 patients received bevacizumab plus erlotinib (n = 157) or erlotinib only (n = 154). Progression-free survival (PFS) was 17.9 months (95% confidence interval [CI], 15.2-19.9) for bevacizumab plus erlotinib and 11.2 months (95% CI, 9.7-13.8) for erlotinib only (hazard ratio [HR] = 0.55; 95% CI, 0.41-0.73; p < 0.001). A brain metastases subgroup treated with bevacizumab plus erlotinib also showed improved PFS (HR = 0.48; 95% CI, 0.27-0.84; p = 0.008). Grade >= 3 treatment-related adverse events occurred in 86 (54.8%) and 40 (26.1%) patients, respectively. Bevacizumab plus erlotinib significantly improved PFS in patients with untreated metastatic EGFR-mutated NSCLC, including those with brain metastases at baseline.
基金:
National Key R&D Program of China [2016YFC1303800]; Chinese Thoracic Oncology Group (CTONG); High-level Hospital Construction Project [DFJH201810]; CTONG
第一作者单位:[1]Guangdong Prov Peoples Hosp, Guangdong Lung Canc Inst, Guangdong Prov Key Lab Translat Med Lung Canc, Guangzhou, Peoples R China[2]Guangdong Acad Med Sci, Guangzhou, Peoples R China
通讯作者:
通讯机构:[1]Guangdong Prov Peoples Hosp, Guangdong Lung Canc Inst, Guangdong Prov Key Lab Translat Med Lung Canc, Guangzhou, Peoples R China[2]Guangdong Acad Med Sci, Guangzhou, Peoples R China
推荐引用方式(GB/T 7714):
Zhou Qing,Xu Chong-Rui,Cheng Ying,et al.Bevacizumab plus erlotinib in Chinese patients with untreated, EGFR-mutated, advanced NSCLC (ARTEMIS-CTONG1509): A multicenter phase 3 study[J].CANCER CELL.2021,39(9):1279-+.doi:10.1016/j.ccell.2021.07.005.
APA:
Zhou, Qing,Xu, Chong-Rui,Cheng, Ying,Liu, Yun-Peng,Chen, Gong-Yan...&Wu, Yi-Long.(2021).Bevacizumab plus erlotinib in Chinese patients with untreated, EGFR-mutated, advanced NSCLC (ARTEMIS-CTONG1509): A multicenter phase 3 study.CANCER CELL,39,(9)
MLA:
Zhou, Qing,et al."Bevacizumab plus erlotinib in Chinese patients with untreated, EGFR-mutated, advanced NSCLC (ARTEMIS-CTONG1509): A multicenter phase 3 study".CANCER CELL 39..9(2021):1279-+