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Bevacizumab plus erlotinib in Chinese patients with untreated, EGFR-mutated, advanced NSCLC (ARTEMIS-CTONG1509): A multicenter phase 3 study

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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 [3]Jilin Prov Tumor Hosp, Dept Thorac Oncol, Changchun, Peoples R China [4]First Hosp China Med Univ, Dept Med Oncol, Shenyang, Peoples R China [5]Canc Hosp Harbin Med Univ, Med Oncol, Harbin, Peoples R China [6]First Hosp Jilin Univ, Canc Ctr, Changchun, Peoples R China [7]Hunan Canc Hosp, Dept Med Oncol, Changsha, Peoples R China [8]Nanjing Univ Sch Med, Jinling Hosp, Dept Resp Med, Nanjing, Peoples R China [9]Liaoning Canc Hosp, Med Oncol, Shenyang, Peoples R China [10]Shanghai Jiao Tong Univ, Shanghai Chest Hosp, Med Oncol, Shanghai, Peoples R China [11]Zhejiang Univ, Affiliated Hosp 1, Resp Med, Coll Med, Hangzhou, Peoples R China [12]Zhengzhou Univ, Dept Resp Med, Henan Canc Hosp, Affiliated Canc Hosp, Zhengzhou, Peoples R China [13]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Med Oncol, Wuhan, Peoples R China [14]Fujian Canc Hosp, Med Oncol, Fuzhou, Peoples R China [15]Nanjing Med Univ, Affiliated Hosp 1, Med Oncol, Nanjing, Peoples R China
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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.

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出版当年[2020]版:
大类 | 1 区 医学
小类 | 1 区 细胞生物学 1 区 肿瘤学
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 细胞生物学 1 区 肿瘤学
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出版当年[2019]版:
Q1 CELL BIOLOGY Q1 ONCOLOGY
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Q1 CELL BIOLOGY Q1 ONCOLOGY

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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
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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
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