Systemic therapy of advanced non-small cell lung cancer: Major-developments of the last 5-years

被引:89
作者
Cufer, Tanja [1 ]
Ovcaricek, Tanja [2 ]
O'Brien, Mary E. R. [3 ]
机构
[1] Univ Clin Golnik, Med Oncol Unit, Golnik 4204, Slovenia
[2] Univ Clin Ctr Maribor, Maribor 2000, Slovenia
[3] Royal Marsden Hosp, Sutton SM2 5RS, Surrey, England
关键词
Non-small cell lung cancer; Advanced disease; New systemic therapies; PHASE-III TRIAL; RECEPTOR TYROSINE KINASE; DOUBLE-BLIND; 1ST-LINE TREATMENT; MAINTENANCE THERAPY; OPEN-LABEL; DOUBLET CHEMOTHERAPY; WEEKLY PACLITAXEL; RANDOMIZED-TRIAL; ELDERLY-PATIENTS;
D O I
10.1016/j.ejca.2012.11.021
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The standard palliative treatment for advanced stage NSCLC remains a platinum doublet but by tailoring chemotherapy according to tumour histology the results can be improved through using pemetrexed-containing schemas in non-squamous-cell disease. In addition, maintenance chemotherapy appears to be effective in patients achieving clinical benefit by induction therapy. Targeted therapy based on the presence of activating epidermal growth factor receptor (EGFR) activating mutations or EML4-ALK gene rearrangement is becoming standard practice with high median survival rates, up to 30 months. There are still numerous other molecular targeted drugs in development. This review presents the most recent relevant progress in systemic anti-cancer therapy of advanced NSCLC in the past 5 years and delineates today's new treatment options. (C) 2012 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1216 / 1225
页数:10
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