1.
肺癌脑转移患者临床试验数据来源
Data sources of clinical trials for lung cancer patients with brain metastasis
| Study | Year | Treatment | Outcome | Citation |
| WBRT: whole brain radiotherapy; EGFR-TKI: epidermal growth factor receptor-tyrosine kinase inhibitor; SRS: stereotactic radiotherapy; ORR: objective response rate; mPFS: median progression-free survival; mOS: median overall survival; DCR: disease control rate; *: subgroup analysis for brain metastasis lung cancer patients. | ||||
| Clinical trials for patients with brain metastasis | ||||
| BRAIN | 2017 | Icotinib vs WBRT | mPFS: 6.8 mo vs 3.4 mo, imPFS: 10.0 mo vs 4.8 mo | [36] |
| CTONG-0803 | 2012 | Erlotinib | ORR: 58.3%; mPFS: 15.2 mo; imPFS: 10.1 mo; | [15] |
| Iuchi | 2013 | Gefitinib | ORR: 87.8%; mPFS: 14.5 mo; mOS: 21.9 mo | [14] |
| Park | 2012 | Erlotinib or gefitinib | DCR: 93%; mPFS: 6.6 mo; mOS: 15.9 mo | [13] |
| William | 2016 | EGFR-TKI+SRS or WBRT;WBRT+EGFR-TKI;SRS+EGFR-TKI | mOS: 19.4 mo vs 29.9 mo vs 58.4 mo | [43] |
| William | 2017 | EGFR-TKI+SRS or WBRT;WBRT+EGFR-TKI;SRS+EGFR-TKI | mOS: 25 mo vs 30 mo vs 46 mo | [42] |
| BLOOM | 2017 | AZD3759 | 1st-line: ORR: 65%, iORR: 83% 2nd line: ORR: 28% |
[28] |
| Subgroup analysis for patients with brain metastasis | ||||
| ALEX | 2017 | Alectinib vs crizotinib | mPFS: 34.8 mo vs 10.9 mo, mPFS*: 27.7 mo vs 7.4 mo | [30] |
| ASCEND-4 | 2017 | Ceritinib vs platinum-based chemotherapy | mPFS: 16.6 mo vs 8.1 mo mPFS*: 10.7 mo vs 6.7 mo | [41] |
| AURA3 | 2016 | Osimertinib vs platinum-pemetrexed | ORR*: 71% vs 31%, mPFS*: 10.1 mo vs 4.4 mo, imPFS*: 8.5 mo vs 4.2 mo | [39] |
| FLAURA | 2017 | Osimertinib vs standard EGFR-TKI | mPFS: 18.9 mo vs 10.2 mo, mPFS*: 15.2 mo vs 9.6 mo | [27] |
| J-ALEX | 2017 | Alectinib vs crizotinib | mPFS: 34.1 mo vs 10.2 mo | [29] |
| LUX-Lung 3 & 6 | 2015 | Afatinib vs cisplatin-based chemotherapy | mPFS*: 8.2 mo vs 5.4 mo, ORR*: 70% vs 20% | [37, 38] |
| NCT01970865 | 2018 | Lorlatinib | ORR: 90%, ORR*: 66.7% | [31] |
| NCT01449461 | 2016 | Brigatinib | mPFS: 15.6 mo | [32] |
| PROFILE 1005 or 1007 | 2015 | Crizotinib | 1st line: DCR: 63%, iDCR: 56%, mPFS: 7 mo; 2nd line: DCR: 65%, iDCR: 2%, mPFS: 13.2 mo | [16-18] |
| PROFILE 1014 | 2014 | Crizotinib vs chemotherapy | ORR: 74% vs 45%, mPFS: 10.9 mo vs 7 mo, ORR*: 77% vs 28%, mPFS*: 9 mo vs 4 mo | [40] |
| ALTA | 2017 | Brigatinib | ORR: 54%, mPFS: 12.9 mo | [45] |
| ASCEND-5 | 2017 | Ceritinib vs chemotherapy | mPFS: 5.4 mo vs 1.6 mo | [46] |
| NCT02737501 | 2018 | Brigatinib vs crizotinib | ORR: 71% vs 60%, iORR: 78% vs 29% | [47] |
| NCT01801111 | 2015 | Alectinib | ORR: 50%, mPFS: 8.9 mo | [48] |
| NCT01871805 | 2016 | Alectinib | ORR: 48%, mPFS: 8.1 mo | [49] |
| NCT01964157 | 2017 | Ceritinib | ORR: 62%, mPFS: 9.3 mo, mOS: 24 mo | [50] |
| NCT01336634 | 2016 | Dabrafenib+trametinib | ORR: 63.2%, mPFS: 9.7 mo | [34] |