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. 2020 Jul 20;23(7):626–630. [Article in Chinese] doi: 10.3779/j.issn.1009-3419.2020.101.34

1.

一线应用贝伐珠单抗与含铂双药联合化疗的Ⅲ期随机对照研究

Phase 3 randomized studies of bevacizumab and platinum based double agents chemotherapy as front line treatment for advanced NSCLC

Study Regimen n ORR (%) PFS (mon) OS (mon)
ORR: objective response rate; PFS: progression free survival; OS: overall survival; NSCLC: non-small cell lung cancer.
ECOG 4599 Carboplatin+paclitaxel+bevacizumab 15 mg/kg 434 35.0 6.2 12.3
Carboplatin+paclitaxel 444 15.0, P < 0.001 4.5, HR=0.66 10.3, HR=0.79
AVAiL Cisplatin+gemcitabine+bevacizumab 15 mg/kg 351 34.6, P=0.046 6.5, HR=0.82 13.4, HR=1.03
Cisplatin+gemcitabine+bevacizumab 7.5 mg/kg 345 37.8, P=0.000, 3 6.7, HR=0.75 13.6, HR=0.93
Cisplatin+gemcitabine 347 21.6 6.1 13.1
PointBreak Carboplatin+pemetrexed+bevacizumab 15 mg/kg
bevacizumab+pemetrexed maintenance
472 34.1 6.0, HR=0.83 12.6, HR=0.949
Ccarboplatin+paclitaxel+bevacizumab 15 mg/kg
bevacizumabmaintenance
467 33.0 5.6 13.4
AVAPERL Cisplatin+pemetrexed+bevacizumab 7.5 mg/kg
then randomization
376 22.7
Bevacizumab 7.5 mg/kg+pemetrexed maintenance 128 7.4, HR=0.48 17.1, HR=0.87
Bevacizumab 7.5 mg/kg maintenance 125 3.7 13.2
BEYOND Carboplatin+paclitaxel+bevacizumab 15 mg/kg 138 54.0, P < 0.001 9.2, HR=0.40 24.3, HR=0.68
Carboplatin+paclitaxel+placbo 138 26 6.5 17.7
PRONOUNCE Carboplatin+pemetrexed pemetrexed maintenance 182 23.6, P=0.414 4.44, HR=1.06 10.5, HR=1.07
Carboplatin+paclitaxel+bevacizumab 15 mg/kg bevacizumab maintenance 179 27.4 5.49 11.7
ACRIN 5508 Carboplatin+paclitaxel+bevacizumab 15 mg/kg then randomization 1, 516 30.3
Bevacizumab maintenance 287 12.5 4.2 14.4
Pemetrexed maintenance 294 18.7 5.1, HR=0.85 15.9, HR=0.86
Bevacizumab+pemetrexed maintenance 293 21.2 7.5, HR=0.82 16.4, HR=0.9
COMPASS Carboplatin+pemetrexed+bevacizumab 15 mg/kg
then randomization
856
Bevacizumab maintenance 295 4.0 19.6
Bevacizumab+pemetrexed maintenance 299 5.7, HR=0.67 23.3, HR=0.87