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培美曲塞单药维持治疗晚期非小细胞肺癌的临床疗效

万莉娟 肖丹

实用医学杂志2015,Vol.31Issue(15):2553-2555,3.
实用医学杂志2015,Vol.31Issue(15):2553-2555,3.DOI:10.3969/j.issn.1006-5725.2015.15.046

培美曲塞单药维持治疗晚期非小细胞肺癌的临床疗效

Clinical observations of maintenance chemotherapy by pemetrexed on advanced non-small-cell lung cancer

万莉娟 1肖丹1

作者信息

  • 1. 330029 南昌市,江西省肿瘤医院内二科
  • 折叠

摘要

Abstract

Objective To observe the clinical effect of maintenance chemotherapy by pemetrexed in advanced non-small-cell lung cancer. Methods 60 patients with advanced non-small-cell lung cancer (stage Ⅲb~ Ⅳ) were randomly divided into observation group and control group , all the patients showed complete or partial remission after receiving 4 cycles of induction chemotherapy. Observation group was given pemetrexed maintenance (500 mg/m2 on days 1 every 21 days) until first disease progression, control group was given best supportive care . Progression free survival ( PFS ) , overall survival ( OS ) and adverse reaction were observed . Results PFS and OS of observation group were significantly higher than control group, PFS was (7.3 ± 1.20) vs (3.5 ± 1.13) months, OS was (12.2 ± 1.14) vs (7.1 ± 1.23) months, the difference was statistically significant. The main side effects were fatigue and leucopenia which were tolerable. Conclusion Maintenance therapy with peme-trexed following initial therapy was feasible, and extended the PFS and OS, and shows a favorable toxicity profile.

关键词

培美曲塞/维持治疗/非小细胞肺癌

Key words

Pemetrexed/Maintenance therapy/Non-small-cell lung cancer

引用本文复制引用

万莉娟,肖丹..培美曲塞单药维持治疗晚期非小细胞肺癌的临床疗效[J].实用医学杂志,2015,31(15):2553-2555,3.

实用医学杂志

OA北大核心CSTPCD

1006-5725

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