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在常规实践中用雷莫芦单抗和/或检查点抑制剂治疗非小细胞肺癌的序贯疗法。

Sequential therapy with ramucirumab and/or checkpoint inhibitors for non-small-cell lung cancer in routine practice.

机构信息

Eli Lilly & Company, Lilly Corporate Center, Indianapolis, IN 46285, USA.

出版信息

Future Oncol. 2019 Sep 1;15(25):2915-2931. doi: 10.2217/fon-2018-0876. Epub 2019 Feb 22.

DOI:10.2217/fon-2018-0876
PMID:30793926
Abstract

To describe treatment patterns and outcomes for advanced/metastatic non-small-cell lung cancer (aNSCLC) treated with single-agent or combination ramucirumab (ramucirumab-based) and/or immune checkpoint inhibitor (ICI-based) therapy. Retrospective study of aNSCLC patients (n = 4054) identified in the Flatiron Health database, who received at least two treatment lines including ramucirumab- and/or ICI-based regimens between December 2014 and May 2017. Median overall survival (95% CI) from aNSCLC diagnosis was 29.3 (25.5-33.0) months for patients receiving sequential ramucirumab- and ICI-based therapy (n = 245), 15.1 (12.6-18.2) months for patients receiving sequences including ramucirumab- without ICI-based therapy (n = 112), and 23.1 (21.9-24.2) months for patients receiving ICI-based therapy without ramucirumab-based therapy in sequence (n = 3697). Results provide real-world survival estimates for aNSCLC treated with sequences including ramucirumab- and/or ICI-based therapies.

摘要

描述采用单药或联合雷莫芦单抗(雷莫芦单抗为基础)和/或免疫检查点抑制剂(ICI 为基础)治疗的晚期/转移性非小细胞肺癌(aNSCLC)的治疗模式和结局。回顾性研究了在 Flatiron Health 数据库中确定的 aNSCLC 患者(n=4054),这些患者在 2014 年 12 月至 2017 年 5 月期间接受了至少两种治疗方案,包括雷莫芦单抗和/或 ICI 为基础的方案。从 aNSCLC 诊断开始,接受序贯雷莫芦单抗和 ICI 为基础治疗的患者(n=245)的中位总生存期(95%CI)为 29.3(25.5-33.0)个月,接受包括雷莫芦单抗但无 ICI 为基础治疗的方案(n=112)的患者为 15.1(12.6-18.2)个月,接受序贯 ICI 为基础治疗但无雷莫芦单抗为基础治疗的患者(n=3697)为 23.1(21.9-24.2)个月。结果提供了接受包括雷莫芦单抗和/或 ICI 为基础治疗方案的 aNSCLC 的真实世界生存估计。

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