N Chaithra, Jain Anisha, C Sahana, Shreevatsa Bhargav, Rajendrasozhan Saravanan, Dharmashekar Chandan, Suresh Kuralayanapalya Puttahonnappa, Patil Sharanagouda S, Singh Pranav, Vishwanath Prashant, Srinivasa Chandrashekar, Kollur Shiva Prasad, Shivamallu Chandan
Division of Medical Statistics, Life Sciences and Natural Sciences Departments, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India.
Department of Microbiology, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India.
Front Oncol. 2024 May 14;14:1298786. doi: 10.3389/fonc.2024.1298786. eCollection 2024.
BACKGROUND: Lung cancer is the foremost cause of cancer-related death globally, with non-small cell lung cancer (NSCLC) accounting for 85-90% of cases. Targeted therapy is the most essential therapeutic option for NSCLC, other common treatments include radiation therapy, surgery, chemotherapy, and immunotherapy. OBJECTIVE: Our study objective was to estimate whether progression-free survival (PFS) is an outcome of NSCLC extracted from 18 randomized control trials (RCTs) with docetaxel as experimental group and antineoplastic agent, kinase inhibitor, and monoclonal antibodies as a control group. METHODS: We selected relevant studies published between 2011 and 2022 using Google Scholar, PubMed, Scopus, Science Direct, and Cochrane Library. Advanced NSCLC, chemotherapy, RCT, docetaxel, and second-line treatment were the terms included in the search. A total of 9738 patients were evaluated from the 18 identified studies. We used the meta package of R Studio to perform the meta-analysis. Graphical funnel plots were used to evaluate publication bias visually. RESULTS: Patients who underwent docetaxel-based therapy had a considerably longer PFS than those who got antineoplastic agents, kinase inhibitors, or monoclonal antibodies-based treatment. Patients in the standard treatment arm had a slightly longer PFS than those in the experimental therapy arm in the overall meta-analysis. CONCLUSION: Docetaxel outperformed monoclonal antibodies, antineoplastic agents, and kinase inhibitors in the second-line therapy of advanced NSCLC since PFS was extensively utilized.
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