本帖最后由 老马 于 2013-3-13 13:43 编辑 ' t- v: E& E, \2 t% N: G, V4 ]; S1 U
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健择(吉西他滨)+顺铂+阿瓦斯汀- r5 Y' v+ q2 R- H4 u5 G! O
Gemzar +Cisplatin + Avastin
( x3 b- f2 @0 |" ahttp://annonc.oxfordjournals.org/content/21/9/1804.full
$ j+ C$ ?; W( @. B# m5 X E; @# ^Overall survival with cisplatin–gemcitabine and bevacizumab or placebo as first-line therapy for nonsquamous non-small-cell lung cancer: results from a randomised phase III trial (AVAiL)
9 z* }9 w' L% u# O+ g2 aPatients and methods: Patients (n = 1043) received cisplatin 80 mg/m2 and gemcitabine 1250 mg/m2 for up to six cycles plus bevacizumab 7.5 mg/kg (n = 345), bevacizumab 15 mg/kg (n = 351) or placebo (n = 347) every 3 weeks until progression. Primary end point was progression-free survival (PFS); OS was a secondary end point.
! U/ C, y$ \/ \+ P, rResults: Significant PFS prolongation with bevacizumab compared with placebo was maintained with longer follow-up {hazard ratio (HR) [95% confidence interval (CI)] 0.75 (0.64–0.87), P = 0.0003 and 0.85 (0.73–1.00), P = 0.0456} for the 7.5 and 15 mg/kg groups, respectively. Median OS was >13 months in all treatment groups; nevertheless, OS was not significantly increased with bevacizumab [HR (95% CI) 0.93 (0.78–1.11), P = 0.420 and 1.03 (0.86–1.23), P = 0.761] for the 7.5 and 15 mg/kg groups, respectively, versus placebo. Most patients (62%) received multiple lines of poststudy treatment. Updated safety results are consistent with those previously reported. : V* W# Z& R3 E! p! P2 i0 t! M
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