Clinical effectiveness of pemetrexed combined with cisplatin chemotherapy for advanced and maintenance treatment for patients with non-small-cell lung cancer

Clinical effectiveness of pemetrexed combined with cisplatin chemotherapy for advanced and maintenance treatment for patients with non-small-cell lung cancer
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DOI:
10.26355/eurrev_201804_14719
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发表时间:
2018-04-01
影响因子:
3.3
通讯作者:
Dai, H-P
Dai, H-P
中科院分区:
医学4区
文献类型:
--
作者:
Zhu, Y-M.;Gan, Y-L;Dai, H-P

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OBJECTIVE: To evaluate the clinical effectiveness of pemetrexed combined with cisplatin for the first-line chemotherapy of patients with advanced non-small-cell lung cancer (NSCLC) and maintenance treatment.PATIENTS AND METHODS: 240 advanced NSCLC patients were randomly divided into either a control group (treated with gemcitabine combined with cisplatin) or an observation group (treated with pemetrexed combined with cisplatin). The primary treatment was defined as first-line chemotherapy, and the maintenance treatment was defined as retreatment. The demographic data from both groups were statistically similar. Patients were treated for 21 days for each cycle and underwent between 4 to 6 treatment cycles.RESULTS: The mid-and-long term efficacy between groups was compared using efficacy indexes [ objective response rate (ORR), disease control rate (DCR), and chemotherapy toxic reaction rate] and progression-free survival (PFS), median survival time, and one-year survival rates. The observation group showed a statically greater (p0.05). The PFS, median survival time, and one-year survival rate of the observation group were statistically longer (p