lung cancer (metastatic) | versus No demonstrated result for efficacy | 4 trials | meta-analysis | | Trial | control | p<0.05 | harm | NS |
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Lynch, 2010 | cetuximab vs CT | | | OS 0.89 [0.75; 1.05] median 9.69 mo vs. 8.38 mo PFS 0.90 [0.76; 1.07] median 4.40 mo vs. 4.24 mo | FLEX (Pirker), 2009 | cetuximab + CT vs CT alone | OS 0.87 [0.76; 1.00] median 11.3 mo vs. 10.1 mo | | | Rosell, 2008 | cetuximab + CT vs CT alone | | | | Butts, 2007 | cetuximab vs CT alone | | | |
Trial | Treatments | Patients | Method |
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Lynch, 2010 | cetuximab (400 mg/m(2) on day 1, 250 mg/m(2) weekly) was administered until progression or unacceptable toxicity plus taxane/carboplatin (n=-9) vs. paclitaxel (225 mg/m(2)) or docetaxel (75 mg/m(2)), at the investigator's discretion, and carboplatin (area under the curve = 6) on day 1 every 3 weeks for < or = six cycles (n=-9) | chemotherapy-naïve patients with stage IIIB (pleural effusion) or IV NSCLC, without restrictions by histology or epidermal growth factor receptor expression | open-label Sample size: -9/-9 Primary endpoint: progression-free survival FU duration: phase III | FLEX (Pirker), 2009 | Cetuximab-at a starting dose of 400 mg/m(2) intravenous infusion over 2 h on day 1, and from day 8 onwards at 250 mg/m(2) over 1 h per week-was continued after the end of chemotherapy until disease progression or unacceptable toxicity + CT (n=557) vs. cisplatin 80 mg/m(2) intravenous infusion on day 1, and vinorelbine 25 mg/m(2) intravenous infusion on days 1 and 8 of every 3-week cycle) for up to six cycles (n=568) | chemotherapy-naive patients with advanced EGFR-expressing histologically or cytologically proven stage wet IIIB or stage IV non-small-cell lung cancer | open-label Sample size: 557/568 Primary endpoint: overall survival FU duration: | Rosell, 2008 | cetuximab treatment (initial dose 400 mg/m(2), followed by 250 mg/m(2) weekly thereafter) + same CT (n=43) vs. for a maximum of eight cycles, patients received three-weekly cycles of cisplatin (80 mg/m(2), day 1) and vinorelbine (25 mg/m(2) on days 1 and 8) alone (n=43) | first-line therapy in EGFR-expressing advanced non-small-cell lung cancer | Sample size: 43/43 Primary endpoint: FU duration: | Butts, 2007 | cetuximab (400 mg/m2 i.v (n=65) vs. cisplatin (75 mg/m2 i.v., every 3 weeks) or carboplatin (area under the concentration-versus-time curve of 5 intravenously [i.v.], every 3 weeks), and gemcitabine (1,250 or 1,000 mg/m2 i.v., days 1 and 8) (n=66) | chemotherapy-naïve patients with recurrent/metastatic NSCLC (stage IV or stage IIIB with malignant pleural effusion) | Sample size: 65/66 Primary endpoint: Response rate FU duration: phase II |
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