Comparison of Survival in Advanced Non-Small Cell Lung Cancer Patients in the Pre- and Post-Gefitinib Eras
- Authors
- Kim, HS[Kim, Hyo Song]; Park, K[Park, Keunchil]; Jun, HJ[Jun, Hyun Jung]; Yi, SY[Yi, Seong Yoon]; Lee, J[Lee, Jeeyun]; Ahn, JS[Ahn, Jin Seok]; Park, YH[Park, Yeon Hee]; Kim, S[Kim, Seonwoo]; Lee, S[Lee, Sangcheol]; Ahn, MJ[Ahn, Myung-Ju]
- Issue Date
- 2009
- Publisher
- KARGER
- Keywords
- Gefitinib; Advanced non-small cell lung cancer; Palliative chemotherapy
- Citation
- ONCOLOGY, v.76, no.4, pp.239 - 246
- Indexed
- SCIE
SCOPUS
- Journal Title
- ONCOLOGY
- Volume
- 76
- Number
- 4
- Start Page
- 239
- End Page
- 246
- URI
- https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/79832
- DOI
- 10.1159/000205386
- ISSN
- 0030-2414
- Abstract
- Background: The aim of this study was to analyze the survival difference between advanced non-small cell lung cancer (NSCLC) patients in the pre-gefitinib and post-gefitinib eras in Korea. Patients and Methods: 830 patients with advanced/metastatic or recurrent NSCLC who received palliative chemotherapy were retrospectively reviewed. Using a matched-pair case-control study design, 334 pairs from the pre-gefitinib era (January 1999 to December 2001) and the post-gefitinib era (January 2002 to December 2005) were matched by age, sex and histology. Results: The median overall survival from the date of first administration of palliative chemotherapy was significantly longer in the post-gefitinib era (11.5 vs. 19.3 months, p < 0.001). Multivariate analysis showed that gefitinib was associated with longer overall survival (hazard ratio 0.58, p < 0.001) as were never having been a smoker, adenocarcinoma histology, good performance, stage IIIB, >= 3 prior episodes of chemotherapy, platinum-based chemotherapy and previous docetaxel or pemetrexed treatment. Patients in the post-gefitinib era showed significantly longer overall survival in almost all subgroups. Gefitinib treatment was of significantly greater benefit in patients with adenocarcinoma than in those with non-adenocarcinoma (test for interaction p < 0.001). Conclusion: These results indicate a significant improvement of survival in advanced NSCLC patients treated with gefitinib in Korea. Copyright (C) 2009 S. Karger AG, Basel
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Collections - Medicine > Department of Medicine > 1. Journal Articles
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