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Verfasst von:Novello, Silvia [VerfasserIn]   i
 Torri, V. [VerfasserIn]   i
 Grohé, Christian [VerfasserIn]   i
 Kurz, S. [VerfasserIn]   i
 Serke, M. [VerfasserIn]   i
 Wehler, T. [VerfasserIn]   i
 Meyer, A. [VerfasserIn]   i
 Ladage, D. [VerfasserIn]   i
 Geissler, M. [VerfasserIn]   i
 Colantonio, I. [VerfasserIn]   i
 Cauchi, C. [VerfasserIn]   i
 Stoelben, E. [VerfasserIn]   i
 Ceribelli, A. [VerfasserIn]   i
 Kropf-Sanchen, C. [VerfasserIn]   i
 Valmadre, G. [VerfasserIn]   i
 Borra, G. [VerfasserIn]   i
 Schena, M. [VerfasserIn]   i
 Morabito, A. [VerfasserIn]   i
 Santo, A. [VerfasserIn]   i
 Gregorc, V. [VerfasserIn]   i
 Chiari, R. [VerfasserIn]   i
 Reck, M. [VerfasserIn]   i
 Schmid-Bindert, Gerald [VerfasserIn]   i
 Folprecht, G. [VerfasserIn]   i
 Griesinger, Frank [VerfasserIn]   i
 Follador, A. [VerfasserIn]   i
 Pedrazzoli, P. [VerfasserIn]   i
 Bearz, A. [VerfasserIn]   i
 Caffo, O. [VerfasserIn]   i
 Dickgreber, N. J. [VerfasserIn]   i
 Irtelli, L. [VerfasserIn]   i
 Wiest, G. [VerfasserIn]   i
 Monica, V. [VerfasserIn]   i
 Porcu, L. [VerfasserIn]   i
 Manegold, Christian [VerfasserIn]   i
 Scagliotti, G. V. [VerfasserIn]   i
Titel:International Tailored Chemotherapy Adjuvant (ITACA) trial, a phase III multicenter randomized trial comparing adjuvant pharmacogenomic-driven chemotherapy versus standard adjuvant chemotherapy in completely resected stage II-IIIA non-small-cell lung cancer
Verf.angabe:S. Novello, V. Torri, C. Grohe, S. Kurz, M. Serke, T. Wehler, A. Meyer, D. Ladage, M. Geissler, I. Colantonio, C. Cauchi, E. Stoelben, A. Ceribelli, C. Kropf-Sanchen, G. Valmadre, G. Borra, M. Schena, A. Morabito, A. Santo, V. Gregorc, R. Chiari, M. Reck, G. Schmid-Bindert, G. Folprecht, F. Griesinger, A. Follador, P. Pedrazzoli, A. Bearz, O. Caffo, N.J. Dickgreber, L. Irtelli, G. Wiest, V. Monica, L. Porcu, C. Manegold and G.V. Scagliotti
E-Jahr:2022
Jahr:January 2022
Umfang:10 S.
Fussnoten:Online verfügbar: 5. Oktober 2021, Artikelversion: 16. Dezember 2021 ; Gesehen am 20.08.2024
Titel Quelle:Enthalten in: Annals of oncology
Ort Quelle:Amsterdam [u.a.] : Elsevier, 1990
Jahr Quelle:2022
Band/Heft Quelle:33(2022), 1 vom: Jan., Seite 57-66
ISSN Quelle:1569-8041
Abstract:Background - Several strategies have been investigated to improve the 4% survival advantage of adjuvant chemotherapy in early-stage non-small-cell lung cancer (NSCLC). In this investigator-initiated study we aimed to evaluate the predictive utility of the messenger RNA (mRNA) expression levels of excision repair cross complementation group 1 (ERCC1) and thymidylate synthase (TS) as assessed in resected tumor. - Patients and methods - Seven hundred and seventy-three completely resected stage II-III NSCLC patients were enrolled and randomly assigned in each of the four genomic subgroups to investigator’s choice of platinum-based chemotherapy (C, n = 389) or tailored chemotherapy (T, n = 384). All anticancer drugs were administered according to standard doses and schedules. Stratification factors included stage and smoking status. The primary endpoint of the study was overall survival (OS). - Results - Six hundred and ninety patients were included in the primary analysis. At a median follow-up of 45.9 months, 85 (24.6%) and 70 (20.3%) patients died in arms C and T, respectively. Five-year survival for patients in arms C and T was of 65.4% (95% CI (confidence interval): 58.5% to 71.4%) and 72.9% (95% CI: 66.5% to 78.3%), respectively. The estimated hazard ratio (HR) was 0.77 (95% CI: 0.56-1.06, P value: 0.109) for arm T versus arm C. HR for recurrence-free survival was 0.89 (95% CI: 0.69-1.14, P value: 0.341) for arm T versus arm C. Grade 3-5 toxicities were more frequently reported in arm C than in arm T. - Conclusion - In completely resected stage II-III NSCLC tailoring adjuvant chemotherapy conferred a non-statistically significant trend for OS favoring the T arm. In terms of safety, the T arm was associated with better efficacy/toxicity ratio related to the different therapeutic choices in the experimental arm.
DOI:doi:10.1016/j.annonc.2021.09.017
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.1016/j.annonc.2021.09.017
 kostenfrei: Volltext: https://www.sciencedirect.com/science/article/pii/S0923753421044963
 DOI: https://doi.org/10.1016/j.annonc.2021.09.017
Datenträger:Online-Ressource
Sprache:eng
Bibliogr. Hinweis:Errata: Novello, Silvia: Corrigendum to “International Tailored Chemotherapy Adjuvant (ITACA) trial, a phase III multicenter randomized trial comparing adjuvant pharmacogenomic-driven chemotherapy versus standard adjuvant chemotherapy in completely resected stage II-IIIA non-small-cell lung cancer”
Sach-SW:adjuvant chemotherapy
 excision repair cross-complementation 1
 messenger RNA
 non-small-cell lung cancer
 pharmacogenomics
 thymidylate synthase
K10plus-PPN:1841086320
Verknüpfungen:→ Zeitschrift

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