Table
1: Phase
III randomized, controlled trials investigating switch maintenance therapy.
Trial |
Induction
chemotherapy |
Maintenance
regimen |
Median
PFS |
Median
OS |
GCOT, Westeel et al. JNCI 2005 [10] |
Mitomycin + ifosfamide +
cisplatin (MIC) × 4 cycles (or 2 cycles + radiation if stage IIIB) |
Vinorelbine × 6 months vs.
no further treatment |
5 vs. 3 months, p
= 0.11 |
12.3 vs. 12.3 months, p = 0.65 |
Sculier et al. Ann Oncol 2007 [11] |
Gemcitabine + ifosfamide +
cisplatin (GIP) × 3 cycles |
Paclitaxel vs. GIP |
4.0 vs. 4.4 months, p
= 0.56 |
9.7 vs. 11.9 months, p
= 0.17 |
JMEN, Ciuleanu et al. Lancet 2009 [12] |
Platinum-based chemo × 4
cycles |
Pemetrexed vs. placebo |
4.3 vs. 2.6 months, P <
0.0001 |
13.4 vs. 10.6 months, p = 0.012 |
Fidias et al. JCO 2009 [13] |
Carboplatin + gemcitabine ×
4 cycles |
Immediate vs. delayed
docetaxel × maximum 6 cycles |
5.7 vs. 2.7 months, p
= 0.0001 |
12.3 vs. 9.7 months, p
= 0.0853 |
SATURN, Cappuzzo et al. Lancet Oncol 2010 [14] |
Platinum-based chemo × 4
cycles |
Erlotinib vs. placebo |
12.3 vs. 11.1 weeks, p <
0.0001 |
12.0 vs. 11.0 months, p = 0.0088 |
Perol et al. JCO 2012 [16] |
Cisplatin + gemcitabine ×
4 cycles |
Erlotinibvs. observation (vs. gemcitabine) |
2.9 vs. 1.9 months, p
= 0.003 |
11.4 vs. 10.8 months, p = 0.3043 |
ATLAS, Johnson et al. JCO 2013 [15] |
Chemotherapy + bevacizumab
× 4 cycles |
Bevacizumab + erlotinib
vs. bevacizumab + placebo |
4.8 vs. 3.7 months, p <
0.001 |
14.4 vs. 13.3 months, p = 0.5341 |