Table 2: Phase III randomized, controlled trials investigating continuation maintenance therapy.

 

Trial

Induction chemotherapy

Maintenance regimen

Median PFS

Median OS

CECOG, Brodowicz et al. Lung Cancer 2006 [22]

Cisplatin + gemcitabine × 4 cycles

Gemcitabine vs. BSC

3.6 vs. 2.0 months, p < 0.001

13.0 vs. 11.0 months, p = 0.195

Belani et al. 2010 [23]

Carboplatin + gemcitabine × 4 cycles

Gemcitabine vs. BSC

3.9 vs. 3.8 months, p = 0.58

8.0 vs. 9.3 months,

p = 0.84

Perol et al. JCO 2012 [16]

Cisplatin + gemcitabine × 4 cycles

Gemcitabine vs. placebo

(vs. erlotinib)

3.8 vs. 1.9 months, p < 0.001

12.1 vs. 10.8 months, p = 0.3867

PARAMOUNT, Paz-Ares et al. Lancet Oncol 2012 [17,20]

Cisplatin + pemetrexed× 4 cycles

Pemetrexed vs. placebo

4.1 vs. 2.8 months, p < 0.0001

13.9 vs. 11.0 months, p = 0.0195

AVAPERL, Barlesi et al. JCO 2013 [18,21]

Cisplatin + pemetrexed + bevacizumab × 4 cycles

Bevacizumab + pemetrexed vs. bevacizumab

7.4 vs. 3.7 months, p < 0.0001

17.1 vs. 13.2 months, p = 0.29

Point Break, Patel et al. JCO 2013 [19]

Carboplatin + bevacizumab + (pemetrexed vs. paclitaxel) × 4 cycles

Maintenance of non-carbo therapy: Bev + (pemetrexed vs. paclitaxel)

6.0 vs. 5.6 months, p = 0.012

12.6 vs. 13.4 months, p = 0.949