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Recently, Cancer Communications published the results of a phase 3 clinical study led by Professor Zhou Caicun of Shanghai Pulmonary Hospital, which mainly evaluated paclitaxel liposomes + cisplatin (LP) vs gemcitabine + cisplatin (GP) as the first-line treatment for locally advanced stages.
Or metastatic lung squamous cell carcinoma (LSCC)
.
Or metastatic lung squamous cell carcinoma (LSCC)
.
The main purpose is to evaluate the efficacy of paclitaxel liposome + cisplatin (LP) vs gemcitabine + cisplatin (GP) in the first-line treatment of locally advanced or metastatic lung squamous cell carcinoma (LSCC)
The included patients are between 18 and 75 years old, locally advanced (clinical stage IIIB, not suitable for concurrent radiotherapy and chemotherapy or surgery) or metastatic (stage IV) LSCC, according to the solid tumor response evaluation criteria (version 1.
1), in the use of this Before the study drug treatment, there was no previous systemic chemotherapy and at least one measurable lesion
.
The primary endpoint is progression-free survival (PFS)
The included patients are between 18 and 75 years old, locally advanced (clinical stage IIIB, not suitable for concurrent radiotherapy and chemotherapy or surgery) or metastatic (stage IV) LSCC, according to the solid tumor response evaluation criteria (version 1.
540 patients underwent eligibility screening and were randomized to receive the LP regimen (n = 268) or the GP regimen (n = 272)
73.
The last follow-up date was December 10, 2019, and the median follow-up time was 15.
PFS and OS
PFS and OSSubgroup analysis
Subgroup analysisThere was no significant difference between the LP group and the GP group in ORR (LP: 41.
8% vs.
GP: 45.
9%, P=0.
412) and DCR (LP: 90.
3% vs.
GP: 88.
1%, P= 0.
443)
.
8% vs.
GP: 45.
9%, P=0.
412) and DCR (LP: 90.
3% vs.
GP: 88.
1%, P= 0.
443)
.
There was no significant difference between the LP group and the GP group in ORR (LP: 41.
Efficacy evaluation
Efficacy evaluation97.
7% of the patients in the LP group and 99.
6% of the patients in the GP group reported any grade of AEs
.
SAE occurred in 31.
97.
Adverse reactions
Adverse reactionsIn summary, studies have shown that for patients with locally advanced or metastatic LSCC, the PFS, OS, ORR, and DCR of the LP regimen are similar to those of the GP regimen, but have more favorable toxicity
.
.
Studies have shown that for patients with locally advanced or metastatic LSCC, the PFS, OS, ORR and DCR of the LP regimen are similar to those of the GP regimen, but have more favorable toxicity
Original source:
Zhang J, Pan Y, Shi Q, et al.
Zhang J, Pan Y, Shi Q, et al.
Paclitaxel liposome for injection (Lipusu) plus cisplatin versus gemcitabine plus cisplatin in the first-line treatment of locally advanced or metastatic lung squamous cell carcinoma: A multicenter, randomized, open-label, parallel controlled clinical study.
Cancer Commun (Lond).
2021 Oct 26.
doi: 10.
1002/cac2.
12225.
Epub ahead of print.
PMID: 34699693.
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