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This key Lung Adjuvant Cisplatin Evaluation (LACE) meta-analysis pooled data from five large trials of adjuvant cisplatin-based chemotherapy in completely resected NSCLC patients. The overall 5-year survival benefit was 5.2, but benefit varied with stage of disease
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Pignon JP, Tribodet H, Scagliotti GV, et al. Lung adjuvant cisplatin evaluation: a pooled analysis by the LACE Collaborative Group. J Clin Oncol 2008; 26:3552-3559. This key Lung Adjuvant Cisplatin Evaluation (LACE) meta-analysis pooled data from five large trials of adjuvant cisplatin-based chemotherapy in completely resected NSCLC patients. The overall 5-year survival benefit was 5.2%, but benefit varied with stage of disease.
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nd, Maddaus MA, et al. Adjuvant paclitaxel plus carboplatin compared with observation in stage IB non-small-cell lung cancer: CALGB 9633 with the Cancer and Leukemia Group B, Radiation Therapy Oncology Group and North Central Cancer Treatment Group Study Groups. J Clin Oncol, 2008; 26:5014-5017.
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Zheng Z, Chen T, Li X, et al. DNA synthesis and repair genes RRM1 and ERCC1 in lung cancer. N Engl J Med 2007; 356:800-808. This article describes a novel methodology for quantitating ERCC1 and RRM1 expression using automated quantitative analysis (AQUA). Disease-free and overall survival was significantly associated with ERCC1 and RRM1 expression in early-stage (stage I) resected NSCLC.
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Zheng Z, Chen T, Li X, et al. DNA synthesis and repair genes RRM1 and ERCC1 in lung cancer. N Engl J Med 2007; 356:800-808. This article describes a novel methodology for quantitating ERCC1 and RRM1 expression using automated quantitative analysis (AQUA). Disease-free and overall survival was significantly associated with ERCC1 and RRM1 expression in early-stage (stage I) resected NSCLC.
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8
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An excellent summary outlining the rationale and data for personalizing treatment in NSCLC using pharmacogenomic approaches
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Gautschi O, Mack PC, Davies AM, et al. Pharmacogenomic approaches to individualizing chemotherapy for nonsmall-cell lung cancer: current status and new directions. Clinical Lung Cancer 2008; 9:3129-3138. An excellent summary outlining the rationale and data for personalizing treatment in NSCLC using pharmacogenomic approaches.
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Gautschi, O.1
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Kelly K, Chansky K, Caspar LE, et al. Phase III trial of maintenance gefitinib or placebo after concurrent chemoradiotherapy and docetaxel consolidation in inoperable stage III nonsmall-cell lung cancer: SWOG S0023. J Clin Oncol 2008; 26:2450-2456. This trial demonstrates inferior survival for patients treated with gefitinib maintenance after undergoing definitive cisplatin/etoposide chemoradiation and consolidation docetaxel for unresectable stage III NSCLC. On the basis of this study, routine use of EGFR-TKIs as maintenance therapy for stage III NSCLC should be avoided.
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Mok T, Wu Y, Thongprasert S, et al. Phase III, randomised, open-label, first-line study of gefitinib vs carboplatin/paclitaxel in clinically selected patients with advanced nonsmall cell lung cancer. Ann Oncol 2008; 19 (supplement 8):LBA2. The Asian IPASS study is a randomized trial comparing first-line gefitinib versus carboplatin/paclitaxel in a clinically enriched population of never smokers or former smokers and adenocarcinoma histology. This trial demonstrated a significant PFS benefit for gefitinib and raises the possibility of treating select populations with EGFR TKIs as front-line therapy for advanced NSCLC.
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Mok T, Wu Y, Thongprasert S, et al. Phase III, randomised, open-label, first-line study of gefitinib vs carboplatin/paclitaxel in clinically selected patients with advanced nonsmall cell lung cancer. Ann Oncol 2008; 19 (supplement 8):LBA2. The Asian IPASS study is a randomized trial comparing first-line gefitinib versus carboplatin/paclitaxel in a clinically enriched population of never smokers or former smokers and adenocarcinoma histology. This trial demonstrated a significant PFS benefit for gefitinib and raises the possibility of treating select populations with EGFR TKIs as front-line therapy for advanced NSCLC.
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14
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Herbst RS, Giaccone G, Schiller JH, et al. Gefitinib in combination with paclitaxel and carboplatin in advanced nonsmall-cell lung cancer: a phase III trial-INTACT 2. J Clin Oncol 2004; 22:785-794.
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Herbst RS, Prager D, Hermann R, et al. TRIBUTE: a phase III trial of erlotinib hydrochloride (OSI-774) combined with carboplatin and paclitaxel chemotherapy in advanced nonsmall-cell lung cancer. J Clin Oncol 2005; 23:5892-5899.
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Gatzemeier U, Pluzanska A, Szczesna A, et al. Phase III study of erlotinib in combination with cisplatin and gemcitabine in advanced nonsmall-cell lung cancer: the Tarceva Lung Cancer Investigation Trial. J Clin Oncol 2007; 25:1545-1552. One of the four seminal articles that showed a lack of survival benefit for the combination of EGFR TKIs with platinum-based doublet chemotherapy in patients with chemotherapy-naive advanced NSCLC.
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Mahaffey CM, Davies AM, Lara PN Jr, et al. Schedule-dependent apoptosis in K-ras mutant nonsmall-cell lung cancer cell lines treated with docetaxel and erlotinib: rationale for pharmacodynamic separation. Clin Lung Cancer 2007; 8:548-553. This preclinical study offers a hypothesis for the negative interaction of chemotherapy when given concurrently with EGFR TKIs. An intermittent dosing schedule of EGFR TKIs with chemotherapy was found to enhance cytotoxicity.
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Pirker R, Szczesna A, von Pawel J, et al. FLEX: a randomized, multicenter, phase III study of cetuximab in combination with cisplatin/vinorelbine (CV) versus CV alone in the first-line treatment of patients with advanced nonsmall cell lung cancer (NSCLC). J Clin Oncol; 2008; ASCO Annual Meeting Proceedings 2008; 26:3 (Abstract).
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Pirker R, Szczesna A, von Pawel J, et al. FLEX: a randomized, multicenter, phase III study of cetuximab in combination with cisplatin/vinorelbine (CV) versus CV alone in the first-line treatment of patients with advanced nonsmall cell lung cancer (NSCLC). J Clin Oncol; 2008; ASCO Annual Meeting Proceedings 2008; 26:3 (Abstract).
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Lynch TJ, Patel T, LD, et al. A randomized multicenter phase III study of cetuximab in combination with taxane/carboplatin versus taxane/carboplatin alone as first-line treatment for patients with advanced/metastatic nonsmall cell lung cancer. J Thorac Oncol 2007; 2:3340-3341 (Abstract B343-303).
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Manegold C, von Pawel J, Zatloukal P, et al. Randomised, double-blind multicentre phase III study of bevacizumab in combination with cisplatin and gemcitabine in chemotherapy-naive patients with advanced or recurrent nonsquamous nonsmall cell lung cancer (NSCLC): BO17704. J Clin Oncol; 2007; ASCO Annual Meeting Proceedings 2007; 25:7514 (Abstract).
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Manegold C, von Pawel J, Zatloukal P, et al. Randomised, double-blind multicentre phase III study of bevacizumab in combination with cisplatin and gemcitabine in chemotherapy-naive patients with advanced or recurrent nonsquamous nonsmall cell lung cancer (NSCLC): BO17704. J Clin Oncol; 2007; ASCO Annual Meeting Proceedings 2007; 25:7514 (Abstract).
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24
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62349107301
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BO17704 (AVAIL): A phase III randomised study of first-line bevacizumab combined with cisplatin/gemcitabine in patients with advanced or recurrent nonsquamous, nonsmall cell lung cancer
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q. This abstract presents the updated AVAiL data. A PFS benefit is seen but there remains no significant OS benefit
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Manegold C, von Pawel J, Zatloukal P, et al. BO17704 (AVAIL): A phase III randomised study of first-line bevacizumab combined with cisplatin/gemcitabine in patients with advanced or recurrent nonsquamous, nonsmall cell lung cancer. Ann Oncol 2008; 19 (supplement 8):LBA1 q. This abstract presents the updated AVAiL data. A PFS benefit is seen but there remains no significant OS benefit.
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This short review summarizes the IGF pathway and its role in NSCLC tumorigenesis
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Dziadziuszko R, Camidge DR, Hirsch FR. The insulin-like growth factor pathway in lung cancer. J Thorac Oncol 2008; 3:815-818. This short review summarizes the IGF pathway and its role in NSCLC tumorigenesis.
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A well written review article that explores the IGF pathway and the rationale for inhibiting this system as a therapeutic strategy
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Ryan PD, Goss PE. The emerging role of the insulin-like growth factor pathway as a therapeutic target in cancer. Oncologist 2008; 13:16-24. A well written review article that explores the IGF pathway and the rationale for inhibiting this system as a therapeutic strategy.
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Allen GW, Saba C, Armstrong EA, et al. Insulin-like growth factor-I receptor sigaling blockade combined with radiation. Cancer Res 2007; 67:1155-1162. This study demonstrates that IMC-A12, an anti-IGF-1R monoclonal antibody, can enhance the effects of radiation therapy when given as an adjunct in preclinical models.
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A detailed review outlining epigenetic processes in the development of cancer. Clinical application of epigenetic markers and therapeutics aimed at favorably manipulating the epigenetic biology of cancer cells are discussed
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Mulero-Navarro S, Esteller M. Epigenetic biomarkers for human cancer: the time is now. Crit Rev Oncol Hematol 2008; 68:1-11. A detailed review outlining epigenetic processes in the development of cancer. Clinical application of epigenetic markers and therapeutics aimed at favorably manipulating the epigenetic biology of cancer cells are discussed.
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Histone deacetylase inhibitors are currently being explored in NSCLC and this article summarizes the mechanism of action, efficacy, and future development of these agents
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Gridelli C, Rossi A, Maione P. The potential role of histone deacetylase inhibitors in the treatment of nonsmall-cell lung cancer. Crit Rev Oncol Hematol 2008; 68:29-36. Histone deacetylase inhibitors are currently being explored in NSCLC and this article summarizes the mechanism of action, efficacy, and future development of these agents.
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