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吉非替尼与厄洛替尼在EGFR野生型晚期NSCLC三线及以上患者治疗中的效果比较 被引量:1

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摘要 目的对比吉非替尼与厄洛替尼治疗EGFR基因野生型晚期非小细胞肺癌(NSCLC)患者三线的疗效。方法将68例Ⅲ/Ⅳ期或术后复发,不携带EGFR敏感突变(外显子18、19、21)的NSCLC患者随机分为A组和B组各34例。A组接受吉非替尼治疗,B组接受厄洛替尼治疗,比较2组无进展生存时间(PFS)、总有效率(ORR)和疾病控制率(DCR),不良反应发生率。结果 B组的ORR和DCR略高于A组,但差异无统计学意义(χ~2=0.569,0.000,P>0.05)。A组失访6例,中位PFS为(3.09±0.98)个月;B组失访3例,中位PFS为(3.28±0.33)个月,B组中位PFS略高于A组,但差异无统计学意义(t=1.834,P>0.05)。2组不良反应发生率比较差异亦无统计学意义(P>0.05)。结论吉非替尼和厄洛替尼均可成为化疗耐受的EGFR野生型NSCLC患者三线治疗的替代方案,疗效无统计学差异,但厄洛替尼略显优势。
作者 徐芳
出处 《临床合理用药杂志》 2018年第19期81-82,共2页 Chinese Journal of Clinical Rational Drug Use
基金 湖南省科技重点研发计划项目(No:2016JC2066)
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