Randomised phase II study of ASA404 combined with carboplatin and paclitaxel in previously untreated advanced non-small cell lung cancer
2008

Combining ASA404 with Carboplatin and Paclitaxel for Lung Cancer

Sample size: 70 publication 10 minutes Evidence: moderate

Author Information

Author(s): McKeage M J, Von Pawel J, Reck M, Jameson M B, Rosenthal M A, Sullivan R, Gibbs D, Mainwaring P N, Serke M, Lafitte J-J, Chouaid C, Freitag L, Quoix E

Primary Institution: University of Auckland

Hypothesis

Can ASA404 combined with carboplatin and paclitaxel improve outcomes in patients with advanced non-small cell lung cancer?

Conclusion

The study shows that combining ASA404 with carboplatin and paclitaxel is feasible and may improve survival in patients with advanced non-small cell lung cancer.

Supporting Evidence

  • The addition of ASA404 improved median survival from 8.8 months to 14.0 months.
  • Tumour response rates were higher in the ASA404 group (31%) compared to the control group (22%).
  • The safety profiles of both treatment groups were similar, with manageable adverse effects.

Takeaway

This study tested a new drug called ASA404 with standard cancer treatments to see if it helps people with lung cancer live longer. It looks like it might help!

Methodology

Patients were randomly assigned to receive either standard therapy or standard therapy plus ASA404, and their responses were measured over several cycles of treatment.

Potential Biases

Potential bias in patient selection and assessment of outcomes due to the open-label design.

Limitations

The study was not powered to compare efficacy outcomes statistically, and the sample size was relatively small.

Participant Demographics

Patients were men and women aged 18 and older with advanced non-small cell lung cancer, with a mix of histological subtypes.

Statistical Information

P-Value

0.33

Confidence Interval

95% CI 0.39, 1.38

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6604808

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