1. Potential Antiangiogenic Treatment Eligibility of Patients with Squamous Non-Small–Cell Lung Cancer: EPISQUAMAB Study (GFPC 2015-01)
- Author
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Jacques Le Treut, Catherine Dubos-Arvis, O. Bylicki, Alain Vergnenegre, Jacky Crequit, Marie Marcq, Gwenaelle Le Garff, Nicolas Paleiron, Victor Basse, Isabelle Monnet, Pascal Thomas, Gislaine Fraboulet, Bénédicte Comet, Anne Madroszyk, and Jean-Bernard Auliac
- Subjects
0301 basic medicine ,medicine.medical_specialty ,Lung ,business.industry ,Disease ,medicine.disease ,Systemic therapy ,03 medical and health sciences ,030104 developmental biology ,0302 clinical medicine ,medicine.anatomical_structure ,Oncology ,030220 oncology & carcinogenesis ,Internal medicine ,medicine ,Squamous non-small cell lung cancer ,Observational study ,Ineligibility ,business ,Prospective cohort study ,Lung cancer - Abstract
Background Antiangiogenic agents have improved the prognosis of non-squamous non-small-cell lung cancers (NSCLCs), even though all the patients are not eligible to receive them because of counterindications linked to the tumor's characteristics or comorbidities. Much less information is available about the eligibility of patients with squamous non-small-cell lung cancers (SQ-NSCLCs) to receive antivascular endothelial growth-factor (VEGF) treatments, even though such molecules are being developed for this histology. This study was undertaken to determine the percentage of advanced SQ-NSCLC patients who would be eligible to receive an antiVEGF agent as second-line systemic therapy. Methods This observational, multicenter, prospective study evaluated advanced SQ-NSCLC patients' criteria for ineligibility to receive an antiVEGF during a multidisciplinary meeting to choose their standard second-line systemic therapy. Results Among the 317 patients included, 53.6% had at least one ineligibility criterion, and ~20% had at least two, with disease extension to large vessels (39.8%), tumor cavitation (20.5%), cardiovascular disease (11%) and/or hemoptysis (7.2%) being the most frequent. Patients with an ECOG performance score of 1/2 had more cardiovascular contraindications that those with scores of 0. Conclusion Almost half of the SQ-NSCLC patients included in this study would have been eligible to receive an antiVEGF agent. The development of these molecules for these indications should be encouraged.
- Published
- 2019
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