Clinical observation of erlotinib combined with whole brain radiation therapy for nonsmall cell lung cancer patients with brain metastases
WANG Xiao-Lei, LIU De-Ze, WANG Min, LUAN Tian-Yan
2015, 42 (11):
809-812.
doi: 10.3760/cma.j.issn.1673422X.2015.11.003
ObjectiveTo study clinical efficacy and toxicity of epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor erlotinib combined with whole brain radiotherapy in the nonsmall cell lung cancer (NSCLC) with brain metastases and to evaluate its effectiveness and safety. MethodsIn accordance with the random digital number method, Sixtythree NSCLC patients with brain metastases were divided into erlotinib combined with whole brain radiation therapy group (33 cases) and whole brain radiotherapy alone group (30 cases), each patient received the whole brain radiotherapy, DT (3 0003 600)cGy/(1012)F. Erlotinib combined with whole brain radiotherapy group received oral erlotinib, at a dose of 150 mg per day from the beginning of the whole brain radiotherapy, at least two months until after the completion of radiation therapy. All patients were evaluated in the efficacy of radiotherapy at the end of two months. ResultsThe metastases objective response rate and disease control rate of erlotinib combined with whole brain radiation therapy group and whole brain radiotherapy alone group were respectively 54.6%, 13.3% (χ2=11.744, P=0.001) and 91.0%, 60.0% (χ2=8.276, P=0.004). The objective response rate and disease control rate in the two groups were respectively 39.3%, 10.0% (χ2=7.166, P=0.007) and 84.8%, 40.0% (χ2=7.759, P=0.005). Stratified analysis showed that in erlotinib combined with whole brain radiotherapy group, the objective response rate and disease control rate of EGFR mutation positive and negative subgroup were respectively 76.5%, 33.3% (χ2=6.248, P=0.012) and 100%, 77.7% (χ2=4.093, P=0.043). The 1year survival and progressionfree survival rates of the two groups were 57.6%, 30.0% and 42.4%, 16.7%, the differences were statistically significant (χ2=4.840, P=0.028; χ2=4.950, P=0.026). The main adverse events of erlotinib combined with whole brain radiotherapy group were mild to moderate rash, diarrhea, and no treatmentrelated deaths occurred. ConclusionErlotinib combined with whole brain radiotherapy for the NSCLC patients with brain metastases has some effect, and the adverse reactions are mild, which can be used as a treatment option for NSCLC brain metastases.
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