There was one treatment - related death in the erlotinib group, and 22.1 % of
docetaxel patients and 29.0 % of erlotinib patients suffered adverse events that led to dose modification.
A total of 27 % of
docetaxel patients had grade 3 or 4 neutropenia, and 29 % had alopecia of any grade; 14 % of erlotinib patients suffered grade 3 or 4 dermatological toxicities.
Almost 72 % of
docetaxel patients were current or former smokers, compared with 81.7 % in the erlotinib group.
Not exact matches
Researchers randomly selected 135
patients to receive nivolumab, sold under the name Opdivo, and 137 others to receive the chemotherapy drug
docetaxel.
Median overall survival of
patients receiving nivolumab was 9.2 months, compared with six months for
patients who received
docetaxel.
Findings were presented at the WCLC are based on the updated results of 12 lung cancer
patients enrolled in the clinical trial with pembro and irinotecan or gemcitabine with or without vinorelbine or
docetaxel.
If prolongation of life was the primary therapeutic objective and the
patients were eligible for
docetaxel treatment, the G - BA specified
docetaxel in combination with prednisone or prednisolone as appropriate comparator therapy (
docetaxel population).
The next generation drug in the taxane family, cabazitaxel, was approved in 2010, but only for
patients whose cancer no longer responded to hormone therapy or
docetaxel treatment.
This was offset by a hint of considerably greater harm from radium - 223 + BSC due to more frequent, but never severe, diarrhea in
patients without
docetaxel pretreatment.
It was assumed in the assessment that most of the remaining
patients actively decided against
docetaxel treatment.
The majority of
patients included in the study were not eligible for
docetaxel because their disease had progressed despite pretreatment with this drug (approximately 57 %).
If
docetaxel treatment was not an option for the
patients or if the primary treatment goal was the relief of symptoms, the so - called «symptom control,» and the prevention of complications, the G - BA specified BSC as appropriate comparator therapy (BSC population).
No evaluable data were available for the comparison with
docetaxel in
patients in whom prolongation of life was the primary treatment goal.
Patients were randomised 1:1 to receive therapy with ceritinib or chemotherapy (pemetrexed or
docetaxel).
Results also showed 27.7 percent of
patients in the ADT plus
docetaxel arm had a decline in prostate specific antigen (PSA) to less than 0.2 ng / mL at 12 months compared with 16.8 percent for those taking ADT alone.
«When we embarked on this study, early clinical trials and laboratory studies supported the possibility (or hypothesis) that earlier therapy in appropriate
patients with
docetaxel, used in combination before hormonal resistance occurred, could have greater benefit, but required proof in a definitive study.
Results showed an increased survival of 13.6 months for
patients treated with ADT plus
docetaxel than with ADT alone.
It included 790
patients (median age of 63 years) who were enrolled and randomized from July 2006 to November 2012 to receive either ADT plus
docetaxel every three weeks for six cycles or ADT alone.
In the ADT - plus -
docetaxel group, 45
patients whose disease progressed received additional
docetaxel.
In the ADT - only group, 124
patients were given
docetaxel when their cancer worsened.
In the 520
patients who had high - extent disease (whose cancer had spread to major organs and / or the bones), treatment with ADT plus
docetaxel had an even greater benefit: these men had a median overall survival of 49.2 months versus 32.2 in the ADT - only group — a difference of 17 months.
The new analysis extends follow - up significantly; it includes 790
patients randomized to either ADT alone (393
patients) or in combination with
docetaxel (397
patients).
Long - term follow - up of a large phase III study showed that chemohormonal therapy involving
docetaxel added to androgen deprivation therapy (ADT) prolongs overall survival (OS) over ADT alone in metastatic hormone - sensitive prostate cancer (mHSPC)
patients with high - volume disease.
Patients received 3 cycles of
docetaxel at either 80 mg / m2 or 100 mg / m2 and trastuzumab three times a week followed by 3 cycles of chemotherapy.
Disease - free survival was similar in the 9 - week and 12 - month arms among those
patients who received 100 mg / m2
docetaxel.
The trial actually enrolled 938
patients with recurrent advanced NSCLC; physicians initially chose pemetrexed or
docetaxel for
patients, after which
patients were randomized to either chemotherapy alone or in addition to a cetuximab regimen.
However, subset analyses of phase III trials suggest that
patients with EGFR mutation - positive NSCLCs do not benefit from immunotherapy compared with
docetaxel.
Patient 2 was diagnosed with widespread metastatic prostate cancer in 2013 and progressed on numerous systemic therapies, including leuprolide, bicalutamide, enzalutamide, abiraterone, and eventually
docetaxel.
The BMS trial, called Checkpoint - 017, randomized 272
patients to receive either nivolumab intravenously every two weeks or the chemotherapy drug
docetaxel intravenously every three weeks.
The median age of
patients was similar between the two groups, at 67 in the
docetaxel group and 66 in the erlotinib group.
The U.S. drug maker released a statement on Monday saying that its Keynote - 010 study, a randomized Phase two - third trial, showed that
patients who were taking two different doses of Keytruda (FDA - approved two mg / kg dose and treatment dose of 10 mg / kg given every three weeks) had longer survival compared to those who took
docetaxel, the drug widely used for non-small cell lung cancer (NSCLC).
A total of 28.9 % of
patients receiving
docetaxel had not progressed after 6 months, compared with 16.9 % of erlotinib
patients.
The drug's manufacturer, Roche, said trials in these
patients have shown that giving pertuzumab in combination with the drugs trastuzumab (Herceptin) and
docetaxel could extend survival by nearly 16 months compared to standard treatment.
For both populations, though, disease prognosis remains poor: the median progression - free survival for
docetaxel - treated
patients was 3.4 months, compared with 2.4 months for erlotinib.
In 2014, researchers at the National Cancer Conference made the following statement: «Long term significant scalp alopecia (here lasting for up to 3.5 years following completion of chemotherapy) may affect 10 - 15 % of
patients following
docetaxel for EBC [early breast cancer].