Maintenance therapy for advanced non-small cell lung cancer: current status, controversies, and emerging consensus

Clin Cancer Res. 2010 May 1;16(9):2496-504. doi: 10.1158/1078-0432.CCR-09-2328. Epub 2010 Apr 13.

Abstract

Maintenance therapy refers to the use of an active therapeutic agent for extended duration following frontline induction therapy for patients with advanced stage non-small cell lung cancer (NSCLC). Multiple clinical trials reported within the last few months have shown a beneficial role for maintenance therapy especially in select patient groups characterized by histology and/or molecular profile. With the recent approval by the U.S. Food and Drug Administration and European Medicines Agency of pemetrexed for maintenance therapy, a new treatment paradigm has been introduced to the treatment of NSCLC. This article reviews recent data with maintenance therapy in advanced NSCLC and discusses the implications for routine patient care and future drug development.

MeSH terms

  • Antibodies, Monoclonal / therapeutic use
  • Antibodies, Monoclonal, Humanized
  • Antineoplastic Agents / therapeutic use*
  • Bevacizumab
  • Carcinoma, Non-Small-Cell Lung / pathology
  • Carcinoma, Non-Small-Cell Lung / prevention & control*
  • Disease Progression
  • Erlotinib Hydrochloride
  • Glutamates / therapeutic use
  • Guanine / analogs & derivatives
  • Guanine / therapeutic use
  • Humans
  • Lung Neoplasms / pathology
  • Lung Neoplasms / prevention & control*
  • Pemetrexed
  • Prognosis
  • Quality of Life
  • Quinazolines / therapeutic use
  • Randomized Controlled Trials as Topic
  • Survival Analysis
  • Treatment Outcome

Substances

  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • Antineoplastic Agents
  • Glutamates
  • Quinazolines
  • Pemetrexed
  • Bevacizumab
  • Guanine
  • Erlotinib Hydrochloride