Comparison of Endostar continuous versus intermittent intravenous infusion in combination with first-line chemotherapy in patients with advanced non-small cell lung cancer

Thorac Cancer. 2019 Jul;10(7):1576-1580. doi: 10.1111/1759-7714.13106. Epub 2019 Jun 3.

Abstract

Background: Intravenous infusion of Endostar for three to four hours per day for 14 days reduces patient compliance and affects quality of life. Continuous intravenous infusion (CI) represents a novel method of administration; however, it is unclear whether it is effective and safe when compared to the traditional method.

Methods: We retrospectively reviewed patients with advanced non-small cell lung cancer (NSCLC) administered CI (20 patients) or intermittent intravenous infusion (II, 49 patients) of Endostar combined with first-line chemotherapy. Three patients in the II group discontinued therapy because of adverse effects.

Results: Median progression-free survival was 6.0 months in the CI group and 3.8 months in the II group, with no significant difference (P = 0.1). The objective response and disease control rates were also similar in the CI and II groups (40.0 vs. 32.6%, P = 0.562; 65 vs. 69.6%, P = 0.714, respectively).

Conclusion: CI of Endostar combined with first-line chemotherapy for advanced NSCLC had similar progression-free survival, objective response, and overall response rates as II, with tolerable adverse effects.

Keywords: Continuous intravenous infusion; Endostar; NSCLC.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Carcinoma, Non-Small-Cell Lung / drug therapy*
  • Drug Administration Schedule
  • Drug Therapy
  • Endostatins / administration & dosage*
  • Endostatins / therapeutic use
  • Female
  • Humans
  • Infusions, Intravenous / methods*
  • Lung Neoplasms / drug therapy*
  • Male
  • Middle Aged
  • Patient Compliance / statistics & numerical data
  • Quality of Life
  • Recombinant Proteins / administration & dosage*
  • Recombinant Proteins / therapeutic use
  • Retrospective Studies
  • Survival Analysis
  • Treatment Outcome

Substances

  • Endostatins
  • Recombinant Proteins
  • endostar protein