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This study compared the efficacy and safety of S1 plus carboplatin (C) followed by S1 with pemetrexed plus carboplatin (C) followed by pemetrexed in patients with epidermal growth factor receptor (EGFR) wild type advanced nonsquamous non-small-cell lung cancer (NSCLC).Patients with previously untreated EGFR wild type stage IIIB or IV nonsquamous NSCLC and Eastern Cooperative Oncology Group performance status of 0 to 1 were randomly assigned to receive pemetrexed 500 mg/m2 or S1(80-120 mg/d)combined with carboplatin area under the curve (AUC) 5 every 3 weeks for up to four cycles. Eligible patients received maintenance until disease progression: pemetrexed or S1. The primary end point of this non-inferiority study was progression free survival(PFS)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| S1 and Carboplatin | Experimental | S1 80-120 mg/d+Carboplatin AUC=5 Patients without progression received maintenance until disease progression with S1 |
|
| pemetrexed and Carboplatin | Active Comparator | pemetrexed 500 mg/m2+ Carboplatin AUC=5 Patients without progression received maintenance until disease progression with pemetrexed |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| S1 80-120 mg/d | Drug | d1, every 3 weeks |
| |
| pemetrexed 500 mg/m2 |
| Measure | Description | Time Frame |
|---|---|---|
| Progression free survival(PFS) | 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival(OS) | 4 years | |
| Disease control rate(DCR) | 3 years | |
| Health-related quality of life |
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Inclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Li Zhang, MD | Contact | zhangli@sysucc.org.cn | ||
| Yan Huang, MD | Contact | huangyan@sysucc.org.cn |
| Name | Affiliation | Role |
|---|---|---|
| Yan Huang, MD | Sun Yat-Sen University Cancer Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sun yat-sen University Cancer Center | Recruiting | Guangzhou | Guangdong | 510060 | China |
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| ID | Term |
|---|---|
| C079198 | S 1 (combination) |
| D000068437 | Pemetrexed |
| ID | Term |
|---|---|
| D006147 | Guanine |
| D007042 | Hypoxanthines |
| D011688 | Purinones |
| D011687 | Purines |
| D006574 |
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| Drug |
d1, every 3 weeks |
|
| carboplatin AUC=5 | Drug | d1, every 3 weeks |
|
| 3 years |
| Number of Participants with Adverse Events | 3 years |
| Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D005971 | Glutamates |
| D024342 | Amino Acids, Acidic |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D000600 | Amino Acids, Dicarboxylic |