PMID- 23414642 OWN - NLM STAT- MEDLINE DCOM- 20131101 LR - 20151119 IS - 1872-8332 (Electronic) IS - 0169-5002 (Linking) VI - 80 IP - 2 DP - 2013 May TI - Bevacizumab and weekly paclitaxel for non-squamous non small cell lung cancer patients: a retrospective study. PG - 197-202 LID - S0169-5002(13)00025-1 [pii] LID - 10.1016/j.lungcan.2013.01.015 [doi] AB - BACKGROUND: Combination of bevacizumab and weekly paclitaxel showed synergitic effects, anti-tumor efficacy and a good toxicity profile for patients with breast cancer but has never been evaluated in non small cell lung cancer (NSCLC). We retrospectively reviewed safety and efficacy of this regimen in metastatic non-squamous NSCLC as fourth-line therapy or beyond. METHODS: Patients were identified from a prospective database. Treatment consisted in paclitaxel 80 mg/m(2) on days 1, 8 and 15 and bevacizumab 15 mg/kg on day 1, every 3 weeks until progression or unacceptable toxicity. RESULTS: Twenty patients were included in this study. Objective response rate at first evaluation was 40% (8/20), confirmed response rate was 15% (3/20) and disease control rate was 75% (15/20). The median progression-free survival and overall survival were 6.4 months (CI95% 4.1-9) and 9.6 months (CI95% 7-19.7). Grade 3-4 adverse events included neutropenia (4/20), onycholysis (2/20) and infection (2/20). One patient died from a bowel perforation and another one died from unknown cause. Prolonged responses were observed in a patient who had received bevacizumab as part of first-line chemotherapy and in another one who harbored an ALK rearrangement. CONCLUSIONS: In our experience, combination of bevacizumab and weekly paclitaxel exhibited acceptable toxicity and had encouraging anti-tumor efficacy as fourth-line treatment or beyond for non-squamous NSCLC patients, supporting further evaluation in larger prospective studies. CI - Copyright (c) 2013 Elsevier Ireland Ltd. All rights reserved. FAU - Habib, Stefanie AU - Habib S AD - Pulmonary and Thoracic Oncology Department, CHRU of Lille, France. FAU - Delourme, Julie AU - Delourme J FAU - Dhalluin, Xavier AU - Dhalluin X FAU - Petyt, Gregory AU - Petyt G FAU - Tacelli, Nunzia AU - Tacelli N FAU - Scherpereel, Arnaud AU - Scherpereel A FAU - Lafitte, Jean-Jacques AU - Lafitte JJ FAU - Cortot, Alexis B AU - Cortot AB LA - eng PT - Journal Article DEP - 20130214 PL - Ireland TA - Lung Cancer JT - Lung cancer (Amsterdam, Netherlands) JID - 8800805 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 2S9ZZM9Q9V (Bevacizumab) RN - P88XT4IS4D (Paclitaxel) SB - IM MH - Adult MH - Aged MH - Antibodies, Monoclonal, Humanized/*administration & dosage/adverse effects MH - Antineoplastic Combined Chemotherapy Protocols/administration & dosage/adverse effects MH - Bevacizumab MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/pathology MH - Disease-Free Survival MH - Drug-Related Side Effects and Adverse Reactions/chemically induced/pathology MH - Female MH - Humans MH - Lung Neoplasms/*drug therapy/pathology MH - Male MH - Middle Aged MH - Neoplasm Metastasis/*drug therapy MH - Neoplasm Staging MH - Paclitaxel/*administration & dosage/adverse effects MH - Prospective Studies EDAT- 2013/02/19 06:00 MHDA- 2013/11/02 06:00 CRDT- 2013/02/19 06:00 PHST- 2012/11/27 00:00 [received] PHST- 2013/01/18 00:00 [revised] PHST- 2013/01/19 00:00 [accepted] PHST- 2013/02/19 06:00 [entrez] PHST- 2013/02/19 06:00 [pubmed] PHST- 2013/11/02 06:00 [medline] AID - S0169-5002(13)00025-1 [pii] AID - 10.1016/j.lungcan.2013.01.015 [doi] PST - ppublish SO - Lung Cancer. 2013 May;80(2):197-202. doi: 10.1016/j.lungcan.2013.01.015. Epub 2013 Feb 14.