PMID- 28469143 OWN - NLM STAT- MEDLINE DCOM- 20181211 LR - 20221207 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 7 IP - 1 DP - 2017 May 3 TI - Impact of platinum/pemetrexed combination versus other platinum-based regimens on adjuvant chemotherapy in resected lung adenocarcinoma. PG - 1453 LID - 10.1038/s41598-017-01347-6 [doi] LID - 1453 AB - For advanced non-squamous non-small cell lung cancer (NSCLC), although platinum/pemetrexed is known to result in a longer survival compared with other regimens, the outcome in the adjuvant setting is still unknown. In this study, the difference of the disease-free survival (DFS) between lung adenocarcinoma patients treated with platinum/pemetrexed and with other platinum-based doublets was concerned. A total of 389 radically resected lung adenocarcinoma patients received adjuvant chemotherapy with platinum/pemetrexed chemotherapy (Group A, n = 143) or other third generation platinum-based regimens (Group B, n = 246) were analyzed in terms of DFS. Propensity score matching (PSM) allowed generation of best matched pairs for the two categories. DFS was proved to be considerably better in pemetrexed doublets group (P = 0.0079); and platinum/pemetrexed was found to be associated with lower rates of several hematological and non-hematological adverse events (AEs), when compared with gemcitabine containing chemotherapy (leukopenia: RR 0.514, p = 0.001; neutropenia: RR 0.688, p = 0.002), or taxanes-doublets treatment (leukopenia: RR 0.685, p = 0.019; neutropenia: RR 0.805, p = 0.032). For patients with radically resected pulmonary adenocarcinoma, adjuvant chemotherapy with platinum/pemetrexed results in a better DFS and a less clinical toxicity in comparison with non-pemetrexed based doublets. FAU - Zhai, Xiaoyu AU - Zhai X AD - Department of Medical Oncology, National Cancer Centre/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China. FAU - Zheng, Qiwen AU - Zheng Q AD - Medical Insurance Office, Peking University Cancer Hospital & Institute, Beijing, China. FAU - Yang, Lu AU - Yang L AD - Department of Medical Oncology, National Cancer Centre/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China. FAU - Zhu, Yixiang AU - Zhu Y AD - Department of Medical Oncology, National Cancer Centre/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China. FAU - Li, Junling AU - Li J AD - Department of Medical Oncology, National Cancer Centre/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China. FAU - Liu, Yutao AU - Liu Y AD - Department of Medical Oncology, National Cancer Centre/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China. 13911901165@139.com. FAU - Wang, Ziping AU - Wang Z AD - Department of Medical Oncology, National Cancer Centre/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China. wangzp2007@126.com. AD - Department of Thoracic Medical Oncology, Peking University School of Oncology, Beijing Cancer Hospital & Institute, Beijing, China. wangzp2007@126.com. LA - eng PT - Journal Article DEP - 20170503 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Taxoids) RN - 04Q9AIZ7NO (Pemetrexed) RN - 0W860991D6 (Deoxycytidine) RN - 49DFR088MY (Platinum) RN - 0 (Gemcitabine) SB - IM MH - Adenocarcinoma of Lung/*drug therapy/mortality/pathology/surgery MH - Adult MH - Aged MH - Antineoplastic Combined Chemotherapy Protocols/*administration & dosage/adverse effects MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/mortality/pathology/surgery MH - Chemotherapy, Adjuvant/*methods MH - Deoxycytidine/administration & dosage/adverse effects/analogs & derivatives MH - Disease-Free Survival MH - Female MH - Humans MH - Leukopenia/drug therapy/etiology/mortality/pathology MH - Male MH - Middle Aged MH - Neutropenia/drug therapy/etiology/mortality/pathology MH - Pemetrexed/*administration & dosage/adverse effects MH - Platinum/*administration & dosage/adverse effects MH - Retrospective Studies MH - Taxoids/administration & dosage/adverse effects MH - Gemcitabine PMC - PMC5431114 COIS- The authors declare that they have no competing interests. EDAT- 2017/05/05 06:00 MHDA- 2018/12/12 06:00 PMCR- 2017/05/03 CRDT- 2017/05/05 06:00 PHST- 2017/01/04 00:00 [received] PHST- 2017/03/27 00:00 [accepted] PHST- 2017/05/05 06:00 [entrez] PHST- 2017/05/05 06:00 [pubmed] PHST- 2018/12/12 06:00 [medline] PHST- 2017/05/03 00:00 [pmc-release] AID - 10.1038/s41598-017-01347-6 [pii] AID - 1347 [pii] AID - 10.1038/s41598-017-01347-6 [doi] PST - epublish SO - Sci Rep. 2017 May 3;7(1):1453. doi: 10.1038/s41598-017-01347-6.