PMID- 28994614 OWN - NLM STAT- MEDLINE DCOM- 20180814 LR - 20221207 IS - 1744-8301 (Electronic) IS - 1479-6694 (Linking) VI - 13 IP - 24 DP - 2017 Oct TI - Meta-analysis for the efficacy of S-1-based regimens as the first-line treatment in Asian chemotherapy-naive patients with advanced non-small-cell lung cancer. PG - 2195-2207 LID - 10.2217/fon-2017-0214 [doi] AB - AIM: We performed a meta-analysis to evaluate the efficacy and safety for S-1-based regimens as the first-line treatment in Asian chemotherapy-naive patients with advanced non-small-cell lung cancer. PATIENTS & METHODS: Eligible randomized clinical trials (RCTs) were included, of which data were extracted by inclusion criteria and exclusion one. Odds ratio and hazard ratio (HR) of outcomes including objective response rate (ORR), progression-free survival (PFS), overall survival (OS) and adverse effects (AEs) were explored for the final analysis. RESULTS: Twenty-one RCTs including 3263 patients were fit into the analysis. Pooled HR for PFS was 1.01 (95% CI: 0.92-1.10; p = 0.88), the pooled HR for OS was 0.95 (95% CI: 0.85-1.06; p = 0.33) and the pooled odds ratio for ORR was 0.74 (95% CI: 0.61-0.90; p = 0.003). S-1-based regimens showed milder AEs in high-grade nausea/vomit, anorexia, leukopenia, neutropenia and febrile neutropenia (all p < 0.05). CONCLUSION: The present study has revealed that S-1-based regimens are accompanied by the similar efficacy and slighter AEs compared with standard regimens as the first-line treatment in Asian chemotherapy-naive patients with advanced non-small-cell lung cancer. FAU - Chen, Jianxin AU - Chen J AD - Department of Medical Oncology, Quzhou People's Hospital, Quzhou, Zhejiang, 324000, China. FAU - Wang, Junhui AU - Wang J AD - Department of Radiation Oncology, Quzhou People's Hospital, Quzhou, Zhejiang, 324000, China. FAU - Wu, Xilin AU - Wu X AD - Department of Medical Oncology, Quzhou People's Hospital, Quzhou, Zhejiang, 324000, China. FAU - Che, Xiaoling AU - Che X AD - Department of Medical Oncology, Quzhou People's Hospital, Quzhou, Zhejiang, 324000, China. FAU - Zou, Yan AU - Zou Y AD - Department of Medical Oncology, Quzhou People's Hospital, Quzhou, Zhejiang, 324000, China. FAU - Weng, Meiling AU - Weng M AD - Department of Medical Oncology, Quzhou People's Hospital, Quzhou, Zhejiang, 324000, China. FAU - Miao, Qian AU - Miao Q AD - Department of Medical Oncology, Quzhou People's Hospital, Quzhou, Zhejiang, 324000, China. FAU - Zheng, Qinhong AU - Zheng Q AD - Department of Medical Oncology, Quzhou People's Hospital, Quzhou, Zhejiang, 324000, China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review DEP - 20171010 PL - England TA - Future Oncol JT - Future oncology (London, England) JID - 101256629 RN - 0 (Drug Combinations) RN - 150863-82-4 (S 1 (combination)) RN - 1548R74NSZ (Tegafur) RN - 5VT6420TIG (Oxonic Acid) SB - IM MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects/*therapeutic use MH - Asian People MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/mortality/*pathology MH - Clinical Trials as Topic MH - Drug Combinations MH - Humans MH - Lung Neoplasms/*drug therapy/mortality/*pathology MH - Neoplasm Metastasis MH - Neoplasm Staging MH - Odds Ratio MH - Oxonic Acid/administration & dosage MH - Randomized Controlled Trials as Topic MH - Tegafur/administration & dosage MH - Treatment Outcome OTO - NOTNLM OT - Asian chemotherapy-naive patients OT - S-1 OT - first-line treatment OT - non-small-cell lung cancer EDAT- 2017/10/11 06:00 MHDA- 2018/08/15 06:00 CRDT- 2017/10/11 06:00 PHST- 2017/10/11 06:00 [pubmed] PHST- 2018/08/15 06:00 [medline] PHST- 2017/10/11 06:00 [entrez] AID - 10.2217/fon-2017-0214 [doi] PST - ppublish SO - Future Oncol. 2017 Oct;13(24):2195-2207. doi: 10.2217/fon-2017-0214. Epub 2017 Oct 10.