PMID- 33710815 OWN - NLM STAT- Publisher LR - 20240222 IS - 2095-3941 (Print) IS - 2095-3941 (Linking) VI - 18 IP - 3 DP - 2021 Mar 12 TI - Equivalent efficacy study of QL1101 and bevacizumab on untreated advanced non-squamous non-small cell lung cancer patients: a phase 3 randomized, double-blind clinical trial. PG - 816-24 LID - j.issn.2095-3941.2020.0212 [pii] LID - 10.20892/j.issn.2095-3941.2020.0212 [doi] AB - OBJECTIVE: This phase 3 study aimed to test equivalence in efficacy and safety for QL1101, a bevacizumab analogue in Chinese patients with untreated locally advanced non-squamous non-small cell lung cancer (NSCLC). METHODS: Eligible patients were randomly assigned 1:1 to receive carboplatin and paclitaxel in combination with either QL1101 or bevacizumab, 15 mg/kg every 3-week for 6 cycles. This was followed by maintenance treatment with single agent QL1101 every 3-week. The primary end-point was objective response rate (ORR), with secondary end-points being progression-free survival (PFS), overall survival (OS), disease control rate (DCR), and adverse events (AEs). RESULTS: Of 675 patients, 535 eligible patients were randomized to the QL1101 group (n = 269) and bevacizumab group (n = 266). ORRs were 52.8% and 56.8%, respectively, for the QL1101 and bevacizumab groups, with an ORR hazard ratio 0.93 (95% confidence interval: 0.8-0131.1). The PFS, OS, DCR, and AEs were comparable between the 2 groups, which remained the same after stratification according to epidermal growth factor receptor mutation or smoking history. CONCLUSIONS: QL1101 showed similar efficacy and safety profiles as compared to bevacizumab among Chinese patients with untreated locally advanced non-squamous NSCLC. CI - Copyright (c) 2021 Cancer Biology & Medicine. FAU - Chu, Tianqing AU - Chu T AD - Department of Pulmonary Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai 200030, China. FAU - Lu, Jun AU - Lu J AD - Department of Pulmonary Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai 200030, China. FAU - Bi, Minghong AU - Bi M AD - Department of Oncology, The First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China. FAU - Zhang, Helong AU - Zhang H AD - Department of Oncology, Tangdu Hospital, Air Force Medical University of PLA, Xi'an 710038, China. FAU - Zhuang, Wu AU - Zhuang W AD - Department of Medical Thoracic Oncology, Fujian Cancer Hospital, Fujian Medical University Cancer Hospital, Fuzhou 350014, China. FAU - Yu, Yan AU - Yu Y AD - Department of Oncology, Harbin Medical University Cancer Hospital, Harbin 150081, China. FAU - Shi, Jianhua AU - Shi J AD - Department of Oncology, Linyi Cancer Hospital, Linyi 276000, China. FAU - Chen, Zhendong AU - Chen Z AD - Department of Oncology, The Second Hospital of Anhui Medical University, Hefei 230601, China. FAU - Zhang, Xiaochun AU - Zhang X AD - Department of Oncology, The Affiliated Hospital of Qingdao University, Qingdao 266071, China. FAU - Guo, Qisen AU - Guo Q AD - Department of Internal Medicine, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117, China. FAU - Liu, Quan AU - Liu Q AD - Department of Oncology, Affiliated Hospital of Jiang Nan University, Wuxi 214122, China. FAU - Wu, Huijuan AU - Wu H AD - Department of Internal Medicine, Henan Province Tumor Hospital, Zhengzhou University, Zhengzhou 450008, China. FAU - Fang, Jian AU - Fang J AD - Department of Thoracic Oncology II, Peking University Cancer Hospital and Institute, Beijing 100142, China. FAU - Hu, Yi AU - Hu Y AD - Department of Oncology, Chinese PLA General Hospital, Beijing 100039, China. FAU - Wang, Xiuwen AU - Wang X AD - Department of Oncology, Qilu Hospital of Shandong University, Jinan 250012, China. FAU - Han, Cuicui AU - Han C AD - Department of Clinical Research Centre, Qilu Pharmaceutical Co., Ltd, Jinan 250101, China. FAU - Li, Kai AU - Li K AUID- ORCID: 0000-0002-6895-0024 AD - Department of Thoracic Oncology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin, Tianjin's Clinical Research Center for Cancer, Tianjin 300060, China. FAU - Han, Baohui AU - Han B AUID- ORCID: 0000-0002-3950-3030 AD - Department of Pulmonary Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai 200030, China. LA - eng PT - Journal Article DEP - 20210312 PL - China TA - Cancer Biol Med JT - Cancer biology & medicine JID - 101588850 SB - IM PMC - PMC8330542 OTO - NOTNLM OT - Biosimilar OT - bevacizumab OT - clinical efficacy OT - equivalence OT - non-squamous NSCLC COIS- This study was supported by Qilu Pharmaceutical Group Co, Ltd. No other potential conflicts of interests are disclosed. EDAT- 2021/03/13 06:00 MHDA- 2021/03/13 06:00 PMCR- 2021/08/15 CRDT- 2021/03/12 13:05 PHST- 2021/03/12 13:05 [entrez] PHST- 2021/03/13 06:00 [pubmed] PHST- 2021/03/13 06:00 [medline] PHST- 2021/08/15 00:00 [pmc-release] AID - j.issn.2095-3941.2020.0212 [pii] AID - 10.20892/j.issn.2095-3941.2020.0212 [doi] PST - aheadofprint SO - Cancer Biol Med. 2021 Mar 12;18(3):816-24. doi: 10.20892/j.issn.2095-3941.2020.0212.