ty-jour t1-一线卡铂加上刺皮素,并在患有晚期非Quamous非小无小细胞肺癌的HIV阳性患者中具有刺激性维护:II IIFCT-1001 CHIVA试验JF-欧洲呼吸杂志 - 欧洲呼吸杂志JO-EUR RESSIR JO-EUR RESSIR J DO- 10.1183/13993003.02066-2019 VL - 56 IS - 2 SP - 1902066 AU - Lavole, Armelle AU - Greillier, Laurent AU - Mazières, Julien AU - Monnet, Isabelle AU - Kiakouama-Maleka, Lize AU - Quantin, Xavier AU - Spano,Jean Philippe au -Lena,Herve au -Fraisse,Philippe au -Janicot,Henri au -Audigier -Valette,Clarisse au -Langlais,Alexandra au -Morin,Franck au-弗兰克·澳,麦金岛 - 麦金森,Alain au -cadranel,jacranel,jacques a2 -y1 -y1- y1-,y1 -y1-,y1-,y1-,y1-,y1 -y1-,y1-,y1-,y1-,y1-,y1-,y1-,y1-,y1-,y1-,y1-,y1-,y1-,Y1-,,,地,2020/08/01 UR -http://www.qdcxjkg.com/content/56/2/2/2/1902066.Abstract N2- HIV感染是肺癌试验中的排除标准。这项多中心II期试验旨在评估一线卡铂和pemetrexed(CAP)的可行性,功效和安全性,然后在患有艾滋病毒(PLHIV)患者(PLHIV)的患者中进行pemetrexed(p)维护NS-NSCLC)。在Eastern合作肿瘤学组绩效状态≤2的患者中,CAP的四个CAP循环进行了p维护治疗。主要目的是12周后疾病控制率(DCR)≥30%。入学的61个PLHIV,49(80%)的性能状态为0-1,19(31%)的脑转移。中位CD4淋巴细胞计数为418个细胞·µL -1(范围18-1230),中位CD4淋巴细胞NADIR为169.5细胞·µl -1(1-822);48(80%)患者受病毒控制。38名患者(62%)患者实现了四个周期诱导,而31(51%)开始p维护(中值4.1个周期(范围1-19))。12周的DCR为50.8%(95%CI 38.3-63.4),部分响应率为21.3%。 Median progression-free survival and overall survival were 3.5 (95% CI 2.7–4.4) and 7.6 months (5.7–12.8), respectively. Patients with a performance status of 0–1 had the longest median progression-free survival (4.3 months, 95% CI 3.1–5.2) and overall survival (11.9 months, 95% CI 6.4–14.3). During induction, CaP doublet was well tolerated apart from grade 3–4 haematological toxicities (neutropenia 53.8%; thrombocytopenia 35.0%; anaemia 30.0%). Two fatal treatment-related sepses were reported. No opportunistic infections were experienced.In PLHIV with advanced NS-NSCLC, first-line four-cycle CaP induction followed by P-maintenance was effective and reasonably well-tolerated. Further studies should evaluate combination strategies of CaP with immunotherapy in PLHIV.In this first clinical trial dedicated to people living with HIV and advanced non-squamous non-small cell lung cancer, first-line 4-cycle carboplatin plus pemetrexed followed by pemetrexed maintenance chemotherapy was effective and reasonably well-tolerated https://bit.ly/2xAqeEl ER -