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Gefitinib does not improve survival when combined with paclitaxel and carboplatin chemotherapy in people with advanced non-small-cell lung cancer

Gefitinib does not improve survival when combined with paclitaxel and carboplatin chemotherapy in people with advanced non-small-cell lung cancer <h5>Background</h5> Evidence to support the use of gefitinib, an epidermal growth factor receptor tyrosine kinase inhibitor, in combination with paclitaxel and carboplatin chemotherapy regimens in people with advanced non-small-cell lung cancer is limited.</P><h5>Objective</h5> To determine if gefitinib, in combination with paclitaxel and carboplatin chemotherapy improves survival outcomes in people with advanced non-small-cell lung cancer.</P><h5>Setting</h5> This multicentre study was conducted mainly (80%) in the United States.</P><h5>Method</h5> Multicentre randomised controlled trial.</P><h5>Participants</h5> 1037 people (∼60% male, median age ∼61 years, range 26–86 years) with histologically confirmed non-small-cell lung cancer (NSCLC) and disease stage IIIa ( n = 30, 3%); IIIb without malignant pleural effusion ( n = 41, 4%); IIIb with malignant pleural effusion ( n = 127, 12%) or stage IV ( n = 834, 80%; note: information not available from all participants) with a WHO performance status of 0 ( n = 367, 35%), 1 ( n = 554, 53%) or 2 ( n = 114, 11%). People were excluded if they: had mixed NSCLC plus small-cell lung cancer; had previously received chemotherapy; had brain metastases that were newly diagnosed or had not been treated with surgery or radiation; had previously been treated for CNS metastases or spinal-cord compression http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Cancer Treatment Reviews Elsevier
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