1
|
Ciccarese M, Forcignanò R, Petrucelli L, Fabi A, Chiuri VE, Cairo G, Lupo L, Gambino A, Saracino V, Ronzino G, Licchetta A, Giannarelli D. Abstract P6-10-01: Evaluation of post-progression survival (PPS) in advanced breast cancer (ABC) according to treatment line: Correlation with PFS and OS in an unselected population. Cancer Res 2013. [DOI: 10.1158/0008-5472.sabcs13-p6-10-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: MBC remains an incurable disease with a median survival of 2-3 years despite the use of new drugs. The validation of PPS as surrogate endpoint and its correlation to PFS and OS is matter of debate.
Methods: From 2006-2012 we analyzed retrospectively consecutive 192 pts treated for MBC outside of clinical trials, 103 with at least 3 lines CT, in order to evaluate post-progression survival (PPS) according to treatment line and its relation to PFS and OS. Moreover we evaluated the gain of benefit after CT3 and predictive factors of response to multiple lines of therapy.
Results: Median age at M+ diagnosis was 59 years (30-89), median site of disease was 2 (1-6), 67% visceral, HER-2 + pts 32%, median number of anti-Her-2 treatment was 2 (0-6); median number of treatment was 3 (1-8). Median OS for all pts was 45.6 (95% CI: 36.5-54.7). Median OS for CT > = 3 vs CT < 3 was respectively 52.5 (95% CI: 43.3-61.7) and 32.3 (95% CI: 23.6-41.2) P = 0.007. Multivariate Cox analysis showed that OS is related with ER/Pgr status (positive versus negative p<0.0001) number of lines (>3 vs ≤3) p = 0.001 and number of metastatic sites (>2 vs ≤2) p<0.0001. We evaluated the relation between PFS and OS and between PPS and OS until the 6th line of therapy with a linear regression model.
Median PFS (95% c.i.)Median PPS (95% c.i.)Median OS from M+ diagnosisCorrelation OS-PPSCorrelation OS-PFS1st line11.0 (9.5-12.5)29.9 (18.2-41.6)Not reachedP<0.0001 OS-PPS1P<0.0001 OS-PFS12nd line7.0 (5.8-8.2)20.9 (11.7-30.0)29.1 (17.5-40.7)P<0.0001 OS-PPS2P<0.0001 OS-PFS23rd line5.6 (4.5-6.7)19.5 (14.9-24.1)41.9 (15.5-68.2)P<0.0001 OS-PPS3P<0.0001 OS-PFS34th line5.7 (4.0-7.4)15.3 (13.4-17.2)50.4 (27.4-73.4)P<0.0001 OS-PPS4P<0.0001 OS-PFS45th line3.9 (3.1-4.7)11.2 (7.8-14.5)65.9 (20.8-112.2)P = 0.004 OS-PPS5P<0.0001 OS-PFS56th line3.3 (2.6-4.0)8.2 (2.2-14.2)56.8 (48.7-64.9)P = 0.36 OS- PPS6P = 0.002 OS-PFS6
Conclusion: These results supported the use of chemotherapy after CT3. PFS and PPS are related to OS until the 6th line of treatment. The utility of PPS as surrogate endpoint of OS is a valid hypothesis that could be evaluated in prospective trials of MBC.
Citation Information: Cancer Res 2013;73(24 Suppl): Abstract nr P6-10-01.
Collapse
Affiliation(s)
- M Ciccarese
- “Vito Fazzi” Hospital, Lecce, Italy; Regina Elena Cancer Institute, Rome, Italy
| | - R Forcignanò
- “Vito Fazzi” Hospital, Lecce, Italy; Regina Elena Cancer Institute, Rome, Italy
| | - L Petrucelli
- “Vito Fazzi” Hospital, Lecce, Italy; Regina Elena Cancer Institute, Rome, Italy
| | - A Fabi
- “Vito Fazzi” Hospital, Lecce, Italy; Regina Elena Cancer Institute, Rome, Italy
| | - VE Chiuri
- “Vito Fazzi” Hospital, Lecce, Italy; Regina Elena Cancer Institute, Rome, Italy
| | - G Cairo
- “Vito Fazzi” Hospital, Lecce, Italy; Regina Elena Cancer Institute, Rome, Italy
| | - L Lupo
- “Vito Fazzi” Hospital, Lecce, Italy; Regina Elena Cancer Institute, Rome, Italy
| | - A Gambino
- “Vito Fazzi” Hospital, Lecce, Italy; Regina Elena Cancer Institute, Rome, Italy
| | - V Saracino
- “Vito Fazzi” Hospital, Lecce, Italy; Regina Elena Cancer Institute, Rome, Italy
| | - G Ronzino
- “Vito Fazzi” Hospital, Lecce, Italy; Regina Elena Cancer Institute, Rome, Italy
| | - A Licchetta
- “Vito Fazzi” Hospital, Lecce, Italy; Regina Elena Cancer Institute, Rome, Italy
| | - D Giannarelli
- “Vito Fazzi” Hospital, Lecce, Italy; Regina Elena Cancer Institute, Rome, Italy
| |
Collapse
|
2
|
Licchetta A, Correale P, Migali C, Remondo C, Francini E, Pascucci A, Magliocca A, Guarnieri A, Savelli V, Piccolomini A, Carli A, Francini G. Oral Metronomic Chemo-Hormonal-Therapy of Metastatic Breast Cancer with Cyclophosphamide and Megestrol Acetate. J Chemother 2013; 22:201-4. [DOI: 10.1179/joc.2010.22.3.201] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
|
3
|
Leo⁎ S, Romano G, Accettura C, Giampaglia M, Licchetta A, Gnoni A, Mauro A, Cocciolo A, Saracino V, Lupo L, Gambino A, Lorusso V. Retrospective analysis of Erlotinib in the treatment of patients over 70years with NSCLC: Our experience in the Geriatric Oncologic Unit. J Geriatr Oncol 2012. [DOI: 10.1016/j.jgo.2012.10.072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
4
|
Correale P, Rotundo M, Botta C, Guglielmo A, Licchetta A, Conca R, Tassone P, Ridolfi R, Mini E, Tagliaferri P. 6106 POSTER Immune-boost Treatment With Gemcitabine, Oxaliplatin, Levofolinate, 5-flurouracil, Granulocyte/macrophage Colony-stimulating-factor (GM-CSF) and Aldesleukine Enhances Progression-free and Overall-survival Over FOLFOX Chemotherapy in Metastatic Colorectal Cancer Patients – Early Results From the GOLFIG-2 Phase III Trial. Eur J Cancer 2011. [DOI: 10.1016/s0959-8049(11)71751-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
|
5
|
Botta C, Guglielmo A, Bestoso E, Apollinari S, Licchetta A, Blardi P, Tassone P, Chiriaco G, Barbieri V, Mantovani G, Tagliaferri P, Correale P. Role of basal inflammatory status as a predictor of survival in bevacizumab-treated advanced non-small cell lung cancer (NSCLC) patients. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.7582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|