دورية أكاديمية
Intravenous high-dose interferon with or without maintenance treatment in melanoma at high risk of recurrence: meta-analysis of three trials
| العنوان: | Intravenous high-dose interferon with or without maintenance treatment in melanoma at high risk of recurrence: meta-analysis of three trials |
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| المؤلفون: | Malczewski, Agnieszka, Marshall, Andrea, Payne, Miranda J., Mao, Lili, Bafaloukos, Dimitrios, Si, Lu, Pectasides, Dimitrios, Fountzilas, George, Guo, Jun, Gogas, Helen, Middleton, Mark R. |
| المساهمون: | Middleton, MR (reprint author), Churchill Hosp, Oxford Canc Ctr, Oxford OX3 7LE, England., Oxford Univ Hosp NHS Trust, Natl Inst Hlth Res, Biomed Res Ctr, Oxford, England., Univ Warwick, Warwick Clin Trials Unit, Coventry CV4 7AL, W Midlands, England., Peking Univ, Canc Hosp & Inst, Dept Renal Canc & Melanoma, Minist Educ,Key Lab Carcinogenesis & Translat Res, Beijing 100871, Peoples R China., Hellen Cooperat Oncol Grp, Athens, Greece., Churchill Hosp, Oxford Canc Ctr, Oxford OX3 7LE, England. |
| المصدر: | PubMed ; SCI |
| بيانات النشر: | CANCER MEDICINE |
| سنة النشر: | 2016 |
| المجموعة: | Peking University Institutional Repository (PKU IR) / 北京大学机构知识库 |
| مصطلحات موضوعية: | Adjuvant, interferon, melanoma, meta-analysis, survival, ADJUVANT THERAPY, III MELANOMA, STAGE, ALPHA |
| الوصف: | Resected stage IIB-IIIC malignant melanoma has a poor prognosis with a high risk of relapse and death. Treatment with adjuvant interferon alfa-2b (IFN--2b) is associated with improved relapse-free and overall survivals (OS), but the most appropriate dose and duration of treatment are unknown. In this article, we present an individual patient data random effects meta-analysis of melanoma patients from the U.K., Greek, and Chinese randomized trials. All patients were randomized either to IFN--2b 15-20MIU/m(2) IV daily 5days per week for 4weeks (IV) or to the same regimen followed by IFN--2b 9-10MIU/m(2) administered three times per week for 48weeks (IV and SC). Allowing for dose interruptions and reductions, an equivalent total dose of IFN--2b was delivered in all three studies. We assessed whether IV was noninferior to IV and SC in terms of relapse-free survival (RFS) and investigated tumor and patient characteristics that impacted on outcomes. Median follow-up of 716 stage IIB-IIIC patients was 5.4years. Noninferiority of IV compared to IV and SC could not be conferred for RFS (hazard ratio [HR] 1.16, 95% confidence interval [CI] 0.89-1.52; noninferior P=0.17). Stage (P<0.0001), site (acral vs. other, P<0.0001), and Breslow thickness (P=0.02) were significant predictors of RFS. The HR for death was 1.13 for IV compared to IV and SC, (95% CI 0.91-1.39). Stage (P<0.0001) and Breslow thickness (P=0.001) were significant independent predictors of OS. The available data suggest that where adjuvant high-dose interferon is being considered there is no evidence to deviate from the year long regimen described in the Eastern Cooperative Oncology Group and Intergroup studies. ; Cancer Research UK [8466] ; SCI(E) ; PubMed ; ARTICLE ; mark.middleton@oncology.ox.ac.uk ; 1 ; 17-23 ; 5 |
| نوع الوثيقة: | journal/newspaper |
| اللغة: | English |
| تدمد: | 2045-7634 |
| العلاقة: | CANCER MEDICINE.2016,5,(1),17-23.; 1392132; http://hdl.handle.net/20.500.11897/435981Test; WOS:000367847300003 |
| DOI: | 10.1002/cam4.563 |
| الإتاحة: | https://doi.org/20.500.11897/435981Test https://doi.org/10.1002/cam4.563Test https://hdl.handle.net/20.500.11897/435981Test |
| رقم الانضمام: | edsbas.2C004B18 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 20457634 |
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| DOI: | 10.1002/cam4.563 |