Author | Patients(N) | Stage | Radiotherapy | Concurrent chemotherapy | Endostar | Pneumonitis(%) | PFS | OS | Comments | Reference |
---|---|---|---|---|---|---|---|---|---|---|
Zhai et al. | 67 | III | 60-66Gy/30–33F, 5 times /week | 50 mg/m2/d of cisplatin on days 1, 8, 29, and 36 plus 50 mg/m2/d of etoposide on days 1–5 and days 29–33 | 7.5 mg/m2/day for 5 days before the beginning of RT, repeated at week 2, 4, and 6 during RT | grade≥ 2 RP 11.9% | 1, 2, and 3-year PFS were 50.7%, 34.8%, and 28.2% | 1, 2, and 3-year OS were 82.1%, 59.9% and 47.7% | Endostar had a better OS, promising 2year-PFS with acceptable toxicity | [8] |
Ma et al. | 193 | III | 2Gy/F/day, 5times /week | etoposide + cisplatin 50mg/m2 ; DP/C 65mg/m2 or carboplatin AUC =5; TP/C 135–175mg/m2,65mg/m2 or carboplatin AUC=5; NP/C 60mg/m2,65mg/m2; AP/C 500mg/m2,65mg/m2; GP/C 1000mg/m2,65mg/m2; repeated every 4 weeks | 7.5 mg/m2/day with 5–7 days | (Endostar) late-stage 1 grade lung injury-14.4%, late-stage 2 grade lung injury-3.80%; (non-Endostar) late-stage 1 grade lung injury-33.7%; late-stage 2 grade lung injury-9.10%;(P=0.02) | NR | (Endostar) the mOS-29.7m 5year OS rate-34.7%;(non-Endostar)the mOS-21.3m 5year OS rate-23.6%;(P=0.038) | Endostar improved mOS and 5-year survival rate, reduced the toxic and side effects | [13] |
Sun et.al | 19 | III | 60-66Gy/30–33F,5 times /week | chemotherapy consisting of weekly 50 mg/m2 paclitaxel over 1 h, weekly 2 mg/mL/min carboplatin over 30 min | 7.5 mg/m2 endostatin over 3h infusion between days 1 and 14 and between days 22 and 35 | 26 % had grade 3 RP | mPFS was 10.0m (95%CI:7.6-12.3m) | mOS was 14.0m (95% CI:10.7–17.2m) | endostatin's influence on NSCLC patient survival remains unknown, with unacceptable toxicity | [14] |
Bao et.al | 48 | III | 60-66Gy/30–33F for 6 -7 weeks | two doses of docetaxel(65 mg/m2) and cisplatin (65 mg/m2) on days 8 and 36 | 7.5mg/m2/d was administered over 4 h each day for 7 days at weeks 1, 3, 5, and 7 | grade≥ 2 RP 25% grade> 3 RP 12% | 1-, 2-, and 3year PFS rates were 48%, 27%, and 16% | 1-, 2-, and 3year OS rates were 81%, 50%, and 30% | Endostar with CCRT for LA-NSCLC patients promises short-term effect and local control rates | [15] |
Zhu et.al | 75 | III and IV | PCTV60–66Gy/30–33F/6–7 weeks for stage III, PGTV54–60Gy/27–30F/5.5–6 weeks for stage IV | NR | 210mg total, continuous infusion for 5–7 days via micropump every 3 weeks | Endostar group exhibited a numerically lower rate of RP relapse, RP death and pulmonary fibrosis | mPFS was 8.0 and 4.4m (HR:0.53; 95% CI: 0.32–0.90; p = 0.019) for Endostar and non-Endostar groups | mOS was 40.0 and 13.1m (HR: 0.53; 95% CI: 0.28–0.98; p = 0.045) for Endostar and non-Endostar groups | endostatin showed better survival outcomes and a tendency toward fewer radiation-related pulmonary events in NSCLC patients | [7] |