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Based on these findings we would recommend for patients with recurrent glioblastoma, who are not enrolled into clinical studies, to start with the intensified temozolomide scheme due to less toxic effects and superior progression free survival figures compared to BCNU.
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Specifically, in the presence of such mutations, treatment with a selective EGFR TKI is associated with superior progression-free survival (PFS), increased overall response rate (ORR), a more favorable toxicity profile, and an improved quality of life with respect to cytotoxic chemotherapy [1,6,10,11].
The improved CR rates have translated into superior progression-free survival and OS [ 12].
The primary endpoint of the study was not met: sunitinib and mFOLFOX6 failed to demonstrate superior progression-free survival compared with bevacizumab and mFOLFOX6.
By univariate analysis, intensive treatment and a low PI were associated with a superior progression-free survival (PFS); only PI was associated with overall survival.
The BMF schedule demonstrated superior progression-free survival in first-line MBC (8.2 vs 6.7 months for CMF; Von Minckwitz et al, 2005).
Number of lines of therapy (one or two vs. more than two lines of therapy) prior to transplant, absolute lymphocyte count (absolute lymphocyte count 3000/cmm or less at diagnosis, were important predictors of superior progression-free survival (Table 3).
However, recent data indicate that patients with partial platinum-sensitive disease benefit from the combination of trabectedin and PLD compared with PLD alone, with superior progression-free survival and overall survival for the combination.
Patients with non-small cell lung cancer (NSCLC) with EGFR mutation showed superior progression-free survival by first-line tyrosine kinase inhibitor (TKI) treatment than by traditional platinum-doublet chemotherapy in several clinical trials [1]– [4].
Recently, a superior progression-free survival (PFS) with gefitinib compared with the combination of carboplatin and paclitaxel in untreated NSCLC patients with predictors of gefitinib sensitivity was proven in two large phase III studies [ 9, 10].
A randomised phase III study comparing Gef with standard carboplatin plus paclitaxel has demonstrated that Gef conferred significantly superior progression-free survival as first-line chemotherapy in patients with EGFR mutation (Mok et al, 2009).
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