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ORIGINAL ARTICLE A Randomized Trial Comparing Immediate versus Delayed Treatment of Anemia with Once-Weekly Epoetin Alfa in Patients with Non-small Cell Lung Cancer Scheduled to Receive First-Line Chemotherapy Jeffrey Crawford, MD,* Francisco Robert, MD,† Michael C. Perry, MD,‡ Chandra Belani, MD,§ and Denise Williams, MD, for the Anemia Prevention in NSCLC Group Results: The study was terminated early because of slow accrual; of Introduction: This study evaluated the safety/efficacy of once- 216 patients enrolled, 211 were evaluable for efficacy. Hb was weekly (QW) epoetin alfa measured by quality of life (QOL), maintained in the immediate group, but it decreased in the delayed hemoglobin (Hb), transfusion incidence, tumor response, and sur- group (12.9 versus 11.6 g/dl final values, respectively). Numerically, vival in patients with chemotherapy-naı¨ve, advanced non-small cell fewer immediate patients required transfusions versus delayed pa- lung cancer (NSCLC). tients. Mean QOL scores, modestly declining in both groups from Methods: Stage IIIB/IV NSCLC patients with Hb 11 to 15 g/dl baseline to final measurement, were not significantly different be- scheduled for at least 8 weeks of first-line chemotherapy were tween groups. Tumor response and median overall survival were randomized to subcutaneously receive 40,000 U of epoetin alfa QW similar between
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Mar 1, 2007
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