J 2014

Predictive and prognostic significance of sodium levels in patients with NSCLC treated by Erlotinib

SVATON, Martin; Ondrej FIALA; Milos PESEK; Frantisek BRUHA; Petr MUKENSNABL et al.

Základní údaje

Originální název

Predictive and prognostic significance of sodium levels in patients with NSCLC treated by Erlotinib

Autoři

SVATON, Martin; Ondrej FIALA; Milos PESEK; Frantisek BRUHA; Petr MUKENSNABL; Jaroslav RACEK; Marek MINARIK a Zbyněk BORTLÍČEK

Vydání

Anticancer Research, Athens, International Institute of Anticancer Research, 2014, 0250-7005

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Řecko

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 1.826

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/14:00078688

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Hyponatremia; NSCLC; OS; PFS; Predictive marker; Prognosis

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 24. 4. 2015 13:41, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Background: Hyponatremia is a well-known phenomenon in cancer patients. The aim of our retrospective study was to assess the relationship of natremia levels to predict treatment with erlotinib and also to assess the prognosis of patients with hyponatremia. Patients and Metods: We analyzed data of 544 patients with advancedstage non-small cell lung cancer (NSCLC) treated with erlotinib. Results: Hyponatremia was measured in 21.5 % of patients before treatment with erlotinib. We found a significant increase in the effectiveness of treatment with erlotinib in patients with normal levels of sodium to hyponatremic patients. Progression-free survival (PFS) and overall survival (OS) were also significantly higher in patients with normal natremia. Multivariate Cox model analysis demonstrated that natremia was an independent factor for PFS and OS. Conslusion: We reported hyponatremia not only as a prognostic marker in NSCLC patients but also as predictive marker of erlotinib treatment efficacy, being an independent factor at the present large retrospective study. Its possible effect in clinical practice is bigger thanks the simple possibility of testing of hyponatremia and the low cost of this biomarker.