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
UT WoS
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.