FIALA, O., P. HOSEK, M. PESEK, J. FINEK, J. RACEK, T. BUCHLER, Alexandr POPRACH, Karel HEJDUK, Renata CHLOUPKOVÁ, O. SOREJS, M. ECKSTEINOVA, M. VITOVEC, K. CIZKOVA, R. KUCERA and O. TOPOLCAN. Prognostic role of serum C-reactive protein in patients with advanced-stage NSCLC treated with pemetrexed. Neoplasma. Bratislava: Slovenská akademie vied, 2017, vol. 64, No 4, p. 605-610. ISSN 0028-2685. Available from: https://dx.doi.org/10.4149/neo_2017_416.
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Basic information
Original name Prognostic role of serum C-reactive protein in patients with advanced-stage NSCLC treated with pemetrexed
Authors FIALA, O. (203 Czech Republic), P. HOSEK (203 Czech Republic), M. PESEK (203 Czech Republic), J. FINEK (203 Czech Republic), J. RACEK (203 Czech Republic), T. BUCHLER (203 Czech Republic), Alexandr POPRACH (203 Czech Republic, belonging to the institution), Karel HEJDUK (203 Czech Republic, guarantor, belonging to the institution), Renata CHLOUPKOVÁ (203 Czech Republic, belonging to the institution), O. SOREJS (203 Czech Republic), M. ECKSTEINOVA (203 Czech Republic), M. VITOVEC (203 Czech Republic), K. CIZKOVA (203 Czech Republic), R. KUCERA (203 Czech Republic) and O. TOPOLCAN (203 Czech Republic).
Edition Neoplasma, Bratislava, Slovenská akademie vied, 2017, 0028-2685.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30204 Oncology
Country of publisher Slovakia
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 1.696
RIV identification code RIV/00216224:14110/17:00097428
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.4149/neo_2017_416
UT WoS 000407539900016
Keywords in English C-reactive protein; lung cancer; NSCLC; chemotherapy; pemetrexed; prognosis
Tags EL OK
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 20/3/2018 14:03.
Abstract
Pemetrexed is an intravenously administered antifolate cytostatic agent targeting several folate-dependent enzymatic pathways, widely used in the treatment of patients with advanced non-small cell lung cancer (NSCLC). It has been previously demonstrated that the superiority of pemetrexed is limited to patients with non-squamous histology. Aside from the non-squamous histology, there is still no available molecular biomarker predicting treatment efficacy of pemetrexed-based chemotherapy. The aim of our retrospective study was to evaluate the association of baseline serum levels of C-reactive protein (CRP) with outcomes in a large cohort of patients with non-squamous NSCLC treated with pemetrexed. Clinical data of 325 patients were analysed. Serum samples were collected within one week before the initiation of treatment. The median progression-free (PFS) and overall survival (OS) for patients with high CRP was 2.1 and 9.5 compared to 4.2 and 20.5 months for those with normal CRP (p=0.002 and p<0.001, respectively). The multivariable Cox proportional hazards model revealed that serum CRP (HR=1.46, p=0.002) was significantly associated with PFS and also with OS (HR=1.95, p<0.001). In conclusion, the study results suggest that pretreatment serum CRP is associated with poor outcome of non-squamous NSCLC patients treated with pemetrexed.
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