Nintedanib plus docetaxel as second-line therapy in patients with non-small-cell lung cancer: a network meta-analysis

Research output: Contribution to journalJournal articleResearchpeer-review

  • Sanjay Popat
  • Anders Mellemgaard
  • Kyle Fahrbach
  • Alison Martin
  • Maria Rizzo
  • Rolf Kaiser
  • Ingolf Griebsch
  • Martin Reck

BACKGROUND: Nintedanib plus docetaxel has proven an overall survival benefit over docetaxel monotherapy in second-line treatment of non-small-cell lung cancer of adenocarcinoma histology in the LUME-Lung 1 pivotal trial. No published trials have previously compared nintedanib plus docetaxel with agents – other than docetaxel – that are approved second-line treatments for non-small-cell lung cancer.

METHODS: The relative efficacy of nintedanib plus docetaxel versus second-line agents was evaluated by conducting a network meta-analysis of progression-free survival and overall survival.

RESULTS: Nine suitable studies were identified. The estimated probability of nintedanib plus docetaxel being the best treatment with regard to overall survival was 70% (versus 16% for pemetrexed, 10% for docetaxel and 3% for erlotinib). Results for progression-free survival were similar.

CONCLUSION: In patients with advanced non-small-cell lung cancer of adenocarcinoma histology, results suggest that nintedanib plus docetaxel offers clinical benefit compared with docetaxel alone, when used as second-line treatment, and suggests that this combination may also add clinical benefit compared with erlotinib in this patient group.

Original languageEnglish
JournalFuture Oncology
Volume11
Issue number3
Pages (from-to)409-20
Number of pages12
ISSN1479-6694
DOIs
Publication statusPublished - Feb 2015

    Research areas

  • Antineoplastic Combined Chemotherapy Protocols, Carcinoma, Non-Small-Cell Lung, Clinical Trials as Topic, Humans, Indoles, Lung Neoplasms, Mutation, Neoplasm Metastasis, Neoplasm Staging, Receptor, Epidermal Growth Factor, Retreatment, Taxoids, Treatment Outcome

ID: 161694609