EFFICACY AND SAFETY OF PEMBROLIZUMAB COMBINED WITH CHEMOTHERAPY IN THE TREATMENT OF PATIENTS WITH STAGE IV NON-SMALL CELL LUNG CANCER AT NATIONAL LUNG HOSPITAL

Xuân Hạnh Cấn, Thanh Dương Nguyễn , Thành Lâm Nguyễn , Thùy Linh Đặng

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Abstract

Objective: Evaluate treatment results and safety of Pembrolizumab combined with chemotherapy in the treatment of stage IV non-small cell lung cancer. Methods: Cross-sectional descriptive study combined with retrospective with longitudinal follow-up on 63 patients with stage IV non-small cell lung cancer treated with Pembrolizumab combined with chemotherapy at the National Lung Hospital. Implementation period is from June 2019 to June 2023. Results: The average age of the patients was 61.95 years old, the male/female gender ratio was 3.5/1. The disease control rate was 84.1%, of which the complete response rate was 3.2%, partial response rate was 68.9% and stability rate was 11.1%. During the treatment process, the patient experienced side effects on the hematopoietic system and outside the hematopoietic system, but at a mild level (grade 1, 2). Patients can recover and continue maintenance treatment until the end of the treatment course. Conclusion: Stage IV non-small cell lung cancer patients treated with Pembrolizumab combined with chemotherapy have high disease control rates and acceptable safety.

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References

1. Sung H, Ferlay J, Siegel R.L et al (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin, 71(3), 209-249.
2. Nguyễn Văn Hiếu (2015). Ung Thư Học, Nhà xuất bản Y học, Hà Nội.
3. Thandra K.C, Barsouk A, Saginala K et al (2021). Epidemiology of lung cancer. Contemp Oncol (Pozn), 25(1), 45-52.
4. Gadgeel S, Rodríguez-Abreu D, Speranza G et al (2020). Updated Analysis From KEYNOTE-189: Pembrolizumab or Placebo Plus Pemetrexed and Platinum for Previously Untreated Metastatic Nonsquamous Non-Small-Cell Lung Cancer. J Clin Oncol, 38(14), 1505-1517.
5. Robinson AG, Vicente D., Tafreshi A et al (2021). First-line pembrolizumab plus chemotherapy for patients with advanced squamous NSCLC: 3-year follow-up from KEYNOTE-407. J Thorac Oncol, 16(14):S748-S749.
6. Nguyễn Việt Hà, Nguyễn Tuyết Mai (2021). Kết quả điều trị ung thư phổi không tế bào nhỏ giai đoạn IIIB-IV bằng phác đồ Pemetrexed-Cisplatin. Tạp chí Y học Việt nam, Tập 501, Tháng 4 - Số 1, tr. 264 - 268.
7. Popat S, Liu S.V, Scheuer N et al (2022). Association Between Smoking History and Overall Survival in Patients Receiving Pembrolizumab for First-Line Treatment of Advanced Non-Small Cell Lung Cancer. JAMA Netw Open, 5(5), e2214046.
8. Trịnh Lê Huy, Trần Đình Anh (2022). Đánh giá hiệu quả điều trị bước một ung thư phổi không tế bào nhỏ giai đoạn muộn có đột biến EGFR bằng Afatinib. Tạp chí Nghiên cứu Y học, 155(7), tr. 75-83.
9. Hàn Thị Thanh Bình (2014). So Sánh Đáp Ứng và Độc Tính Hoá Chất Phác Đồ Paclitaxel-Cisplatin và Etoposide-Cisplatin Trên Bệnh Nhân Ung Thư Phổi Không Tế Bào Nhỏ Giai Đoạn Tiến Triển Tại Chỗ và Di Căn Xa, Luận án Tiến sĩ Y học, Đại học Y Hà Nội.