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Table 2 Main outcomes

From: Systematic Review of topotecan (Hycamtin) in relapsed small cell lung cancer

 

O'Brien 2006

Von Pawel 1999

Von Pawel 2001

Eckardt 2007

 

Oral topotecan vs BSC

IV topotecan vs CAV

Oral vs IV topotecan

Oral vs IV topotecan

Overall survival (median)

25.9 (18.3 to 31.6) weeks vs 13.9 (11.1 to 18.6) weeks

25 (0.4 to 90.7) weeks vs 24.7 (1.3 to 101.3) weeks

32.3 (0.4-69.1) weeks vs 25.1 (0.6-65.1) weeks

33.0 (29.1 to 42.4) weeks vs 35.0 (31.0 to 37.4) weeks

Overall survival [hazard ratio]

0.61 (0.43 to 0.87)

1.04 (0.78 to 1.40)†

Risk ratio 0.90 (0.55 to 1.47)

0.98 (0.77 to 1.25)

Progression free survival

Time to progression

16.3 (12.9 to 20.0) weeks*

13.3 (0.4 to 55.1) weeks vs 12.3 (0.1 to 75.3) weeks

15 weeks vs 13 weeks

 

Response rate [risk ratio]

 

1.33 (0.79 to 2.25)$

1.56 (0.69 to 3.50)$

0.84 (0.53 to 1.31)$

Response rate

7%*

24.3% (16.2 to 32.4) vs18.3% (10.8 to 25.7); difference 6.0% (-6 to 18)

23% vs 15% difference 8.3% (-6.6% to 23.1%)

18.3% (12.2 to 24.4) vs 21.9% (15.3 to 28.5%) difference - 3.6% (-12.6% to 5.5%)

Complete response

 

0% vs 1%

  

Response duration

 

14.4 (9.4 to 50.1) weeks vs 15.3 (8.6 to 69.9) weeks

18 weeks vs 14 weeks

18.3 weeks vs 25.4 weeks

Stable disease

44%*

19.6% vs 11.5%; OR 1.87 (0.87 to 4.03)$

  

Quality of Life

Difference in rate of change EQ-5 D 0.15 (0.05 to 0.25) in favour of topotecan

  

FACT-L total score (change from baseline) -5.07 (-7.49 to -2.65) vs -5.67 (-8.05 to 3.28); difference 0.59 (-2.38 to 3.57)#

  1. Effects in bold show advantage for topotecan; effects in italics show advantage for best supportive care or CAV (none were found); numbers between brackets are 95% confidence intervals
  2. *only provided for topotecan group
  3. vs = versus
  4. $ = own calculation from 2 by 2 data
  5. # = data supplied by GlaxoSmithKline
  6. † = data from EMEA: EPAR - Hycamtin-H-123-II-34; see:
  7. http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Scientific_Discussion_-_Variation/human/000123/WC500051543.pdf
  8. BSC: best supportive care