Symptom and quality of life results of an international randomised phase III study of adjuvant vaccination with Bec2/BCG in responding patients with limited disease small-cell lung cancer.

Andrew Bottomley 1 Channa Debruyne 1 Enriqueta Felip 2 Michael Millward 3 Luc Thiberville 4 Giannicola D'Addario 5 Lisa Rome 6 Petr Zatloukal 7 Corneel Coens 1 Giuseppe Giaccone 8
1 Quality of Life Department
2 Vall d'Hebron University Hospital [Barcelona]
3 Sir Charles Gairdner Hospital
4 Service de pneumologie, oncologie thoracique et soins intensifs respiratoires [Rouen]
5 Kantonsspital St. Gallen
6 VA CT Health Care System
7 3rd Faculty of Medicine
8 National Cancer Institute
Abstract : AIMS: This study reports the symptom and HRQOL results in which standard treatment was compared to standard therapy plus Bec2, an anti-idiotypic antibody that mimics GD3, a ganglioside antigen. METHODS: Five hundred and fifteen LD SCLC patients were randomised to receive five vaccinations of Bec2 (2.5mg)/BCG vaccine arm (VA) or an observational arm (OA) administered over a 10-week period. Survival was the primary end-point; HRQOL was a secondary end-point, assessed using the EORTC QLQ-C30/LC 13. RESULTS: There was no improvement in survival or progression-free survival in the vaccination arm. At baseline patients in both arms demonstrated significantly impaired scores on the global QOL scale, when compared to a normative population. However, HRQOL and symptom scores between the two treatment arms were not statistically different at any time point. CONCLUSION: We found no benefits to patient HRQOL by additional vaccination with Bec2/BCG to LD SCLC for patients who have been undergoing standard therapy.
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Article dans une revue
European Journal of Cancer, Elsevier, 2008, 44 (15), pp.2178-84. 〈10.1016/j.ejca.2008.06.036〉
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http://www.hal.inserm.fr/inserm-00467793
Contributeur : Céline Breton <>
Soumis le : lundi 29 mars 2010 - 10:28:54
Dernière modification le : mardi 5 juin 2018 - 10:14:32

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COMUE-NORMANDIE | UNIROUEN

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Andrew Bottomley, Channa Debruyne, Enriqueta Felip, Michael Millward, Luc Thiberville, et al.. Symptom and quality of life results of an international randomised phase III study of adjuvant vaccination with Bec2/BCG in responding patients with limited disease small-cell lung cancer.. European Journal of Cancer, Elsevier, 2008, 44 (15), pp.2178-84. 〈10.1016/j.ejca.2008.06.036〉. 〈inserm-00467793〉

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