Selpercatinib in early-stage RET fusion–positive non–small-cell lung cancer (Registro nro. 22826)

000 -Cabecera
Campo de control interno 03255nam a2200301 4500
001 - Número de control
control field ESSALUD
005 - Fecha y hora de la última transacción
Campo de control 20260817161158.0
007 - Tipo material - Descripcion fisica - info general
Tipo material - Descripcion fisica - info general ta
008 - Elementos de Longitud Fija - Información General
Elementos de Longitud Fija - Información t pe ||||| |||| 00| 0 spa d
040 ## - Origen de la Catalogación
Origen de la Catalogación BMG
041 ## - Idioma
Idioma eng
100 ## - Autor
Autor Wu, Yi-Long
Rol del Autor Autor
9 (RLIN) 54114
245 ## - Titulo
Titulo Selpercatinib in early-stage RET fusion–positive non–small-cell lung cancer
300 ## - Páginas
Paginación páginas: 660-670
520 ## - Resumen
Resumen Background: Selpercatinib, a highly selective, potent, and central nervous system–penetrant RET inhibitor, is approved for RET fusion–positive advanced or metastatic non–small-cell lung cancer (NSCLC). The efficacy and safety of selpercatinib in early-stage NSCLC are unknown. Methods: We conducted a phase 3, double-blind trial involving patients with RET fusion–positive NSCLC who had received definitive therapy with curative intent (surgery or radiotherapy with adjuvant systemic anticancer therapy, if applicable). Patients were randomly assigned to receive adjuvant selpercatinib or placebo for up to 3 years. The primary end point was investigator-assessed event-free survival in patients with stage II or IIIA disease. Secondary end points were investigator-assessed event-free survival in patients with stage IB, II, or IIIA disease; event-free survival as assessed by blinded independent central review; overall survival; and safety. Results: A total of 151 patients were assigned to receive selpercatinib (75 patients) or placebo (76 patients). Median follow-up was 24 months and 27 months in the respective groups. Among 109 patients with stage II or IIIA disease, 2-year investigator-assessed event-free survival was 92% with selpercatinib and 61% with placebo (hazard ratio for disease recurrence, progression, or death, 0.17; 95% confidence interval [CI], 0.06 to 0.51; P<0.001). Event-free survival as assessed by blinded independent central review was consistent with investigator-assessed event-free survival. Among the 151 patients with stage IB, II, or IIIA NSCLC, investigator-assessed event-free survival at 2 years was 94% with selpercatinib and 70% with placebo (hazard ratio for disease recurrence, progression, or death, 0.16; 95% CI, 0.06 to 0.48; P<0.001). The most common adverse events during the treatment period were increased levels of alanine aminotransferase and aspartate aminotransferase (grade ≥3 in 17% and 19% of patients, respectively, in the selpercatinib group). Three deaths occurred, all in the placebo group, owing to disease progression. Conclusions: Among patients with stage II or IIIA RET fusion–positive NSCLC, event-free survival was significantly longer with adjuvant selpercatinib than with placebo.
650 ## - Temas - Descriptores
Temas - Descriptores CÁNCER DE PULMÓN
9 (RLIN) 53712
650 ## - Temas - Descriptores
Temas - Descriptores NEUMOLOGÍA
9 (RLIN) 25628
650 ## - Temas - Descriptores
Temas - Descriptores CUIDADOS INTENSIVOS GENERAL
9 (RLIN) 54115
650 ## - Temas - Descriptores
Temas - Descriptores TRATAMIENTOS EN ONCOLOGÍA
9 (RLIN) 53734
700 ## - Autor Personal
Autor Personal Hochmair, Maximilian
9 (RLIN) 54116
700 ## - Autor Personal
Autor Personal Yang, Yi
9 (RLIN) 54117
700 ## - Autor Personal
Autor Personal Yang, Xue-Ning
9 (RLIN) 54118
700 ## - Autor Personal
Autor Personal Tsuboi, Masahiro
9 (RLIN) 54119
700 ## - Autor Personal
Autor Personal Paz-Ares, Luis
9 (RLIN) 54120
700 ## - Autor Personal
Autor Personal Yang, James Chih-Hsin
9 (RLIN) 54121
773 0# - Revista (Relacion con el numero)
Host Biblionumber 22717
Host Itemnumber 22647
Ciudad, Editorial Massachusetts NEJM Group
Codigo barras item/ejemplar NEJM010
Titulo de la Revista The New England Journal of Medicine
Número de control de registro ESSALUD
ISSN 0028-4793
942 ## - Elementos de Koha
Tipo de Documento Artículos
Fecha procesamiento 2026-08-17
Catalogador SQB

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