Cancer Res 2002,62(19):5543–5550 PubMed Competing interests The a

Cancer Res 2002,62(19):5543–5550.PubMed Competing interests The authors declare that they have no competing interests.

Authors’ contributions JY participated in the design of the study, and performed the statistical analysis and drafted the manuscript. She also carried out the cellular culture and RT-PCR assay and western blotting analysis. SYW collected clinical data and carried out immunohistochemistry staining and molecular genetic studies. She also helped to perform the statistical analysis. GFZ participated in clinical data collection and carried out the cellular invasion assay. BCS acquired the funding. He also conceived of the study, and participated in its design, and supervised experimental work and helped to draft the manuscript. BIRB 796 supplier All authors read and approved the final manuscript.”
“Introduction Lung cancer is the leading cause of cancer mortality in USA and worldwide more than one million people die from this disease every year: the overall 5-year relative survival rate measured by the Surveillance Epidemiology and End Results program in USA is 15.8% [1]. Approximately 87% of lung cancer cases are Non Small Cell Lung Cancer (NSCLC) and the majority of CUDC-907 chemical structure patients presents with advanced stage disease at diagnosis

[2, 3]. In two independent phase III trials Nitroxoline the addition of bevacizumab to standard first-line therapy was shown to improve both overall response rate (ORR) and PFS, although OS advantage was demonstrated in only one of these studies [4, 5]. In combination with platinum-based chemotherapy, cetuximab has also demonstrated a small statistically significant OS advantage as compared to chemotherapy alone [6]. Second-line treatment has been shown to improve survival and to palliate symptoms: approved treatment options include cytotoxic chemotherapy (docetaxel

or pemetrexed) or epidermal growth factor – EGFR tyrosine kinase inhibitors (erlotinib or gefitinib) [7, 8]. However, only approximately 50% of the patients will be able to receive second-line therapy, mainly because of the worsening of clinical conditions [9]. One of the strategies, that has been extensively investigated in recent years in order to improve current clinical results in advanced NSCLC, is the maintenance therapy. Here, we review available data on maintenance treatment, discussing about the possibility to tailor the right treatment to the right patient, in an attempt to optimize costs and benefits of an ever-growing panel of different treatment options. Maintenance therapy: working definitions The U.S.

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