PT - JOURNAL ARTICLE AU - Tianqing Chu AU - Jun Lu AU - Minghong Bi AU - Helong Zhang AU - Wu Zhuang AU - Yan Yu AU - Jianhua Shi AU - Zhendong Chen AU - Xiaochun Zhang AU - Qisen Guo AU - Quan Liu AU - Huijuan Wu AU - Jian Fang AU - Yi Hu AU - Xiuwen Wang AU - Cuicui Han AU - Kai Li AU - Baohui Han TI - Equivalent efficacy study of QL1101 and bevacizumab on untreated advanced non-squamous non-small cell lung cancer patients: a phase 3 randomized, double-blind clinical trial AID - 10.20892/j.issn.2095-3941.2020.0212 DP - 2021 Aug 01 TA - Cancer Biology and Medicine PG - 816--824 VI - 18 IP - 3 4099 - http://www.cancerbiomed.org/content/18/3/816.short 4100 - http://www.cancerbiomed.org/content/18/3/816.full SO - Cancer Biol Med2021 Aug 01; 18 AB - Objective: This phase 3 study aimed to test equivalence in efficacy and safety for QL1101, a bevacizumab analogue in Chinese patients with untreated locally advanced non-squamous non-small cell lung cancer (NSCLC).Methods: Eligible patients were randomly assigned 1:1 to receive carboplatin and paclitaxel in combination with either QL1101 or bevacizumab, 15 mg/kg every 3-week for 6 cycles. This was followed by maintenance treatment with single agent QL1101 every 3-week. The primary end-point was objective response rate (ORR), with secondary end-points being progression-free survival (PFS), overall survival (OS), disease control rate (DCR), and adverse events (AEs).Results: Of 675 patients, 535 eligible patients were randomized to the QL1101 group (n = 269) and bevacizumab group (n = 266). ORRs were 52.8% and 56.8%, respectively, for the QL1101 and bevacizumab groups, with an ORR hazard ratio 0.93 (95% confidence interval: 0.8–0131.1). The PFS, OS, DCR, and AEs were comparable between the 2 groups, which remained the same after stratification according to epidermal growth factor receptor mutation or smoking history.Conclusions: QL1101 showed similar efficacy and safety profiles as compared to bevacizumab among Chinese patients with untreated locally advanced non-squamous NSCLC.