临床试验

改良 CARG 评分指导老年或脆弱晚期 NSCLC 一线治疗:随机 II 期 DURATION 试验

来源:Clin Lung Cancer · PMID 42966192 · DOI 10.1016/j.cllc.2026.10.004 · 来源:IMA 知识库《文献层·文献监控卡片》2026-11-03 期 · 摘要级(file_id dGdXdaLpSURA,实际下载核验 387,231 B) · 摘要级,未获取付费墙全文

时间标签:数据日期 2026-11-03 · 生成时间 2026-11-03 05:30(Asia/Shanghai)| 检索窗口 PubMed edat 2026/10/31 – 2026/11/03 | 情报发生日期 2026-11-03

证据级别:摘要级。本条依据 PubMed 结构化摘要与元数据撰写,付费墙全文未获取、未逐节核验,本站未做任何数值推算补全。

摘要(PubMed 原文节选)

PURPOSE: Older and vulnerable patients with metastatic non-small-cell lung cancer (NSCLC) are underrepresented in clinical trials, and evidence guiding treatment intensity remains limited. We investigated whether a modified Cancer and Aging Research Group (mCARG) score could prospectively guide chemotherapy intensity according to estimated toxicity risk. METHODS: In this randomized, open-label phase II study, 201 patients with metastatic NSCLC aged ≥ 70 years and/or Charlson Comorbidity Index (CCI) > 1 and/or ECOG performance status ≥ 2 were stratified by mCARG score. Patients with mCARG ≤ 3 received platinum-doublet chemotherapy (CTX), whereas those with mCARG > 3 received single-agent CTX.…

对本项目的价值

中等价值:属「干预策略与临床转化」方向;干预策略与临床试验栏目可用作本项目文献库与综述素材。 | 价值分 2.2/5(★★☆☆☆)

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原文题录

  • 中文题名:改良 CARG 评分指导老年或脆弱晚期 NSCLC 一线治疗:随机 II 期 DURATION 试验
  • 英文标题:Modified CARG Score-Guided First-Line Treatment in Older or Vulnerable Patients With Advanced Non-Small-Cell Lung Cancer: Results of the Randomized, Phase 2 DURATION Trial (AIO-YMO/TRK-0416).
  • 期刊与标识:Clin Lung Cancer · PMID 42966192 · DOI 10.1016/j.cllc.2026.10.004 · EDAT 2026-10-31

A 级证据分级:A 级(同行评议人体研究)

本文属人体研究证据,但需注意:观察性或小样本干预的结论不等于已证实临床获益;效应量与长期安全性仍需更大规模、更长随访的试验验证。

关于本文的文献来源:本站依据 IMA 知识库「五刊监控·深度文献卡片」(SOP §4.2 摘要级)撰写,依据期刊公开摘要与 PubMed 元数据;付费墙全文未获取之处已标注「待补全文」,未做任何数值推算补全。