RT Journal Article SR Electronic T1 CYFRA 21-1 as a Predictive Marker for Non-small Cell Lung Cancer Treated with Pemetrexed-based Chemotherapy JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 935 OP 939 VO 37 IS 2 A1 SONE, KAZUKI A1 OGURI, TETSUYA A1 NAKAO, MAKOTO A1 KAGAWA, YUSUKE A1 KUROWAKA, RYOTA A1 FURUTA, HIROMI A1 FUKUDA, SATOSHI A1 UEMURA, TAKEHIRO A1 TAKAKUWA, OSAMU A1 KANEMITSU, YOSHIHIRO A1 OHKUBO, HIROTSUGU A1 TAKEMURA, MASAYA A1 MAENO, KEN A1 ITO, YUTAKA A1 SATO, HIDEFUMI A1 MURAMATSU, HIDEKI A1 NIIMI, AKIO YR 2017 UL http://ar.iiarjournals.org/content/37/2/935.abstract AB Background: Pretreatment serum tumor marker levels predict outcome in non-small cell lung cancer (NSCLC). However, little is known about the clinical value of such measurements for patients treated with pemetrexed plus a platinum-derivative. Patients and Methods: We retrospectively screened 100 chemotherapy-naïve patients with advanced non-squamous NSCLC treated with pemetrexed plus a platinum-derivative in relation to the pretreatment level of cytokeratin 19 fragment (CYFRA 21-1) and carcinoembryonic antigen (CEA). Results: Sixty one patients with a high CYFRA 21-1 level had statistically shorter progression-free and overall survival than 39 patients with a normal CYFRA 21-1 level (median progression-free survival=127 days vs. 191 days, respectively; p=0.046; median overall survival=360 days vs. 781 days, respectively, p<0.001). Serum CEA level was not related to survival. Conclusion: Serum CYFRA 21-1 level is a predictive and prognostic marker in patients with NSCLC treated with pemetrexed plus a platinum-derivative.