Table 3 Guidelines for the management of advanced NSCLC as proposed by various academic societies and groups
SocietyFirst-line therapySecond-line therapy
Cancer Care Ontario Program, 2005 & 2010 [6]Platinum-based doublet chemotherapyDocetaxel (option: pemetrexed) followed by erlotinib
European Lung Cancer Working Party (ELCWP), 2006 [7]Cisplatin-based chemotherapy with one of the regimens shown to be effectiveDocetaxel (if not already administered as first-line treatment) given on a 3-weekly schedule at a dosage of 75 mg·m−2
American College of Chest Physicians (AACP), 2007 [8]Platinum-based chemotherapy with a new single agent (ECOG PS 0-1)Should be offered if good PS
American Society of Clinical Oncology (ASCO), 2009 [9]Two-drugs platinum-based combination regimen. Clinicians may consider the addition of bevacizumab (based on exclusion criteria of the registration trial) or cetuximab (in patients with an EGFR positive tumour as measured by immunohistochemistryDocetaxel, erlotinib, gefitinib, or pemetrexed
German Respiratory Society and the German Cancer Society, 2010 [10]Cisplatin-based combination chemotherapyDocetaxel, pemetrexed (non-squamous carcinoma) and erlotinib
  • PS: performance status