PT - JOURNAL ARTICLE AU - Pennell, Nathan A. TI - Selection of chemotherapy for patients with advanced non–small cell lung cancer AID - 10.3949/ccjm.78.s2.10 DP - 2012 May 01 TA - Cleveland Clinic Journal of Medicine PG - S46--S50 VI - 79 IP - 5 e-suppl 1 4099 - http://www.ccjm.org/content/79/5_e-suppl_1/S46.short 4100 - http://www.ccjm.org/content/79/5_e-suppl_1/S46.full SO - Cleve Clin J Med2012 May 01; 79 AB - Chemotherapy remains the first-line treatment for most patients with stage IV non–small cell lung cancer (NSCLC), but optimal regimens are now defined by histology. Platinum-based regimens with pemetrexed, bevacizumab, or both are reasonable first-line options for patients with nonsquamous NSCLC. The standard treatment for squamous NSCLC remains a platinum doublet with a drug other than pemetrexed. Maintenance therapy is emerging as a treatment strategy for patients who do not progress after four cycles of first-line chemotherapy. In the maintenance setting, pemetrexed and erlotinib significantly prolong overall survival compared with placebo after the completion of first-line chemotherapy.