在瘤学中的抗血管生成疗法:现状和未来方向
Gordon C Jayson1, Robert Kerbel2, Lee M Ellis3
1Institute of Cancer Sciences and Christie Hospital, University of Manchester, Manchester, UK.
Lancet (London, England)
|February 9, 2016
概括
血管内皮生长因子 (VEGF) 途径抑制剂在某些癌症中表现出适度的疗效. 开发预测性生物标志物对于识别能从这些抗血管生成疗法中受益的患者至关重要.
科学领域:
- 癌症学
- 分子生物学
- 药物开发
背景情况:
- 血管新生,即新血管的形成,是多种癌症的有效治疗点.
- 血管内皮生长因子 (VEGF) 途径抑制剂是已确定的治疗方法,但疗效因不同瘤类型而异.
- 目前的治疗方法在无进展和整体存活方面提供了适度的改善,因此需要进一步研究.
研究的目的:
- 强调在抗血管生成疗法中对预测生物标志物的关键需求.
- 讨论生物标志物开发对患者分层的挑战和重要性.
- 探索涉及组合治疗方案的新疗法.
主要方法:
- 对研究VEGF途径抑制剂的随机试验的审查.
- 对抗血管生成药物的不同瘤反应的分析.
- 探索新兴组合疗法和药物机制.
主要成果:
- 在细胞癌,卵巢癌,宫癌和胰腺神经内分泌瘤中,VEGF抑制剂有效.
- 前列腺癌,胰腺腺癌和黑色素瘤对这些药物具有耐药性.
- 观察到适度的生存益处,强调了患者选择的必要性.
结论:
- 通过平衡疗效,毒性和成本,预测生物标志物对于优化抗血管生成疗法至关重要.
- 了解药物免疫调节和其他机制将推动新的组合策略.
- 为了改善癌症治疗结果,需要对预测生物标志物和组合疗法的进一步研究.
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