在先进的抗/耐火小细胞肺癌中使用FOLFIRI:一项回顾性研究
Cyril Roussel-Simonin1, Paul Gougis1,2, Donia Lassoued1
1Department of Medical Oncology, Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Pitié Salpêtrière Hospital, Paris, France.
Acta oncologica (Stockholm, Sweden)
|June 5, 2023
概括
福利瑞化疗在患有白金耐药或耐药小细胞肺癌 (SCLC) 的患者中表现出活性,显示出可接受的安全性. 需要进一步的前性研究来确认其作为SCLC新治疗选择的潜力.
科学领域:
- 在瘤学瘤学.
- 医学研究 医学研究
背景情况:
- 小细胞肺癌 (SCLC) 的预后不好,对于抗或耐火病例的治疗选择有限.
- 托波特坎是一种标准治疗方法,但具有很高的毒性,促使人们探索替代方案.
- 用于神经内分泌瘤的治疗方案FOLFIRI与SCLC有相似之处.
研究的目的:
- 评估FOLFIRI化疗方案的疗效和安全性.
- 在患有白金耐药或耐火性SCLC的患者中评估FOLFIRI.
主要方法:
- 用FOLFIRI (2013-2021) 治疗的SCLC患者的医疗记录的回顾性分析.
- 客观应答率 (ORR) 是主要终点,次要终点包括应答持续时间,疾病控制率,无进展生存 (PFS),总生存 (OS) 和安全.
- 使用RECIST v1.1或EORTC标准进行响应评估.
主要成果:
- 其中包括34名患者;28名患者的反应可评估.
- 观察到总体ORR为14.7% (5/34),可评估患者的疾病控制率为50% (14/28).
- 中位数PFS为2.8个月,中位数OS为5.3个月. 3级或4级不良事件发生在38.2%的患者中,主要是喘息,中性质减退,血栓减退和腹,没有与治疗相关的死亡.
结论:
- 福利利在抗/耐火性SCLC中表现出一些活性和可接受的安全性.
- 由于研究的回顾性质,建议谨慎解释结果.
- 福利瑞可能是一个潜在的新疗法选择,需要在前性研究中进一步调查.
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