在转移性尿路细胞癌中治疗erdafitinib:现实世界的分析
Keren Rouvinov1,2, Eran Levanon3, Avivit Peer4
1The Legacy Heritage Oncology Center & Dr. Larry Norton Institute, Soroka Medical Center, Beer Sheva, Israel.
Frontiers in oncology
|June 9, 2023
概括
现实数据显示,erdafitinib在转移性尿路细胞癌患者中具有FGFR变异的患者提供了临床益处. 观察到的毒性与临床试验相似,有56%的人经历了益处,52%的人报告了3级毒性.
科学领域:
- 在瘤学瘤学.
- 生殖尿道癌症 生殖尿道癌症
- 药理学 药理学是指药理学的学科.
背景情况:
- 埃尔达菲提尼布是一种FGFR抑制剂,用于转移性尿路细胞癌与FGFR2/3变异.
- 根据第二阶段试验获得批准,但由于不常见的基因组变化,其现实数据有限.
- 这项研究评估了在现实世界患者队列中的erdafitinib结果.
研究的目的:
- 评估erdafitinib在转移性尿路细胞癌的现实环境中的疗效和安全性.
- 将现实世界的结果与未来临床试验的结果进行比较.
主要方法:
- 在以色列9个医疗中心对25名接受了herdafitinib治疗的患者进行了回顾性审查.
- 从2020年1月到2022年10月收集的数据.
- 分析包括临床益处,无进展生存率,总生存率和与治疗相关的毒性.
主要成果:
- 56%的患者获得了临床益处,包括完全响应 (12%) 和部分响应 (32%).
- 中位数无进展生存期为2.7个月,中位数整体生存期为6.73个月.
- 高度的3级毒性 (52%) 导致32%的患者停止治疗.
结论:
- 埃尔达菲提尼布在现实世界转移性尿路细胞癌治疗中显示出临床益处.
- 在现实世界中使用的毒性概况与前性临床试验的发现保持一致.
- 需要进一步研究在不同患者群体中管理herdafitinib毒性.
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