晚期肝细胞癌的全身治疗:选择二线治疗的考虑因素
1Center for Liver and Pancreatobiliary Cancer, National Cancer Center, Goyang, Korea.
Journal of liver cancer
|June 29, 2023
概括
本综述检查了肝细胞癌 (HCC) 的二线系统性药物. 它强调了已批准的治疗方法,并讨论了在初始系统治疗失败后选择最佳治疗方法的考虑因素.
科学领域:
- 肝胆道癌症 肝胆道癌症
- 医学瘤学 医学瘤学
- 药物治疗 药物治疗
背景情况:
- 肝细胞癌 (HCC) 治疗一直受到限制,近十年来,索拉芬尼布是唯一批准的全身性药物.
- 虽然新药如雷戈拉费尼布,卡博赞提尼布和拉穆齐鲁马布显示生存率有所改善,免疫检查点抑制剂正在出现,但最佳选择的二线治疗仍然不清楚.
研究的目的:
- 审查肝细胞癌 (HCC) 第二线系统性药物的当前和未来前景.
- 解决关于在HCC管理中选择适当的二线系统性药物的考虑因素的有限知识.
主要方法:
- 对HCC的临床试验和批准的治疗方法的文献综述.
- 在初始治疗失败后,作为二线治疗使用的全身性药物的分析.
主要成果:
- 雷戈拉费尼布,卡博桑提尼布和拉穆西鲁马布在III期试验中已证明改善了整体生存率.
- 免疫检查点抑制剂 (nivolumab, pembrolizumab) 在某些地区可用于对索拉费尼布耐药的HCC.
结论:
- 现在有几种全身性药物可用于二线治疗HCC,提供更好的结果.
- 需要进行进一步的研究,以建立明确的指导方针,根据患者的特征和先前治疗来选择最有效的二线全身性药物.
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