系统疗法在现实世界中用于治疗晚期甲状腺癌的治疗
Debbie W Chen1, Mousumi Banerjee2, Tianyi Xu3
1Division of Metabolism, Endocrinology, and Diabetes, University of Michigan, Ann Arbor, Michigan.
概括
针对晚期甲状腺癌的全身治疗使用在2013-2021年期间增加,伦瓦提尼布成为首要治疗方法. 非白人患者在全身疗法利用方面表现出日益增长的趋势.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 在过去的十年中,针对晚期甲状腺癌的新系统治疗方法出现了.
- 关于使用这些先进的甲状腺癌治疗方法的现实数据有限.
研究的目的:
- 分析系统疗法用于晚期甲状腺癌的使用趋势.
- 检查2013年至2021年间15种全身疗法的现实世界使用情况.
主要方法:
- 使用了Optum的Clinformatics®数据马特数据库,用于非识别患者数据.
- 采用Joinpoint回归来评估按种族/种族分类的治疗使用年百分比变化.
- 使用处方要求日期确定治疗序列.
主要成果:
- 针对晚期甲状腺癌的系统治疗使用量从2013年的45名患者增加到2021年的114名患者.
- 伦瓦提尼布于2015年获得批准,成为最常见的第一线疗法 (2017-2021年为48.8%).
- 观察到接受治疗的非西班牙裔白人患者减少,非白人患者的趋势增加.
结论:
- 晚期甲状腺癌的全身治疗在2013年至2021年期间显著增加.
- 伦瓦提尼布在2015年获得FDA批准,推动了这一增长的大部分.
- 在非白人患者群体中,出现了系统治疗使用增加的新趋势.
相关概念视频
Synthesis and Regulation of Thyroid Hormones
4.7K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
4.7K
Treatment Resistant Cancers
3.3K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.3K
Cancer Therapies
7.7K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.7K
The Thyroid Gland
4.0K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
4.0K
Tumor Immunotherapy
556
Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
556
Targeted Cancer Therapies
7.7K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.7K


