复发性白金耐药/耐火性卵巢癌患者的anlotinib:一个前性,单臂,II期研究
Wenbin Shen1, Chuyu Jing1, Wenjuan Tian1
1Department of Gynecologic Oncology, Department of Oncology, Fudan University Shanghai Cancer Center, Shanghai Medical College, Fudan University, Shanghai, China.
概括
安洛丁尼布在患有白金耐药卵巢癌的患者中表现出抗瘤活性,呈现出31.2%的客观反应率和可控的副作用. 这表明anlotinib可能是这个患者群的可行的治疗选择.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 临床试验研究 临床试验研究
背景情况:
- 抗金/耐火性卵巢癌存在重大未满足的医疗需求.
- 对于在以为基础的化疗后进展的患者,存在有限的有效治疗选择.
研究的目的:
- 为了前性地评估anlotinib在患有白金耐药/耐火性卵巢癌的患者中的疗效和安全性.
- 评估客观反应率 (ORR) 和疾病控制率 (DCR) 作为主要和次要终点.
- 探索TP53突变状态与治疗结果之间的相关性.
主要方法:
- 进行了一项前性单臂II期临床试验.
- 招募了34名患有白金耐药/耐火性卵巢癌的患者,其中33名接受了anlotinib治疗.
- 安洛丁尼布每天服用12毫克 (一个21天周期的1-14天),直到疾病进展或不可接受的毒性.
主要成果:
- 客观响应率 (ORR) 为31.2% (2个完整响应,8个部分响应).
- 疾病控制率 (DCR) 为75.0%,其中14名患者实现了稳定的疾病.
- 无进展生存时间的中位数为5.3个月;整体生存时间没有达到. 常见的不良事件包括高血压和手脚综合征,没有观察到4-5级事件.
结论:
- 在患有抗金/耐火性卵巢癌的患者中,anlotinib 具有显著的抗瘤活性.
- 该药物表现出可接受的安全性概况,表明其作为治疗选择的潜力.
- TP53突变状态可能会影响治疗结果,需要进一步调查.
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