用palbociclib治疗晚期乳腺癌的老年患者的功能状态的测量
Meghan S Karuturi1, Joseph C Cappelleri2, Joanne L Blum3
1The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Journal of geriatric oncology
|December 7, 2023
概括
接受palbociclib的晚期乳腺癌 (ABC) 的老年患者保持了他们的功能状态. 老年8 (G8),日常生活活动 (ADL) 和东部合作瘤组 (ECOG PS) 绩效状况得分在六个月内保持稳定.
科学领域:
- 老年瘤学 老年瘤学
- 乳腺癌治疗方法 乳腺癌治疗方法
- 临床试验分析临床试验分析
背景情况:
- 对于晚期乳腺癌 (ABC) 的老年患者,临床试验数据有限.
- 波拉里斯研究提供了对老年人ABC治疗的耐受性和结果的见解.
- 老年患者是一个脆弱的群体,在临床试验中通常代表性不足.
研究的目的:
- 评估70岁及以上ABC患者老年障碍和日常生活活动的变化.
- 评估palbociclib治疗对老年ABC患者六个月的功能状态的影响.
- 分析东部合作组织瘤组 (ECOG PS) 绩效状况,按老年8 (G8) 和日常生活活动 (ADL) 评分分层.
主要方法:
- 对前性非干预性POLARIS研究数据的分析.
- 使用G8查工具对老年障碍的评估.
- 使用ADL查工具评估功能状态.
- 在基线和palbociclib启动后的六个月内测量ECOG PS.
主要成果:
- 在接受palbociclib的287名70岁以上的患者中,功能状态测量 (G8,ADL,ECOG PS) 从基线到六个月没有显著的平均变化.
- 在基线时,45%的ECOGPS为0,86%的G8得分,89%的ADL得分记录.
- 在六个月后,40%的ECOGPS为0,69%的G8得分,74%的ADL得分被记录.
结论:
- 在接受Palbociclib治疗的老年ABC患者中,功能状况和老年障碍被保留.
- 在最初的六个月内,Palbociclib治疗在老年患者中表现出稳定的耐受性和维持的功能结果.
- 波拉里斯研究数据支持使用palbociclib在患有晚期乳腺癌的老年人群中.
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