用计量型环胺 (mCyc) 治疗先前治疗过的转移性瘤抵抗性前列腺癌 (mCRPC)
Nataliya Mar1, Sami Dwabe1, Marlon N Baranda2
1Division of Hematology/Oncology, University of California Irvine, Orange, CA.
Clinical genitourinary cancer
|December 13, 2023
概括
口服计量学循环胺 (mCyc) 在转移性割抗性前列腺癌 (mCRPC) 中表现出有前途的活性. 在重度预治疗的患者中,这种治疗耐受性良好,并且具有成本效益.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 转移性割抗性前列腺癌 (mCRPC) 的治疗选择有限.
- 口服计量学环胺 (mCyc) 在前列腺癌 (PCa) 中表现出活性和有利的毒性概况.
- 不同于高剂量环胺,低剂量口服mCyc表现出免疫刺激作用.
研究的目的:
- 评估口服计量学环胺 (mCyc) 在mCRPC患者的疗效和安全性.
- 评估前列腺特异性抗原 (PSA) 的下降,症状改善和毒性.
- 为了比较mCyc与其他mCRPC剂的成本效益.
主要方法:
- 对43名mCyc.治疗mCyc.的mCRPC患者进行了回顾性多机构研究.
- 提取了人口,临床,病理和基因组数据.
- 主要终点:PSA降低50%以上 (PSA50).
主要成果:
- 20.9%的患者达到PSA50;25.6%的患者
- 6.9%的人报告症状改善而没有PSA降低.
- 9.3%需要降低剂量,11.6%有剂量中断;没有因毒性而停止治疗.
- 与其他药物相比,mCyc具有成本效益.
结论:
- 口服计量学环胺 (mCyc) 在重度预治疗的mCRPC患者中表现出快速活性和耐受性毒性.
- mCyc是一种有前途的,低成本的选择,用于晚期前列腺癌.
- 尽管样本规模很小,但需要进一步研究.
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