科比美提尼布加维穆拉费尼布在患有BRAF突变的固体瘤患者中:来自向剂和分析利用注册表研究的结果
Funda Meric-Bernstam1, Michael Rothe2, Pam K Mangat2
1University of Texas MD Anderson Cancer Center, Houston, TX.
JCO precision oncology
|December 14, 2023
概括
科比美提尼布加维穆拉费尼布在具有BRAF V600E突变的高级固体瘤中表现出显著的抗瘤活性. 需要进一步的研究来确认非V600E BRAF突变的疗效.
科学领域:
- 在瘤学瘤学.
- 基因组学就是基因组学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 向疗法为晚期癌症提供了新的治疗途径.
- 基因组改变,如BRAF突变,是精准医学的关键目标.
研究的目的:
- 为了评估cobimetinib和vemurafenib在患有BRAF突变的高级固体瘤的患者中的抗瘤活性.
- 评估疾病控制率 (DC) 作为第二阶段篮子研究的主要终点.
主要方法:
- 一组31名患有晚期固体瘤和BRAF突变的患者接受了cobimetinib和vemurafenib的治疗.
- 疾病控制 (完全响应,部分响应或稳定疾病≥16周) 是主要的疗效终点.
- 还评估了安全性和其他疗效终点,包括客观反应率 (ORR).
主要成果:
- 在28名可评估患者中观察到68%的疾病控制率 (P < .0001).
- 客观响应率为57% (95% CI,37至76),其中有2个完整响应和14个部分响应.
- 19名患者经历了与治疗相关的不良事件,其中1人死于损伤.
结论:
- 科比美提尼布加维穆拉费尼布在具有BRAF V600E突变的高级固体瘤中表现出显著的抗瘤活性.
- 建议进行进一步的研究,以验证这些发现在非V600E BRAF突变的瘤中.
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