卵巢癌中尼拉巴里布维持疗法与肌素水平的增加有关
Yoshifumi Takahashi1, Masahiro Taguchi1, Kohei Tamura1
1Department of Obstetrics and Gynecology, School of Medicine, Jichi Medical University, Shimotsuke, Tochigi, Japan.
The journal of obstetrics and gynaecology research
|December 20, 2023
概括
在日本患者的卵巢癌中,niraparib的维持疗法经常导致血清肌氨酸的可逆增加. 糖尿病与估计的淋巴细胞过率 (eGFR) 降低有关.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 尼拉帕里布维持疗法已在日本批准用于卵巢癌.
- 它的安全性和对日本患者功能的影响需要评估.
研究的目的:
- 评估日本卵巢癌患者尼拉帕里布维持治疗的安全性和功能影响.
- 为了确定与估计膜过率 (eGFR) 变化相关的因素.
主要方法:
- 对29名接受尼拉帕里布治疗的卵巢癌患者的回顾性分析.
- 对剂量修改,不良事件 (AE) 和eGFR趋势的评估.
- 多变量回归分析以确定与eGFR变化相关的因素.
主要成果:
- 大多数患者 (58.6%) 需要进行剂量中断和 (55.2%) 减少剂量.
- 血清肌氨酸增加是最常见的AE (62.1%).
- 在治疗期间eGFR降低,但在停止治疗后恢复到基线;糖尿病与eGFR降低有关.
结论:
- 在日本患者的niraparib维持治疗中,经常会导致可逆的血清肌水平增加.
- 糖尿病是尼拉帕里布治疗期间降低eGFR的独立危险因素.
- 需要进一步的研究,才能充分了解niraparib在这个人群中的效应.
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