伦瓦提尼布加剧了肝细胞癌患者的骨肌肉量减少,而阿特佐利祖马布加贝瓦西祖马布没有
Kenji Imai1, Koji Takai1, Shinji Unome1
1Department of Gastroenterology/Internal Medicine, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu 501-1194, Japan.
Cancers
|January 26, 2024
概括
在肝细胞癌 (HCC) 患者中,阿特佐利祖马布加贝瓦齐祖马布 (AB) 维持了骨肌肉指数 (SMI),而不是伦瓦丁尼布 (LEN). 保持SMI对于生存至关重要,使得AB在HCC治疗期间保持肌肉健康的优势.
科学领域:
- 肝细胞癌研究 肝细胞癌研究
- 瘤学 治疗学 治疗学
- 身体组成分析 身体成分分析
背景情况:
- 肝细胞癌 (HCC) 治疗影响患者的身体组成和生物标志物.
- 骨肌肉指数 (SMI) 是癌症患者潜在的预后因素.
- 了解脂肪组织和瘤标志物的与治疗相关的变化至关重要.
研究的目的:
- 为了评估SMI的时间变化,脂肪组织指数 (SATI,VATI),AFP,PIVKA-II和ALBI分数在HCC治疗阿特佐利祖马布加贝瓦齐祖马布 (AB) 或伦瓦提尼布 (LEN) 期间进行评估.
- 确定这些变化对患者存活时间的影响.
- 确定治疗期间生存和SMI变化的预测因素.
主要方法:
- 对94名HCC患者 (37名在AB,57名在LEN) 的分析,在治疗开始,3个月,治疗结束和最后一次观察时进行测量.
- 使用威尔科克森配对测试进行时间变化分析.
- 采用Cox比例危险模型和协差分析,以确定生存和SMI变化的独立预测因素.
主要成果:
- 在接受AB治疗时,SMI保持不变,但在接受LEN治疗时显著下降.
- SMI,AFP和ALBI分数是生存的独立预测指标.
- 药物选择 (AB与LEN) 和PIVKA-II是SMI变化的独立预测因素.
结论:
- 在肝细胞癌 (HCC) 治疗期间,阿特佐利祖马布加贝瓦齐祖马布 (AB) 在维持骨肌肉指数 (SMI) 方面优于伦瓦丁尼布 (LEN).
- 维持SMI是改善HCC患者生存结果的关键因素.
- 在HCC治疗期间,应监测身体成分变化和特定生物标志物.
关键词:
它们是Atezolizumab.这是bevacizumab的治疗方法.肝细胞癌是肝细胞癌.伦瓦提尼布 (Lenvatinib) 是一种药物.预后因素是一个预后因素.这种类型的麻症是sarcopenia.更多相关视频
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