接受新辅助化疗或化疗辐射的食道癌患者的病理完整反应:系统性审查和元分析
Charles E Gaber1,2, Jyotirmoy Sarker1, Abdullah I Abdelaziz1
1Department of Pharmacy Systems, Outcomes and Policy, College of Pharmacy, University of Illinois Chicago, Chicago, Illinois, USA.
对食道癌的新辅助化疗 (辐射) 产生了较低的病理完整响应 (pCR) 率,特别是在腺癌中. 状细胞癌患者的pCR较高,突出显示了治疗差异.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 临床试验 临床试验
背景情况:
- 新辅助疗法是非转移性食道癌的标准,病理完整反应 (pCR) 表明治疗成功.
- 目前的pCR率估计不准确,需要进行综合分析以进行准确的基准测试.
- 了解pCR变异对于优化治疗策略和试验设计至关重要.
研究的目的:
- 系统地审查和元分析食道癌患者的病理完整反应 (pCR) 率.
- 为不同的组织学提供精确的,聚合的pCR估计后的新辅助疗法.
- 在食道癌中建立未来临床试验设计的基准.
主要方法:
- 1992年至2022年间发表的研究的系统审查和元分析.
- 包括对非转移性食道癌的试验,包括胃食道结.
- 使用弗里曼-图基转换和随机效应模型计算的组织学特定的聚合pCR流行率.
主要成果:
- 分析了包括6451名患者在内的84项研究.
- 状细胞癌的聚合PCR:9% (化疗) 和32% (化疗辐射).
- 对腺癌的聚合PCR:6% (化疗) 和22% (化疗辐射).
结论:
- 不到三分之一的食道癌患者在新辅助化疗后达到pCR.
- 与腺癌相比,状细胞癌的pCR率较高.
- 这些聚合的pCR估计为未来的临床试验设计和评估提供了至关重要的基准.
更多相关视频
07:29Intramucosal Inoculation of Squamous Cell Carcinoma Cells in Mice for Tumor Immune Profiling and Treatment Response Assessment
Published on: April 22, 2019
06:46Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
相关概念视频
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
Cancer Therapies
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists
Cancer Survival Analysis
Targeted Cancer Therapies
There are several types of targeted therapies against...
