奥西默提尼布在患有末期脏病的患者中,不接受血液透析
Marta Pirovano1, Andrea Luciani2, Giulia Vanessa Re Sartò3
1Onconephrology Outpatient Clinic, Division of Nephrology and Dialysis, UOC Nephrology and Dialysis, ASST Fatebenefratelli Sacco, Fatebenefratelli Hospital, Piazzale Principessa Clotilde, 3, 20121, Milan, Italy. marta.pirovano96@gmail.com.
Journal of nephrology
|July 7, 2024
概括
奥西默提尼布是EGFR突变非小细胞肺癌的有效治疗方法. 这项案例研究表明,对于没有透析的末期病患者来说,它是安全的,不需要调整剂量.
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.
背景情况:
- 奥西默提尼布是一种有效的表皮生长因子受体 (EGFR) 氨酸激酶抑制剂 (TKI),用于具有EGFR突变的非小细胞肺癌 (NSCLC).
- 奥西默提尼布的初级排泄是通过便途径,这表明慢性病 (CKD) 患者不需要调整剂量.
- 关于奥西默提尼布在患有末期脏疾病 (ESRD) 的癌症患者的安全性数据有限.
研究的目的:
- 报告奥西默蒂尼布在患有末期病 (ESRD) 和EGFR突变肺腺癌的患者中的安全性和疗效.
- 评估奥西默提尼布在ESRD患者中不接受血液透析 (HD) 的耐受性.
主要方法:
- 一个77岁的妇女患有EGFR突变肺腺癌和转移性疾病的病例报告.
- 该患者接受了Osimertinib 80 mg/天41个周期.
- 监测治疗结果,包括毒性和放射性反应.
主要成果:
- 患者完成了41个Osimertinib循环,没有中断.
- 在治疗期间没有观察到严重的毒性.
- 实现了完全的放射性反应.
结论:
- 奥西默提尼布在没有接受血液透析 (HD) 的末期病 (ESRD) 癌症患者中显示出可接受的安全性.
- 奥西默提尼布的便排泄途径支持在ESRD患者中无需剂量修改的情况下使用它.
- 需要进一步的研究来证实这些发现在更大的队列中.
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