现实生活中的经验,索拉费尼布用于晚期和耐火的desmoid类型纤维素瘤
Delphine Schampers1, Alexander Decruyenaere2, Celine Jacobs2
1Department of medical oncology, Ghent University Hospital, Ghent, Belgium. delphine.schampers@ugent.be.
Acta oncologica (Stockholm, Sweden)
|August 5, 2024
概括
索拉费尼布在治疗渐进性desmoid型纤维素瘤 (DF) 中表现出有效性,具有显著的毒性,需要频繁降低剂量. 现实世界的数据支持其在临床实践中的使用.
科学领域:
- 在瘤学瘤学.
- 医学研究 医学研究
背景情况:
- 德斯莫伊德型纤维素瘤 (DF) 治疗已经转向警等待,而不是局部疗法.
- 对DF的全身治疗只适用于渐进或有症状的病例.
研究的目的:
- 审查关于索拉费尼布在desmoid类型纤维素瘤中使用的真实数据.
- 在临床环境中评估索拉费尼布的疗效和毒性.
主要方法:
- 对治疗索拉费尼布治疗渐进性DF的患者的回顾性分析.
- 评估患者的人口结构,疾病特征,治疗反应 (RECIST 1.1),以及毒性 (CTCAE v5.0).
主要成果:
- 11名患者接受了索拉费尼布;36.4%的部分反应,54.5%的病情稳定.
- 平均治疗持续时间为20.4个月;中位时间到反应为15.0个月.
- 高水平的毒性 (81.8%级2,36.4%级3),主要与皮肤有关,需要减少81.8%的患者的剂量.
结论:
- 现实世界的索拉费尼布数据与DF的临床试验结果一致.
- 索拉费尼布是一种有效的系统选择,用于渐进的DF.
- 显著的毒性需要谨慎管理和剂量调整.
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