帕佐帕尼布在软组织肉瘤中的现实环境:来自意大利国家注册表的数据
B Vincenzi1, P P Olimpieri2, S Celant2
1Department of Medical Oncology, Università Campus Bio-Medico di Roma, Rome, Italy; Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
ESMO open
|November 28, 2024
概括
在晚期软组织肉瘤 (STS) 中,pazopanib治疗的持续时间因患者因素和组织学而异. 这项意大利实践研究的结果反映了关键试验结果,突出了罕见亚型的潜在差异.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 临床试验 临床试验
背景情况:
- 帕佐帕尼布 (Pazopanib) 是一种治疗先进的非脂肪细胞软组织肉瘤 (STS) 的药物,该药物是在先前的化疗后使用的.
- 在不同的STS组织学中使用帕佐帕尼布的最佳使用需要进一步定义.
研究的目的:
- 评估意大利高级STS患者中pazopanib的实际有效性和治疗模式.
- 确定影响治疗终止时间 (TTD) 和剂量减少的因素.
主要方法:
- 在2013年7月至2019年12月期间,全国范围内对先进的STS患者进行了一项观察性队列研究,这些患者接受了pazopanib治疗.
- 通过意大利药物管理局 (AIFA) 药物监测注册表前性收集的数据.
- 主要结局:治疗终止的时间 (TTD);次要结局:剂量减少的频率和时间.
主要成果:
- 分析了1964年STS患者的数据;最常见的亚型是乳腺髓肉瘤 (44.7%) 和不分化的肉瘤 (11.5%).
- 中位数的TTD为106天. 较短的TTD与较差的性能状态,更多的先前治疗和较低的帕佐帕尼布剂量有关.
- 恶性单一纤维性瘤与不分化瘤相比,显示了较长的TTD.
结论:
- 在先进的STS中,pazopanib的实际结果与关键的PALETTE试验相当.
- 该研究包括多种不同的STS亚型,包括罕见的亚型,这表明在组织学之间治疗持续时间的潜在差异.
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Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
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