CDK4/6抑制剂加上晚期乳腺癌的内分泌治疗:来自日本网络调查的结果
Takahiro Nakayama1, Linghua Xu2, Yasuaki Muramatsu3
1Department of Breast and Endocrine Surgery, Osaka International Cancer Institute, Osaka, Japan.
Future oncology (London, England)
|December 21, 2024
概括
循环素依赖性激酶4/6抑制剂加上内分泌疗法 (CDK4/6i+ET) 尚未成为日本晚期乳腺癌的标准一线治疗方法. 为了更广泛的采用,需要进一步提高认识和支持.
科学领域:
- 在瘤学瘤学.
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
背景情况:
- 尽管有标准化努力,但在日本癌症护理准入方面的差异仍然存在.
- 研究了CDK4/6抑制剂加上内分泌治疗 (CDK4/6i+ET) 对HR+/HER2-晚期乳腺癌 (ABC) 的利用.
研究的目的:
- 评估CDK4/6i+ET作为日本HR+/HER2-ABC第一线治疗的当前使用模式.
- 确定在日本采用CDK4/6i+ET的挑战和潜在解决方案.
主要方法:
- 对治疗HR+/HER2-ABC的医生进行横截面调查.
- 分析CDK4/6i+ET和ET单疗之间的治疗选择.
- 包括去年至少治疗3名一线患者的医生.
主要成果:
- 在38.3%的病例中使用了CDK4/6i+ET,而在42.2%的病例中使用了ET单疗法.
- 关键障碍包括管理不良反应,高成本和老年患者对ET的偏好.
- 建议的解决方案:减少不良事件负担,增强财政支持,并开发教育材料.
结论:
- 截至2022年,CDK4/6i+ET尚未成为日本HR+/HER2-ABC的一线解决方案.
- 提高认识和支持工具对于将CDK4/6i+ET作为标准护理的建立至关重要.
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