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在先进的基底细胞癌中使用vismodegib和sonidegib的现实世界经验:一项多中心意大利研究
Mario Valenti1, Sara Di Giulio2, Andrea Carugno3
1Dermatology Unit, IRCCS Humanitas Research Hospital, Rozzano, Milan; Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan. mario.valenti@hunimed.eu.
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|February 18, 2025
概括
这项研究比较了意大利高级基底细胞癌的vismodegib和sonidegib. 在现实世界中使用时,sonidegib显示出更高的响应率和较少的不良事件,而不是vismodegib.
科学领域:
- 在瘤学瘤学.
- 皮肤病学 皮肤病学
背景情况:
- 维斯莫迪吉布和索尼迪吉布是FDA批准的平滑 (SMO) 抑制剂,用于晚期基底细胞癌 (aBCC).
- 在aBCC中关于SMO抑制剂有效性和安全性的真实数据对于临床决策至关重要.
研究的目的:
- 评估vismodegib和sonidegib在晚期基底细胞癌 (aBCC) 患者的实际有效性和安全性.
- 为了比较vismodegib和sonidegib之间的治疗结果,包括反应率,持续时间和不良事件.
主要方法:
- 一项回顾性,观察性,多中心研究分析了57名局部晚期基底细胞癌 (laBCC) 患者的医疗记录,这些患者接受了SMO抑制剂治疗.
- 患者在2019年7月至2024年4月期间接受了临床试验之外的vismodegib (n=19) 或sonidegib (n=38).
主要成果:
- 与维斯莫迪吉布 (CR 31.6%,PR 26.3%) 相比,索尼迪吉布的整体响应率更高 (CR 47.4%,PR 36.8%).
- 索尼迪基布的中位治疗持续时间更长 (12个月与8个月相比),因不良事件而导致的治疗中断较少 (13.2%与47.4%相比).
- 使用sonidegib (7.9%) 的病变进展率低于使用vismodegib (26.3%).
结论:
- 在现实意大利环境中,sonidegib似乎是一种更有效,更好地耐受SMO抑制剂,用于晚期基底细胞癌.
- 这些发现支持sonidegib作为先进的基底细胞癌患者的有价值的治疗选择,与vismodegib相比,提供更好的结果和耐受性.
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