在接受抗癌剂的老年患者中的有效性和毒性:澳大利亚患者的回顾性分析
Joseph S Taylor1,2, Cassandra White3, Larissa Collins4
1Central Coast Cancer Centre, Gosford Hospital, Gosford, Australia.
Asia-Pacific journal of clinical oncology
|May 10, 2025
概括
在澳大利亚地区接受癌症治疗的75岁以上的老年人,无论年龄或并发症,都显示出相似的生存率. 大多数治疗方法是有效的,毒性低,这表明仅仅年龄不应该排除患者从癌症治疗.
科学领域:
- 老年瘤学 老年瘤学
- 临床药理学 临床药理学
- 现实世界的证据 现实世界的证据
背景情况:
- 越来越多的老年人被诊断患有癌症.
- 老年人在临床试验中代表性不足,实际数据有限.
- 在澳大利亚老年人群中缺乏关于全身疗法的有效性和毒性的数据.
研究的目的:
- 评估免疫疗法和化疗在老年人 (≥75岁) 具有固体器官恶性瘤的有效性和毒性.
- 提供来自澳大利亚地区中心的真实数据.
- 研究年龄和并发症对治疗结果的影响.
主要方法:
- 从接受癌症治疗的75岁以上的患者回顾性数据收集.
- 对毒性,有效性和生存结果的分析.
- 在澳大利亚地区中心包括患有固体器官恶性瘤的患者.
主要成果:
- 包括92名患者 (平均年龄81岁).
- 根据年龄,表现状况或并发症,总体存活率没有显著差异.
- 由于毒性导致的治疗停止率低 (27%);32%的化疗患者经历了≥3级毒性,而22%的免疫疗法患者.
结论:
- 老年人癌症治疗结果不会受到仅仅年龄或并发症的显著影响.
- 现实世界的数据表明,免疫疗法和化疗对于精心挑选的老年患者来说是可行的选择.
- 综合老年医学评估和查工具可能有助于患者选择癌症治疗.
相关概念视频
Factors Affecting Drug Response: Overview
1.7K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
1.7K
Cancer Therapies
7.4K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.4K
Combination Therapies and Personalized Medicine
4.8K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.8K
Dose-Response Relationship: Potency and Efficacy
4.1K
The potency of a drug is the measure of its ability to produce a biological response and can be compared by looking at the half-maximum effective concentration or EC50 values of different drugs. A lower EC50 value indicates higher potency of the drug. In the dose–response curve of two antihypertensive drugs, candesartan and irbesartan, a significant difference is observed in their EC50 values. A lower EC50 value for candesartan indicates that it is more potent than irbesartan, as it...
4.1K
Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists
151
5-HT3 receptor antagonists, such as dolasetron, granisetron (Kytril), ondansetron (Zofran), and palonosetron (Axoli), are crucial in managing chemotherapy-induced nausea and vomiting (CINV) and postoperative nausea. These drugs selectively block 5-HT3 receptors in the visceral vagal and spinal afferent nerves, chemoreceptor trigger zone, and the vomiting center. They have a rapid onset of action and can be given as a single dose before chemotherapy. Ondansetron and granisetron, in particular,...
151
Cancer Survival Analysis
301
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
301


