来自乳腺癌内分泌疗法的血管运动症状的Elinzanetant
Fatima Cardoso1,2, Susanne Parke3, Donal J Brennan4
1Breast Unit, Champalimaud Clinical Center, Champalimaud Foundation, Lisbon, Portugal.
The New England journal of medicine
|June 2, 2025
概括
在接受乳腺癌内分泌治疗的妇女中,Elinzanetant显著降低了血管运动症状. 这种针对神经素的疗法为管理这些常见和破坏性的副作用提供了新的选择.
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:
- 激素受体阳性乳腺癌的内分泌治疗通常会导致血管运动症状.
- 有限的数据存在于这个特定的患者群体中的elinzanetant的有效性.
- 埃林扎内坦是针对神经素的向疗法,研究用于血管运动症状治疗.
研究的目的:
- 评估Elinzanetant在接受内分泌治疗的妇女减轻血管运动症状的疗效.
- 在这个群体中评估elinzanetant的安全性和耐受性.
主要方法:
- 进行了第三阶段随机试验 (OASIS-4).
- 参与者接受了elinzanetant (每天120毫克) 或安慰剂,其次是elinzanetant.
- 主要终点测量了第4周和第12周中度至重度血管运动症状每日频率的变化.
主要成果:
- 与安慰剂相比,Elinzanetant显著降低了血管运动症状的频率,在第4周 (发作差异为-3.5发作) 和第12周 (发作差异为-3.4发作).
- 最常见的不良事件包括头痛,疲劳和昏昏欲睡.
- 严重的不良事件在两组中都很少发生.
结论:
- 埃林扎涅坦在治疗与乳腺癌内分泌治疗相关的血管运动症状方面表现出显著的疗效.
- 这些发现支持elinzanetant作为管理这些症状的潜在治疗选择.
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