在美国,晚期卵巢癌患者的现实世界2020年后第一线维持治疗模式
Dana M Chase1, Linda Kalilani2, Maureen A Cooney2
1Department of Obstetrics and Gynecology, David Geffen School of Medicine at the University of California Los Angeles, Los Angeles, CA, USA.
Future oncology (London, England)
|July 14, 2025
概括
不到一半的晚期卵巢癌患者接受了第一线维持疗法. 治疗选择因BRCA状态而异,BRCA突变病例中PARPi更常见.
科学领域:
- 在瘤学瘤学.
- 妇科瘤学 妇科瘤学
- 临床研究 临床研究
背景情况:
- 晚期卵巢癌 (aOC) 需要有效的第一线维护 (1LM) 策略.
- 了解现实世界中的1LM治疗模式对于优化患者的治疗结果至关重要.
研究的目的:
- 描述自2020年1月以来新诊断的晚期卵巢癌患者的1LM治疗模式.
- 分析基于BRCA突变状态的1LM治疗变异.
主要方法:
- 美国全国电子健康记录数据库的回顾性分析.
- 包括18岁以上的患有III/IV期上皮卵巢癌的患者,开始一线基化疗±贝瓦西祖马布.
- 总结了基线特征和1LM治疗模式的总体和BRCA状态.
主要成果:
- 在599名符合条件的患者中,48.2%接受了1LM治疗.
- 在BRCA突变 (47.3%) 患者中,PARPi单疗是最常见的.
- 在BRCA野生型患者 (18.7%) 中,贝瓦西祖马布单一治疗更为频繁.
结论:
- 在现实世界中,不到一半的晚期卵巢癌患者接受了1LM治疗.
- 在aOC中选择1LM治疗的治疗方法需要进一步的研究.
- BRCA突变状态显著影响1LM治疗选择.
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