伦瓦提尼布作为先进和渐进性GI-NET的救援疗法
Annie Mathew1, Jaume Capdevila2, Nicole Unger1
1Department of Endocrinology, Diabetes and Metabolism, and Division of Laboratory Research, Endocrine Tumor Center at WTZ/Comprehensive Cancer Center and ENETS Center of Excellence, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
伦瓦提尼布显示,作为治疗晚期胃肠神经内分泌瘤 (GI-NETs) 的救援疗法具有前途. 这种治疗在严重预治疗且选择有限的患者中提供了显著的无进展生存率和整体生存率.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 对于消化道神经内分泌瘤 (GI-NETs) 的伦瓦替尼的现实数据有限.
- 之前的研究在早期阶段的试验中探索了lenvatinib,但缺乏广泛的患者数据.
研究的目的:
- 评估伦瓦提尼布作为先进和渐进性GI-NET的救援疗法的现实有效性.
- 分析使用伦瓦提尼布治疗的患者的无进展生存期 (PFS) 和整体生存期 (OS).
主要方法:
- 对16名患有晚期GI-NET的患者进行了回顾性分析,这些患者接受了lenvatinib治疗.
- 患者在多次先前的治疗中进展后接受了伦瓦提尼布作为救援疗法.
- 收集了关于患者人口统计,瘤特征,先前治疗和结果的数据.
主要成果:
- 总体应答率为29%,临床效益率为100%.
- 林瓦提尼布治疗中位数PFS为10个月,中位数OS为113个月 (9.4年).
- 高血压与较长的PFS相关,而体重减轻与较短的PFS相关.
结论:
- 伦瓦提尼布在严重预先治疗的,快速进展的GI-NET患者中显示出有前途的疗效.
- 它代表了先进的GI-NET具有有限的替代品的有价值的治疗选择.
- 现实世界的数据支持伦瓦提尼布在治疗耐火性GI-NET中的作用.
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