预先治疗癌症患者对塔克森的不良反应:一项前性观察性研究
M B Febina1, Princy L Palatty2, Keechilat Pavithran3
1Department of Pharmacology, Amrita Institute of Medical Sciences and Research Center, Amrita Vishwa Vidhyapeetham, Kochi, IND.
Cureus
|September 9, 2025
概括
与输液相关的反应 (IRR) 在接受纳税化疗的预治疗癌症患者中不常见. 这些分类剂的副作用,包括发红和呼吸障碍,很少导致停止治疗,这表明有效的管理策略.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 临床医学 临床医学
背景情况:
- 塔克森 (帕克利塔克塞尔,多塞塔克塞尔,卡巴西塔克塞尔) 是重要的化疗剂,向微管,但引起显著的不良反应,包括输液相关反应 (IRR).
- 标准的前期治疗方案往往无法完全减轻高素诱导的副作用,可能导致治疗延迟或停止.
- 了解这些反应的发生率和频谱对于优化患者护理和治疗成功至关重要.
研究的目的:
- 为了确定在接受前期治疗的癌症患者中对税的不良反应的频率.
- 评估观察到的与税类相关的不良事件的因果关系,严重程度和性质.
- 为提升对纳克化疗的管理策略提供信息.
主要方法:
- 一项前性观察性研究在六个月内进行,监测接受纳税化疗的患者.
- 使用常用术语标准对不良事件 (CTCAE) 版本5.0.0记录和分级不良反应.
- 使用世界卫生组织-乌普萨拉监测中心 (WHO-UMC) 系统评估反应的因果关系.
主要成果:
- 在56名患者的206个治疗周期中,共记录了236个不良反应,其中9例是输注相关反应 (IRR).
- 常见的非IRR包括脱发,麻木,肌痛和粘膜炎;常见的IRR是发红,胸部紧张和呼吸障碍,大多是2级或以下.
- 大多数不良事件根据WHO-UMC尺度被归类为可能/可能的反应.
结论:
- 与输液相关的反应 (IRR) 仅占前期治疗癌症患者中与纳税素相关的不良事件的一小部分 (3.8%).
- 无论是IRR还是其他不良反应,都不需要在这个队列中停止治疗.
- 实施脱敏方案和帕克利塔克塞尔-过敏反应 (Pac-HSR) 评分系统可以进一步提高IRR/HSR的管理,确保治疗的连续性和安全性.
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