用阿特佐利祖马布和贝瓦齐祖马布治疗肝细胞癌的患者的轻度肝功能下降:现实世界的研究
Victoria Delhoume1, Paul Girot2, Marion Khaldi1
1Institut des Maladies de l'Appareil Digestif (IMAD), Hépato-Gastroentérologie, Inserm CIC 1413, Nantes Université, CHU Nantes, Nantes.
European journal of gastroenterology & hepatology
|September 23, 2025
概括
早期轻度肝功能下降不会影响接受阿特佐利祖马布和贝瓦西祖马布的晚期肝细胞癌患者的整体存活率. 这一发现对于了解现实世界HCC队列中的治疗反应至关重要.
科学领域:
- 肝细胞癌研究 肝细胞癌研究
- 医学瘤学 医学瘤学
- 临床药理学 临床药理学
背景情况:
- 阿特佐利祖马布加贝瓦齐祖马布是一种推的第一线治疗,用于晚期肝细胞癌 (HCC).
- 现实世界的数据对于了解治疗疗效和患者结果至关重要.
- 调查治疗反应的早期指标对于个性化医学至关重要.
研究的目的:
- 评估晚期HCC患者早期轻度肝功能恶化的预后意义.
- 评估肝功能变化对一线治疗期间整体生存期 (OS) 的影响.
- 在接受阿特佐利祖马布和贝瓦西祖马布治疗的HCC患者中确定独立的预后因素.
主要方法:
- 对155名先进的HCC患者进行了回顾性分析,这些患者接受了阿特佐利祖马布加贝瓦西祖马布治疗.
- 在最初的6个月内使用白蛋白-白素 (ALBI) 度量评估肝功能.
- 使用多变量分析,轻度肝功能恶化 (没有临床症状) 与整体存活率 (OS) 的相关性.
主要成果:
- 在治疗的前四个周期中,ALBI得分明显恶化.
- 轻度肝功能恶化并未被确定为OS的独立预测因素.
- 基线ALBI等级3,ECOG性能状态1和宏血管入侵是OS的独立预后因素.
结论:
- 早期轻度肝功能恶化不会对先进的HCC患者的整体存活率产生负面影响,这些患者接受了阿特佐利祖马布和贝瓦西祖马布治疗.
- 治疗决策和预后评估应考虑超出过渡性轻度肝功能变化的因素.
- 进一步的研究可能会探索持续性肝功能下降的临床影响.
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