卡蒙塞尔蒂布 (Camonsertib) 是一种ATRi,与低剂量吉姆西塔结合使用,治疗具有DNA损伤反应 (DDR) 异常的固体瘤:临床前和1b期结果
Ezra Y Rosen1, Timothy A Yap2, Elisa Fontana3
1Memorial Sloan Kettering Cancer Center New York, NY United States.
概括
与卡蒙塞尔蒂布和吉姆西塔联合治疗在先进的固体瘤中显示出初步活性. 需要进一步的研究来优化剂量以获得更好的耐受性,并确定受益于这种DNA损伤修复抑制剂组合的患者子组.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 遗传学 是一个遗传学.
背景情况:
- 对于癌症治疗而言,研究了用gemcitabine和camonsertib,一种新型ATR抑制剂的联合疗法.
- 临床前模型表明这种组合可能导致瘤细胞死亡.
- 启动了一项1b期研究 (TRESR),以评估晚期固体瘤患者的安全性和疗效.
研究的目的:
- 评估结合gemcitabine和camonsertib在患有晚期固体瘤的患者中的安全性和耐受性.
- 评估这种组合治疗的初步疗效.
- 为了确定组合治疗的最佳剂量方案.
主要方法:
- 细胞系和瘤异种移植的临床前测试,用于各种剂量和时间表.
- 第1b期临床试验涉及76名DNA损伤修复 (DDR) 基因变异的患者.
- 间歇性剂量方案的camonsertib和降低升级的gemcitabine被管理.
主要成果:
- 临床前研究显示,使用低剂量卡蒙塞尔蒂布和格姆西塔宾的瘤回归具有良好的耐受性.
- 患者经历了协同毒性,主要是骨髓抑制,需要降低吉姆西塔剂量.
- 间歇性计划 (1周休息/1周休息) 改善了耐受性和中性粒细胞的恢复,在妇科癌症中显著的反应.
结论:
- 卡蒙塞尔蒂布和低剂量吉姆西塔宾的组合表明了初步的临床活性.
- 具有挑战性的耐受性需要进一步研究以确定最佳剂量方案.
- 确定最受益于这种组合的特定患者子集对于未来的临床应用至关重要.
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