对于预先治疗HR阳性,HER2阴性,晚期乳腺癌的afuresertib和fulvestrant:一个Ib期试验
Pin Zhang1, Tao Sun2, Ying Wang3
1Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Nature communications
|February 6, 2026
概括
阿弗雷塞蒂布与富尔韦斯特兰特结合,在晚期HR阳性,HER2阴性乳腺癌中显示出有前途的抗瘤活性. 这种组合疗法在以前接受治疗的患者中耐受良好,支持了进一步的临床试验.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 激素受体阳性 (HR-阳性),人体表皮生长因子受体2-阴性 (HER2-阴性) 晚期乳腺癌仍然是一个重大的临床挑战.
- 以前的治疗方法往往导致耐药性,需要新的治疗策略.
研究的目的:
- 评估afuresertib的抗瘤活性和安全性,这是一个泛-AKT抑制剂,与富尔韦斯特兰特结合使用.
- 评估此组合在先前治疗HR阳性,HER2阴性晚期乳腺癌的患者中的疗效.
主要方法:
- 一个单臂,Ib期临床试验.
- 31名患者接受了afuresertib (125毫克/天) 加上富尔韦斯特兰特 (500毫克) 在定义的时间表上.
- 患者先前接受过治疗,其中包括某些患者的CDK4/6抑制剂.
主要成果:
- 观察到调查人员评估的25.8% (8/31) 的客观响应率.
- 29.0%的患者经历了3级或更严重的不良事件.
- 没有发生与治疗相关的死亡,这表明可管理的安全性.
结论:
- 阿弗雷塞蒂布加富尔韦斯特兰特在先前治疗的HR阳性,HER2阴性晚期乳腺癌中表现出耐受性良好和有前途的抗瘤活性.
- 这些发现支持在随机对照试验中进一步调查,以确认疗效.
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