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氨磷汀作为食管黏膜保护剂在联合化疗及每日两次放疗治疗局限期小细胞肺癌中的II期评估。

Phase II evaluation of amifostine as an esophageal mucosal protectant in the treatment of limited-stage small cell lung cancer with chemotherapy and twice-daily radiation.

作者信息

Arquette Matthew, Wasserman Todd, Govindan Ramaswamy, Garfield David, Senzer Neil, Gillenwater Heidi, Socinski Mark

机构信息

Washington University, St Louis, MO 63110, USA.

出版信息

Semin Radiat Oncol. 2002 Jan;12(1 Suppl 1):59-61. doi: 10.1053/srao.2002.31375.

DOI:10.1053/srao.2002.31375
PMID:11917286
Abstract

For limited-stage small cell lung cancer, twice-daily radiation with concurrent chemotherapy improves survival rate, but has dose-limiting esophageal toxicity. The authors studied 34 patients treated with amifostine in an attempt to decrease the incidence and grade of esophagitis. The results indicate that there was no reduction in toxicity, but the authors were able to maintain the high complete response rate that had been reported previously. These results differ from the use of amifostine in non-small cell lung cancer in which there is the observation of esophageal protection.

摘要

对于局限期小细胞肺癌,每日两次放疗联合同步化疗可提高生存率,但存在剂量限制性食管毒性。作者研究了34例接受氨磷汀治疗的患者,试图降低食管炎的发生率和严重程度。结果表明,毒性并未降低,但作者能够维持先前报道的高完全缓解率。这些结果与氨磷汀在非小细胞肺癌中的应用不同,在非小细胞肺癌中观察到了食管保护作用。

相似文献

1
Phase II evaluation of amifostine as an esophageal mucosal protectant in the treatment of limited-stage small cell lung cancer with chemotherapy and twice-daily radiation.氨磷汀作为食管黏膜保护剂在联合化疗及每日两次放疗治疗局限期小细胞肺癌中的II期评估。
Semin Radiat Oncol. 2002 Jan;12(1 Suppl 1):59-61. doi: 10.1053/srao.2002.31375.
2
Amifostine reduces radiochemotherapy-induced toxicities in patients with locally advanced non-small cell lung cancer.氨磷汀可降低局部晚期非小细胞肺癌患者放化疗引起的毒性反应。
Semin Oncol. 2003 Dec;30(6 Suppl 18):2-9. doi: 10.1053/j.seminoncol.2003.11.008.
3
Reduction of treatment breaks and radiation-induced esophagitis and pneumonitis using amifostine in unresectable non-small cell lung cancer patients receiving definitive concurrent chemotherapy and radiation therapy: a prospective community-based clinical trial.在接受确定性同步化疗和放疗的不可切除非小细胞肺癌患者中使用氨磷汀减少治疗中断以及放射性食管炎和肺炎:一项基于社区的前瞻性临床试验。
Semin Oncol. 2005 Apr;32(2 Suppl 3):S99-104. doi: 10.1053/j.seminoncol.2005.03.017.
4
Radiotherapy or chemotherapy followed by radiotherapy with or without amifostine in locally advanced lung cancer.局部晚期肺癌患者接受放疗或化疗后,再接受放疗,同时或不同时使用氨磷汀。
Semin Radiat Oncol. 2002 Jan;12(1 Suppl 1):50-8. doi: 10.1053/srao.2002.31374.
5
Randomized trial of amifostine in locally advanced non-small-cell lung cancer patients receiving chemotherapy and hyperfractionated radiation: radiation therapy oncology group trial 98-01.氨磷汀在接受化疗和超分割放疗的局部晚期非小细胞肺癌患者中的随机试验:放射肿瘤学组试验98 - 01
J Clin Oncol. 2005 Apr 1;23(10):2145-54. doi: 10.1200/JCO.2005.07.167.
6
Effect of amifostine on toxicities associated with radiochemotherapy in patients with locally advanced non-small-cell lung cancer.氨磷汀对局部晚期非小细胞肺癌患者放化疗相关毒性的影响。
Int J Radiat Oncol Biol Phys. 2003 Oct 1;57(2):402-8. doi: 10.1016/s0360-3016(03)00590-x.
7
Treatment-related esophagitis.与治疗相关的食管炎。
Semin Oncol. 2005 Apr;32(2 Suppl 3):S60-6. doi: 10.1053/j.seminoncol.2005.03.011.
8
Randomized phase III study of chemoradiation with or without amifostine for patients with favorable performance status inoperable stage II-III non-small cell lung cancer: preliminary results.对于体能状态良好的不可手术的II-III期非小细胞肺癌患者,接受或不接受氨磷汀同步放化疗的随机III期研究:初步结果
Semin Radiat Oncol. 2002 Jan;12(1 Suppl 1):46-9. doi: 10.1053/srao.2002.31363.
9
Protection of normal tissues from the cytotoxic effects of radiation therapy: focus on amifostine.保护正常组织免受放射治疗的细胞毒性作用:聚焦于氨磷汀。
Semin Radiat Oncol. 1998 Oct;8(4 Suppl 1):14-6.
10
Effect of amifostine on toxicities associated with sequential chemotherapy and radiation therapy for unresectable non-small-cell lung cancer: results of a phase II trial.氨磷汀对不可切除非小细胞肺癌序贯化疗和放疗相关毒性的影响:一项II期试验的结果
J Clin Oncol. 1997 Aug;15(8):2850-7. doi: 10.1200/JCO.1997.15.8.2850.

引用本文的文献

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Amifostine- and chemoradiotherapy-related esophagitis in small cell lung cancer: a single institutional series and literature update.小细胞肺癌中氨磷汀与放化疗相关的食管炎:单机构系列研究及文献综述
Lung Cancer (Auckl). 2018 Sep 10;9:79-84. doi: 10.2147/LCTT.S155315. eCollection 2018.
2
Management of normal tissue toxicity associated with chemoradiation (primary skin, esophagus, and lung).与放化疗相关的正常组织毒性的管理(原发性皮肤、食管和肺)。
Cancer J. 2013 May-Jun;19(3):231-7. doi: 10.1097/PPO.0b013e31829453fb.
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Systematic review of agents for the management of gastrointestinal mucositis in cancer patients.
系统评价癌症患者胃肠道黏膜炎管理中的药物。
Support Care Cancer. 2013 Jan;21(1):313-26. doi: 10.1007/s00520-012-1644-z. Epub 2012 Nov 10.
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Amifostine in the management of radiation-induced and chemo-induced mucositis.氨磷汀在放射性和化疗性粘膜炎治疗中的应用
Support Care Cancer. 2006 Jun;14(6):566-72. doi: 10.1007/s00520-006-0047-4. Epub 2006 Apr 4.