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激素难治性前列腺癌的治疗:多西他赛及其他疗法

The treatment of hormone-refractory prostate cancer: docetaxel and beyond.

作者信息

Petrylak Daniel P

出版信息

Rev Urol. 2006;8 Suppl 2(Suppl 2):S48-55.

Abstract

Two randomized clinical trials demonstrated a survival benefit of 20% to 24% with docetaxel-based therapy when compared with survival with mitoxantrone and prednisone after failure of androgen ablation therapy. These studies supported the approval of docetaxel-based therapy for the treatment of metastatic hormone-refractory prostate cancer by the US Food and Drug Administration in May 2005. Clinical trials in hormone-refractory prostate cancer are now focused on building on the survival improvement seen with docetaxel-based therapy. This article presents a summary of some of the more promising treatments and regimens for advanced prostate cancer.

摘要

两项随机临床试验表明,与雄激素剥夺治疗失败后使用米托蒽醌和泼尼松治疗的生存率相比,基于多西他赛的治疗可使生存率提高20%至24%。这些研究支持了美国食品药品监督管理局于2005年5月批准基于多西他赛的治疗用于转移性激素难治性前列腺癌的治疗。目前,激素难治性前列腺癌的临床试验主要致力于在基于多西他赛的治疗所带来的生存率提高的基础上进一步发展。本文总结了一些治疗晚期前列腺癌更有前景的治疗方法和方案。

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