Chudenko V A, Moiseenko V M
Vopr Onkol. 2009;55(3):327-34.
Although medication of malignancies made a considerable progress and the rates of apparent response grew markedly, those of survival among patients with disseminated solid tumors increased insignificantly. Metronomic therapy with cytostatics is a new modality of treatment via tumor vessels. Dose-dense regimen uses low dosage administration of drugs at regular short intervals (hours, days, weeks). Cumulative dose may be much lower than that used in standard therapy, thus reducing toxicity as well as amount of therapeutic support. A pre-clinical study established decrease in size of tumors which initially showed resistance to treatment. However, further research in randomized investigation is needed in view of certain inconstinence of our data.
尽管恶性肿瘤的药物治疗取得了显著进展,明显缓解率显著提高,但播散性实体瘤患者的生存率提高并不显著。细胞抑制剂的节拍式治疗是一种通过肿瘤血管的新治疗方式。剂量密集方案是定期短间隔(小时、天、周)给予低剂量药物。累积剂量可能远低于标准治疗所用剂量,从而降低毒性以及治疗支持量。一项临床前研究证实,最初对治疗有抗性的肿瘤体积缩小。然而,鉴于我们数据存在一定的不一致性,需要在随机研究中进一步开展研究。