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米非司酮治疗复发性或持续性上皮性卵巢癌、输卵管癌或原发性腹膜癌的 II 期评价:一项妇科肿瘤学组研究。

A phase II evaluation of mifepristone in the treatment of recurrent or persistent epithelial ovarian, fallopian or primary peritoneal cancer: a gynecologic oncology group study.

机构信息

Cooper University Hospital, Camden, NJ 08103, USA.

出版信息

Gynecol Oncol. 2010 Mar;116(3):332-4. doi: 10.1016/j.ygyno.2009.10.071. Epub 2009 Nov 17.

Abstract

OBJECTIVE

To evaluate the effectiveness and toxicity of mifepristone in patients with ovarian, peritoneal and fallopian tube cancers.

METHODS

Patients with confirmed epithelial ovarian, peritoneal and fallopian tube cancers which were persistent or recurred in less then 1 year after primary chemotherapy were entered into this study. Patients were given mifepristone 200 mg by mouth daily for a 28 day cycle. The medication was stopped for unacceptable toxicity or tumor progression.

RESULTS

Twenty-four patients were entered into the study. Twenty-two patients were evaluable for response. Only one patient had a partial response for a response rate of only 4.5% (90% confidence interval: 0.2%, 19.8%).

CONCLUSION

Mifepristone has not proven to be an effective agent in the treatment of patients with recurrent or persistent ovarian, peritoneal and fallopian tube cancers.

摘要

目的

评估米非司酮治疗卵巢癌、腹膜癌和输卵管癌患者的有效性和毒性。

方法

本研究纳入了上皮性卵巢癌、腹膜癌和输卵管癌患者,这些患者在初次化疗后不到 1 年内出现持续性或复发性疾病。患者每天口服米非司酮 200mg,每 28 天为一个周期。如果出现不可接受的毒性或肿瘤进展,则停止用药。

结果

共有 24 名患者入组该研究。22 名患者可评估疗效。仅有 1 名患者部分缓解,缓解率仅为 4.5%(90%置信区间:0.2%,19.8%)。

结论

米非司酮在治疗复发性或持续性卵巢癌、腹膜癌和输卵管癌患者方面并未证明是有效的药物。

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