Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02115, USA.
Crit Rev Oncol Hematol. 2011 Mar;77(3):163-71. doi: 10.1016/j.critrevonc.2010.02.012. Epub 2010 Apr 24.
Pazopanib is an oral, multi-targeted, tyrosine kinase inhibitor (TKI) that binds to the vascular endothelial growth factor receptor (VEGFR), platelet-derived growth factor receptor (PDGFR) and several other key proteins responsible for angiogenesis, tumor growth and cell survival. Pazopanib exhibited in vivo and in vitro activity against tumor growth and, in early clinical trials, was well tolerated with the main side effects being hypertension, fatigue and gastrointestinal disorders. Pazopanib showed clinical activity in several tumors including renal cell cancer (RCC), breast cancer, soft tissue sarcoma, thyroid cancer, hepatocellular cancer and cervical cancer. A phase III clinical trial in metastatic RCC patients showed a significant improvement in progression-free survival, leading to its approval in the US. In metastatic breast cancer, the combination of pazopanib with lapatinib was more effective than lapatinib alone. At the time of the current publication, pazopanib is being evaluated in more than 35 phase II and III trials.
帕唑帕尼是一种口服的、多靶点的、酪氨酸激酶抑制剂(TKI),可与血管内皮生长因子受体(VEGFR)、血小板衍生生长因子受体(PDGFR)和其他几个负责血管生成、肿瘤生长和细胞存活的关键蛋白结合。帕唑帕尼在体内和体外均显示出抗肿瘤活性,在早期临床试验中具有良好的耐受性,主要副作用为高血压、疲劳和胃肠道紊乱。帕唑帕尼在包括肾细胞癌(RCC)、乳腺癌、软组织肉瘤、甲状腺癌、肝癌和宫颈癌在内的多种肿瘤中显示出临床活性。一项转移性 RCC 患者的 III 期临床试验显示,无进展生存期显著改善,从而使其在美国获得批准。在转移性乳腺癌中,与拉帕替尼联合应用帕唑帕尼比单独使用拉帕替尼更有效。在当前发表时,帕唑帕尼正在 35 项以上的 II 期和 III 期临床试验中进行评估。
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