Politti U
Dipartimento di Medicina Clinica e Sperimentale, Università di Pisa, Pisa, Italia.
Clin Ter. 2014;165(6):e452-63. doi: 10.7417/CT.2014.1792.
Since 2005, different types of multitargeted tyrosine kinase inhibitors were used in clinical trials for the treatment of patients with advanced thyroid cancers. Experimental studies have demonstrated that tyrosine kinase inhibitors has both anti-proliferative and anti-angiogenic properties in vitro and in vivo, against thyroid cancer cells. Furthermore, several completed (or ongoing) studies have evaluated the long-term efficacy and tolerability of tyrosine kinase inhibitors in patients with papillary, follicular and medullary aggressive thyroid cancer. The results of the different studies showed good clinical responses and stabilization of the disease and suggested that tyrosine kinase inhibitors are a promising therapeutic option in patients with advanced thyroid cancer that is not responsive to traditional therapeutic strategies (such as radioiodine).
自2005年以来,不同类型的多靶点酪氨酸激酶抑制剂被用于晚期甲状腺癌患者治疗的临床试验。实验研究表明,酪氨酸激酶抑制剂在体外和体内对甲状腺癌细胞均具有抗增殖和抗血管生成特性。此外,多项已完成(或正在进行)的研究评估了酪氨酸激酶抑制剂在乳头状、滤泡状和髓样侵袭性甲状腺癌患者中的长期疗效和耐受性。不同研究的结果显示出良好的临床反应和疾病稳定情况,并表明酪氨酸激酶抑制剂对于对传统治疗策略(如放射性碘)无反应的晚期甲状腺癌患者是一种有前景的治疗选择。