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晚期胆管癌靶向治疗的进展。

Progression of targeted therapy in advanced cholangiocarcinoma.

机构信息

1 Oncology Department, Beijing Hospital of the Ministry of Health, Beijing 100038, China ; 2 Oncology Department, Chinese PLA General hospital, Beijing 100853, China.

出版信息

Chin J Cancer Res. 2015 Apr;27(2):122-7. doi: 10.3978/j.issn.1000-9604.2015.04.01.

DOI:10.3978/j.issn.1000-9604.2015.04.01
PMID:25937773
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4409969/
Abstract

It is necessary to establish an effective therapy to improve the survival of patients with advanced cholangiocarcinoma (CCA). Recently, with the development of pathology research in CCA, a lot of special bio-markers such as EGFR, VEGF, HER2, and MEK et al. could be over expression or mutations in CCA patients. According to their changes, combinations of targeted therapy plus chemotherapy are now recognized as effective therapies for advanced CCA. The aim of this paper is to analyze recent promising studies about targeted therapy alone or combination with each other or with chemotherapies.

摘要

有必要建立一种有效的疗法来提高晚期胆管癌(CCA)患者的生存率。最近,随着 CCA 病理学研究的发展,许多特殊的生物标志物,如 EGFR、VEGF、HER2 和 MEK 等,在 CCA 患者中可能过度表达或发生突变。根据这些变化,目前已将靶向治疗联合化疗作为晚期 CCA 的有效治疗方法。本文旨在分析近期关于靶向治疗单独或联合应用或与化疗联合应用的有希望的研究。

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本文引用的文献

1
Integrated genomic characterization reveals novel, therapeutically relevant drug targets in FGFR and EGFR pathways in sporadic intrahepatic cholangiocarcinoma.综合基因组特征揭示了散发性肝内胆管癌中FGFR和EGFR通路中新型的、具有治疗相关性的药物靶点。
PLoS Genet. 2014 Feb 13;10(2):e1004135. doi: 10.1371/journal.pgen.1004135. eCollection 2014 Feb.
2
A phase II trial of gemcitabine, irinotecan and panitumumab in advanced cholangiocarcinoma.吉西他滨、伊立替康和帕尼单抗治疗晚期胆管癌的 II 期临床试验。
Ann Oncol. 2013 Dec;24(12):3061-5. doi: 10.1093/annonc/mdt416. Epub 2013 Oct 20.
3
Cetuximab, gemcitabine and capecitabine in patients with inoperable biliary tract cancer: a phase 2 study.西妥昔单抗、吉西他滨和顺铂治疗不可切除的胆道癌患者的疗效:一项 2 期研究。
Eur J Cancer. 2013 Dec;49(18):3806-12. doi: 10.1016/j.ejca.2013.07.143. Epub 2013 Sep 2.
4
Dramatic response to trastuzumab and paclitaxel in a patient with human epidermal growth factor receptor 2-positive metastatic cholangiocarcinoma.曲妥珠单抗联合紫杉醇治疗人表皮生长因子受体2阳性转移性胆管癌患者疗效显著。
J Clin Oncol. 2012 Sep 20;30(27):e271-3. doi: 10.1200/JCO.2012.42.3061. Epub 2012 Jul 30.
5
Skeletal muscle anabolism is a side effect of therapy with the MEK inhibitor: selumetinib in patients with cholangiocarcinoma.MEK 抑制剂:塞尔美替尼在胆管癌患者中的治疗作用会引起骨骼肌合成代谢。
Br J Cancer. 2012 May 8;106(10):1583-6. doi: 10.1038/bjc.2012.144. Epub 2012 Apr 17.
6
HER2/neu may not be an interesting target in biliary cancers: results of an early phase II study with lapatinib.在胆管癌中,HER2/neu 可能不是一个有趣的靶点:拉帕替尼的早期 II 期研究结果。
Oncology. 2012;82(3):175-9. doi: 10.1159/000336488. Epub 2012 Mar 15.
7
Gemcitabine and oxaliplatin with or without erlotinib in advanced biliary-tract cancer: a multicentre, open-label, randomised, phase 3 study.吉西他滨和奥沙利铂联合或不联合厄洛替尼治疗晚期胆道癌的多中心、开放标签、随机、3 期研究。
Lancet Oncol. 2012 Feb;13(2):181-8. doi: 10.1016/S1470-2045(11)70301-1. Epub 2011 Dec 20.
8
Genomic and genetic characterization of cholangiocarcinoma identifies therapeutic targets for tyrosine kinase inhibitors.胆管癌的基因组和遗传学特征鉴定出酪氨酸激酶抑制剂的治疗靶点。
Gastroenterology. 2012 Apr;142(4):1021-1031.e15. doi: 10.1053/j.gastro.2011.12.005. Epub 2011 Dec 13.
9
SWOG 0514: a phase II study of sorafenib in patients with unresectable or metastatic gallbladder carcinoma and cholangiocarcinoma.SWOG0514:索拉非尼治疗不可切除或转移性胆囊癌和胆管癌患者的 II 期研究。
Invest New Drugs. 2012 Aug;30(4):1646-51. doi: 10.1007/s10637-011-9719-0. Epub 2011 Jul 12.
10
Dramatic response to panitumumab and bevacizumab in metastatic gallbladder carcinoma.转移性胆囊癌使用帕尼单抗和贝伐珠单抗后出现戏剧性反应。
Oncologist. 2011;16(5):e1-2. doi: 10.1634/theoncologist.2008-0196.