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转移性乳腺癌中艾日布林的患者管理:临床实践指南

Patient Management with Eribulin in Metastatic Breast Cancer: A Clinical Practice Guide.

作者信息

Ro Jungsil, Cheng Fiona Tsui-Fen, Sriuranpong Virote, Villalon Antonio, Smruti B K, Tsang Janice, Yap Yoon Sim

机构信息

Center for Breast Cancer, National Cancer Center, Goyang, Korea.

Breast Cancer Center, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.

出版信息

J Breast Cancer. 2016 Mar;19(1):8-17. doi: 10.4048/jbc.2016.19.1.8. Epub 2016 Mar 25.

Abstract

Eribulin, an antimicrotubule chemotherapeutic agent, is approved for the treatment of pretreated metastatic breast cancer (mBC) based on the positive outcomes of phase II and phase III clinical trials, which enrolled mainly Western patients. Eribulin has recently been approved in an increasing number of Asian countries; however, there is limited clinical experience in using the drug in certain countries. Therefore, we established an Asian working group to provide practical guidance for eribulin use based on our clinical experience. This paper summarizes the key clinical trials, and the management recommendations for the reported adverse events (AEs) of eribulin in mBC treatment, with an emphasis on those that are relevant to Asian patients, followed by further elaboration of our eribulin clinical experience. It is anticipated that this clinical practice guide will improve the management of AEs resulting from eribulin treatment, which will ensure that patients receive the maximum treatment benefit.

摘要

艾日布林是一种抗微管化疗药物,基于主要纳入西方患者的II期和III期临床试验的阳性结果,被批准用于治疗经治转移性乳腺癌(mBC)。艾日布林最近在越来越多的亚洲国家获得批准;然而,在某些国家使用该药物的临床经验有限。因此,我们成立了一个亚洲工作组,根据我们的临床经验为艾日布林的使用提供实用指导。本文总结了关键临床试验以及mBC治疗中艾日布林报告的不良事件(AE)的管理建议,重点关注与亚洲患者相关的不良事件,随后进一步阐述我们使用艾日布林的临床经验。预计本临床实践指南将改善艾日布林治疗引起的AE的管理,从而确保患者获得最大治疗益处。

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