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贝伐单抗在转移性结直肠癌中的耐受性概况:基于某医学科室的经验

Tolerability profile of bevacizumab in metastatic colorectal cancer: about a Medical Department experience.

作者信息

Khmamouche Mohamed Reda, Mahfoud Tarik, Bazine Aziz, Tanz Rachid, Ichou Mohamed, Errihani Hassan

机构信息

Department of Medical Oncology, Military Hospital Mohamed V, Al Irfane, Hay Riad, Rabat, Morocco.

Department of Medical oncology, National institute of Oncology, Al Irfane, Hay Riad, Rabat, Morocco.

出版信息

Pan Afr Med J. 2016 Oct 26;25:118. doi: 10.11604/pamj.2016.25.118.2266. eCollection 2016.

DOI:10.11604/pamj.2016.25.118.2266
PMID:28292081
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5325501/
Abstract

Colorectal cancer is one of the most common cancers worldwide, and associated with high mortality rates in our country. The prognosis of patients diagnosed with metastatic colorectal cancer (mCRC) has improved markedly over the last 12 years, increasing from 5 months with best supportive care to almost 2 years with combination chemotherapy plus bevacizumab. Bevacizumab is well suited for use in combination with first or second line chemotherapy in the treatment of mCRC because its side effects are predictable and appear not to add to the incidence or severity of the side effects of chemotherapy. The aim of our small study is to explore the tolerability profile of bevacizumab used in daily clinical practice in patients with metastatic colorectal cancer (mCRC) in our department.

摘要

结直肠癌是全球最常见的癌症之一,在我国其死亡率也很高。在过去12年中,被诊断为转移性结直肠癌(mCRC)患者的预后有了显著改善,从单纯最佳支持治疗时的5个月提高到联合化疗加贝伐单抗治疗后的近2年。贝伐单抗非常适合与一线或二线化疗联合用于治疗mCRC,因为其副作用是可预测的,而且似乎不会增加化疗副作用的发生率或严重程度。我们这项小型研究的目的是探讨在我们科室转移性结直肠癌(mCRC)患者的日常临床实践中使用贝伐单抗的耐受性情况。

相似文献

1
Tolerability profile of bevacizumab in metastatic colorectal cancer: about a Medical Department experience.贝伐单抗在转移性结直肠癌中的耐受性概况:基于某医学科室的经验
Pan Afr Med J. 2016 Oct 26;25:118. doi: 10.11604/pamj.2016.25.118.2266. eCollection 2016.
2
Decreased peritherapeutic VEGF expression could be a predictor of responsiveness to first-line FOLFIRI plus bevacizumab in mCRC patients.治疗期间VEGF表达降低可能是转移性结直肠癌患者对一线FOLFIRI联合贝伐单抗治疗反应性的一个预测指标。
Int J Clin Exp Pathol. 2015 Feb 1;8(2):1900-10. eCollection 2015.
3
Bevacizumab plus XELOX as first-line treatment of metastatic colorectal cancer: The OBELIX study.贝伐单抗联合XELOX方案作为转移性结直肠癌的一线治疗:OBELIX研究
World J Gastroenterol. 2015 Jun 21;21(23):7281-8. doi: 10.3748/wjg.v21.i23.7281.
4
Maintenance strategies after first-line oxaliplatin plus fluoropyrimidine plus bevacizumab for patients with metastatic colorectal cancer (AIO 0207): a randomised, non-inferiority, open-label, phase 3 trial.一线奥沙利铂联合氟尿嘧啶类加贝伐珠单抗治疗转移性结直肠癌患者后的维持策略(AIO 0207):一项随机、非劣效性、开放标签、III 期临床试验。
Lancet Oncol. 2015 Oct;16(13):1355-69. doi: 10.1016/S1470-2045(15)00042-X. Epub 2015 Sep 8.
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Adverse effects of bevacizumab in metastatic colorectal cancer : a case report and literature review.贝伐单抗治疗转移性结直肠癌的不良反应:一例病例报告及文献综述
Acta Gastroenterol Belg. 2019 Apr-Jun;82(2):322-325.
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FOLFOXIRI plus bevacizumab versus FOLFIRI plus bevacizumab as first-line treatment of patients with metastatic colorectal cancer: updated overall survival and molecular subgroup analyses of the open-label, phase 3 TRIBE study.FOLFOXIRI 联合贝伐珠单抗对比 FOLFIRI 联合贝伐珠单抗一线治疗转移性结直肠癌患者:开放标签、3 期 TRIBE 研究的总生存更新及分子亚组分析。
Lancet Oncol. 2015 Oct;16(13):1306-15. doi: 10.1016/S1470-2045(15)00122-9. Epub 2015 Aug 31.
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Clinical outcomes associated with bevacizumab-containing treatment of metastatic colorectal cancer: the BRiTE observational cohort study.贝伐单抗治疗转移性结直肠癌的临床结局:BRiTE观察性队列研究
Oncologist. 2009 Sep;14(9):862-70. doi: 10.1634/theoncologist.2009-0071. Epub 2009 Sep 2.
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Bevacizumab improves survival in metastatic colorectal cancer patients with primary tumor resection: A meta-analysis.贝伐珠单抗改善了原发性肿瘤切除的转移性结直肠癌患者的生存:一项荟萃分析。
Sci Rep. 2019 Dec 30;9(1):20326. doi: 10.1038/s41598-019-56528-2.
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Bevacizumab in the treatment of metastatic colorectal cancer: safety profile and management of adverse events.贝伐单抗治疗转移性结直肠癌:安全性及不良事件管理
Semin Oncol. 2006 Oct;33(5 Suppl 10):S26-34. doi: 10.1053/j.seminoncol.2006.08.001.
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Bevacizumab in the treatment of metastatic colorectal cancer (mCRC) in second- and third-line settings.贝伐单抗用于二线及三线治疗转移性结直肠癌(mCRC)。
Semin Oncol. 2006 Oct;33(5 Suppl 10):S15-8. doi: 10.1053/j.seminoncol.2006.08.003.

本文引用的文献

1
Incidence and management of bevacizumab-related toxicities in colorectal cancer.结直肠癌中贝伐单抗相关毒性的发生率及管理
Expert Opin Drug Saf. 2006 Jul;5(4):553-66. doi: 10.1517/14740338.5.4.553.
2
Managing patients treated with bevacizumab combination therapy.管理接受贝伐单抗联合治疗的患者。
Oncology. 2005;69 Suppl 3:25-33. doi: 10.1159/000088481. Epub 2005 Nov 21.
3
Combined analysis of efficacy: the addition of bevacizumab to fluorouracil/leucovorin improves survival for patients with metastatic colorectal cancer.疗效的联合分析:在氟尿嘧啶/亚叶酸钙治疗中添加贝伐单抗可提高转移性结直肠癌患者的生存率。
J Clin Oncol. 2005 Jun 1;23(16):3706-12. doi: 10.1200/JCO.2005.00.232. Epub 2005 May 2.
4
Bevacizumab plus irinotecan, fluorouracil, and leucovorin for metastatic colorectal cancer.贝伐单抗联合伊立替康、氟尿嘧啶和亚叶酸钙治疗转移性结直肠癌。
N Engl J Med. 2004 Jun 3;350(23):2335-42. doi: 10.1056/NEJMoa032691.