托西拉尼(Palladia)治疗犬转移性四肢骨肉瘤的回顾性评估
Retrospective evaluation of toceranib (Palladia) treatment for canine metastatic appendicular osteosarcoma.
作者信息
Kim Changseok, Matsuyama Arata, Mutsaers Anthony J, Woods J Paul
机构信息
Department of Clinical Studies (Kim, Mutsaers, Woods), Department of Biomedical Sciences (Matsuyama, Mutsaers), Ontario Veterinary College, University of Guelph, 36 College Avenue West, Guelph, Ontario N1G 2W1.
出版信息
Can Vet J. 2017 Oct;58(10):1059-1064.
This retrospective study evaluated the outcomes of dogs with macroscopic pulmonary metastasis of appendicular osteosarcoma (OSA) treated with toceranib. Medical records of 20 dogs with macroscopic pulmonary metastasis of OSA that received toceranib were reviewed. The median dose and duration of toceranib administration were 2.52 mg/kg (range: 2.12 to 2.72 mg/kg) and 60 days (range: 17 to 231 days). The median progression free survival (PFS) and overall survival (OS) were 36 days (range: 17 to 231 days) and 90 days (range: 17 to 433 days), respectively. The clinical benefit rate was 10% (2/20; 1 partial response and 1 stable disease). The longest length of initial pulmonary nodules had significant impact on both PFS ( = 0.01) and OS ( = 0.02). The prognosis for dogs with metastatic OSA was poor with only 10% of dogs showing clinical benefit from toceranib. These results suggest that toceranib may not improve outcome in dogs with macroscopic pulmonary metastasis of OSA.
这项回顾性研究评估了接受托西拉尼治疗的患有肢端骨肉瘤(OSA)且发生肉眼可见肺转移的犬只的治疗结果。回顾了20只患有OSA肉眼可见肺转移且接受托西拉尼治疗的犬只的病历。托西拉尼给药的中位剂量和持续时间分别为2.52 mg/kg(范围:2.12至2.72 mg/kg)和60天(范围:17至231天)。中位无进展生存期(PFS)和总生存期(OS)分别为36天(范围:17至231天)和90天(范围:17至433天)。临床获益率为10%(2/20;1例部分缓解和1例病情稳定)。初始肺结节的最长径对PFS(P = 0.01)和OS(P = 0.02)均有显著影响。转移性OSA犬只的预后较差,只有10%的犬只从托西拉尼治疗中显示出临床获益。这些结果表明,托西拉尼可能无法改善患有OSA肉眼可见肺转移犬只的治疗结果。
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