Department of Neurology, Virginia Commonwealth University, Richmond, Virginia.
Department of Neurology, University of Virginia, Charlottesville, Virginia.
Neuro Oncol. 2018 Jan 10;20(1):24-36. doi: 10.1093/neuonc/nox115.
This last decade has yielded more robust development of cancer treatments and first-in-class agents than ever before. Since 2006, nearly one hundred new drugs have received regulatory approval for the treatment of hematological and solid organ neoplasms. Moreover, older conventional therapies have received approval for new clinical indications and are being used in combination with these newer small-molecule targeted treatments. The nervous system is vulnerable to many of the traditional cancer therapies, manifesting both already well-described acute and chronic toxicities. However, newer agents may produce toxicities that may seem indistinguishable from the underlying cancer. Early recognition of neurotoxicities from new therapeutics is vital to avoid irreversible neurological injury. This review focuses on cancer therapies in use in the last 10 years and approved by the FDA from January 2006 through January 1, 2017.
在过去的十年中,癌症治疗和首创药物的发展比以往任何时候都更加蓬勃。自 2006 年以来,近百种新药获得了监管部门批准,可用于治疗血液系统和实体器官肿瘤。此外,传统的旧疗法也获得了新的临床适应证,并与这些新型小分子靶向治疗联合使用。神经系统容易受到许多传统癌症治疗方法的影响,表现出已经描述得很清楚的急性和慢性毒性。然而,新型药物可能会产生与潜在癌症相似的毒性。早期识别新型治疗方法引起的神经毒性对于避免不可逆的神经损伤至关重要。本综述重点关注在过去 10 年中使用的癌症治疗方法,并介绍了 2006 年 1 月至 2017 年 1 月期间 FDA 批准的癌症治疗方法。