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阿帕替尼联合拓扑替康用于铂耐药复发性卵巢癌患者的多线治疗:三例报告

Multiline treatment combining apatinib with toptecan for platinum-resistant recurrent ovarian cancer patients: a report of three cases.

作者信息

Cheng Yuan, Zhang Juan, Geng Haiyun, Qin Shukui, Hua Haiqing

机构信息

Department of Medical Oncology, People's Liberation Army Cancer Center, Bayi Hospital Affiliated Nanjing University of Chinese Medicine, Nanjing, China.

出版信息

Onco Targets Ther. 2018 Apr 6;11:1989-1995. doi: 10.2147/OTT.S158141. eCollection 2018.

DOI:10.2147/OTT.S158141
PMID:29670374
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5898585/
Abstract

The aim of this study was to observe the efficacy and safety of apatinib combined with toptecan therapy in the multiline treatment of platinum-resistant recurrent ovarian cancer patients. The clinical records of three patients with platinum-resistant recurrent ovarian cancer treated with apatinib combined with toptecan therapy were analyzed and followed up for 3 months, and the related literatures were reviewed. The three patients achieved partial response and the tumor marker CA125 levels decreased significantly as an outcome of the treatment. Major adverse reactions were hypertension, hand-foot skin reaction, and anemia, which were manageable with medication. Apatinib combined with toptecan multiline therapy in the treatment of platinum-resistant recurrent ovarian cancer patients is effective, and the adverse effects are tolerated. Large-scale studies should be conducted to further determine the efficacy and safety of this treatment protocol.

摘要

本研究旨在观察阿帕替尼联合拓扑替康治疗铂耐药复发性卵巢癌患者多线治疗的疗效和安全性。分析了3例接受阿帕替尼联合拓扑替康治疗的铂耐药复发性卵巢癌患者的临床记录,并进行了3个月的随访,并复习了相关文献。3例患者均获得部分缓解,治疗后肿瘤标志物CA125水平显著下降。主要不良反应为高血压、手足皮肤反应和贫血,可通过药物控制。阿帕替尼联合拓扑替康多线治疗铂耐药复发性卵巢癌患者有效,且不良反应可耐受。应开展大规模研究以进一步确定该治疗方案的疗效和安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce5/5898585/4890facdcc28/ott-11-1989Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce5/5898585/aae06ae7c9fd/ott-11-1989Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce5/5898585/a5c0c2b60211/ott-11-1989Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce5/5898585/12468fcafd5e/ott-11-1989Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce5/5898585/4890facdcc28/ott-11-1989Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce5/5898585/aae06ae7c9fd/ott-11-1989Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce5/5898585/a5c0c2b60211/ott-11-1989Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce5/5898585/12468fcafd5e/ott-11-1989Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce5/5898585/4890facdcc28/ott-11-1989Fig4.jpg

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Rucaparib in relapsed, platinum-sensitive high-grade ovarian carcinoma (ARIEL2 Part 1): an international, multicentre, open-label, phase 2 trial.鲁卡帕利治疗复发铂类敏感型高级别卵巢癌(ARIEL2 研究第 1 部分):一项国际多中心、开放标签、2 期临床试验。
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奥拉帕利单药治疗携带胚系 BRCA1/2 突变的晚期癌症患者。
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