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[一例携带KRAS突变的晚期肺腺癌患者使用安罗替尼治疗的病例报告]

[A Case Report of Advanced Lung Adenocarcinoma Harboring KRAS Mutation 
Treated with Anlotinib].

作者信息

Su Yudong, Meng Zhaoting, Xu Xiaoyan, Wang XinYue, Zuo Ran, Hou Yunxia, Li Kai, Chen Peng

机构信息

Department of Thoracic Oncology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin Key Laboratory of Cancer Prevention and Therapy, Tianjin Clinical Research Center for Cancer, Tianjin 300060, China.

出版信息

Zhongguo Fei Ai Za Zhi. 2018 May 20;21(5):428-430. doi: 10.3779/j.issn.1009-3419.2018.05.13.

DOI:10.3779/j.issn.1009-3419.2018.05.13
PMID:29764596
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5999919/
Abstract

In recent years, the number of advanced non-small cell lung cancer (NSCLC) patients has gradually increased, and the treatment methods have also been significantly increased. However, there are no standard treatment plans at home and abroad for third-line and above patients who are refractory to targeted therapy epidermal growth factor receptor (EGFR)/anaplastic lymphoma kinase (ALK) or chemotherapy. The clinical treatment effect is also not satisfactory. Anlotinib is a novel TKI targeting the vascular endothelial growth factor receptor (VEGFR), fibroblast growth factor receptor (FGFR), platelet-derived growth factor receptor (PDGFR) and c-Kit. ALTER0303 trail, phase III study has demonstrated that Anlotinib significantly prolonged overall survival (OS) and progression-free survival (PFS) in advanced NSCLC patients as 3rd line treatment.Here we report a case of advanced lung adenocarcinoma harboring KRAS mutation treated with Anlotinib.
.

摘要

近年来,晚期非小细胞肺癌(NSCLC)患者数量逐渐增加,治疗方法也显著增多。然而,对于表皮生长因子受体(EGFR)/间变性淋巴瘤激酶(ALK)靶向治疗或化疗耐药的三线及以上患者,国内外尚无标准治疗方案,临床治疗效果也不尽人意。安罗替尼是一种新型酪氨酸激酶抑制剂(TKI),靶向血管内皮生长因子受体(VEGFR)、成纤维细胞生长因子受体(FGFR)、血小板衍生生长因子受体(PDGFR)和c-Kit。ALTER0303试验,一项III期研究表明,安罗替尼作为三线治疗可显著延长晚期NSCLC患者的总生存期(OS)和无进展生存期(PFS)。在此,我们报告一例接受安罗替尼治疗的KRAS突变型晚期肺腺癌病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc0f/5999919/fa3931b54e08/zgfazz-21-5-428-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc0f/5999919/45d3cf1eeae7/zgfazz-21-5-428-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc0f/5999919/fa3931b54e08/zgfazz-21-5-428-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc0f/5999919/45d3cf1eeae7/zgfazz-21-5-428-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc0f/5999919/fa3931b54e08/zgfazz-21-5-428-2.jpg

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本文引用的文献

1
Non-Small Cell Lung Cancer, Version 5.2017, NCCN Clinical Practice Guidelines in Oncology.非小细胞肺癌临床实践指南(2017 年第 5 版),NCCN 肿瘤学临床实践指南
J Natl Compr Canc Netw. 2017 Apr;15(4):504-535. doi: 10.6004/jnccn.2017.0050.
2
Safety, pharmacokinetics, and antitumor properties of anlotinib, an oral multi-target tyrosine kinase inhibitor, in patients with advanced refractory solid tumors.安罗替尼(一种口服多靶点酪氨酸激酶抑制剂)在晚期难治性实体瘤患者中的安全性、药代动力学及抗肿瘤特性
J Hematol Oncol. 2016 Oct 4;9(1):105. doi: 10.1186/s13045-016-0332-8.
3
Shared mechanism of teratogenicity of anti-angiogenic drugs identified in the chicken embryo model.
转录组谱分析显示,ATP6V0E2 参与安罗替尼诱导的溶酶体激活。
Cell Death Dis. 2020 Aug 24;11(8):702. doi: 10.1038/s41419-020-02904-0.
4
Anlotinib Exerts Anti-Cancer Effects on KRAS-Mutated Lung Cancer Cell Through Suppressing the MEK/ERK Pathway.安罗替尼通过抑制MEK/ERK通路对KRAS突变的肺癌细胞发挥抗癌作用。
Cancer Manag Res. 2020 May 19;12:3579-3587. doi: 10.2147/CMAR.S243660. eCollection 2020.
5
A phase I study investigation of metabolism, and disposition of [C]-anlotinib after an oral administration in patients with advanced refractory solid tumors.一项 I 期研究调查了口服[C]-安罗替尼后,晚期难治性实体瘤患者的代谢和处置情况。
Cancer Chemother Pharmacol. 2020 May;85(5):907-915. doi: 10.1007/s00280-020-04062-8. Epub 2020 Apr 7.
在鸡胚模型中确定的抗血管生成药物致畸性的共同机制。
Sci Rep. 2016 Jul 22;6:30038. doi: 10.1038/srep30038.