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近期专利抗癌药物的安全性概况和药物警戒学考虑因素:肺癌。

Safety Profiles and Pharmacovigilance Considerations for Recently Patented Anticancer Drugs: Lung Cancer.

机构信息

Medical Oncology and Cancer Prevention Unit, Department of Clinical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, Aviano 33081, Italy.

Pharmacy Unit, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, Aviano 33081, Italy.

出版信息

Recent Pat Anticancer Drug Discov. 2019;14(3):242-257. doi: 10.2174/1574892814666190726124735.

Abstract

BACKGROUND

Lung cancer is the most frequent cause of cancer-related death. In the last decades, the introduction of targeted therapies and more recently, of immunotherapy, has led to significant improvements in different outcomes of this malignant neoplasm.

OBJECTIVE

The present review provides a balanced overview of most recent targeted therapies and immunotherapies patented for the treatment of lung cancer.

METHODS

An extensive scientific literature and patent databases search were performed to identify peerreviewed studies containing information on recently patented drugs for the treatment of lung cancer, with a particular focus on their safety data and recently patented combinations.

RESULTS

The development of therapies directed to different pathways involved in the tumor angiogenesis, proliferation, and metastasis has transformed the clinical practice of lung malignancies. Several clinical trials have shown an improvement in terms of progression-free survival and overall survival in patients with advanced/metastatic lung cancer. Safety data, extracted from clinical trials and from the WHO global database of adverse drug reactions (VigiAccessTM database), show that recently patented drugs for the treatment of lung cancer are well-tolerated and most of the adverse events reported are mild to moderate.

CONCLUSION

Currently, a consistent number of new drugs and combinations have been introduced for the treatment of patients with advanced-stage lung cancer. Safety data remain essential to better assess the long-term risk/benefit ratio of these valuable emerging therapies. The new patents' development could provide further significant improvements for lung cancer treatment.

摘要

背景

肺癌是癌症相关死亡的最常见原因。在过去几十年中,靶向治疗的引入,以及最近免疫疗法的引入,导致这种恶性肿瘤的不同结局有了显著改善。

目的

本综述提供了最近针对肺癌治疗的靶向治疗和免疫疗法的最新专利的平衡概述。

方法

广泛搜索了科学文献和专利数据库,以确定包含最近用于治疗肺癌的专利药物信息的同行评议研究,特别关注其安全性数据和最近专利组合。

结果

针对肿瘤血管生成、增殖和转移涉及的不同途径的治疗方法的发展改变了肺癌的临床实践。几项临床试验表明,晚期/转移性肺癌患者的无进展生存期和总生存期得到了改善。从临床试验和世界卫生组织药物不良反应全球数据库(VigiAccessTM 数据库)中提取的安全性数据表明,最近用于治疗肺癌的专利药物具有良好的耐受性,报告的大多数不良反应为轻度至中度。

结论

目前,已经引入了相当数量的新药和联合药物来治疗晚期肺癌患者。安全性数据对于更好地评估这些有价值的新兴疗法的长期风险/获益比仍然至关重要。新专利的开发可能为肺癌治疗提供进一步的显著改善。

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