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SH003 草药治疗实体瘤的 I 期临床安全性研究。

A Phase I Study to Evaluate the Safety of the Herbal Medicine SH003 in Patients With Solid Cancer.

机构信息

Department of Korean Preventive Medicine, College of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea.

出版信息

Integr Cancer Ther. 2020 Jan-Dec;19:1534735420911442. doi: 10.1177/1534735420911442.

Abstract

Cancer is a major health problem worldwide and the leading cause of death in many countries. Preclinical studies have shown the therapeutic anticancer effects of SH003, a novel herbal medicine containing , and . The present study investigated the maximum tolerated dose of SH003 in patients with solid cancers. This open-label, dose-escalation trial used the traditional 3 + 3 dose-escalation design. Patients with solid cancers were recruited and administered 1 to 4 tablets of SH003 thrice daily for 3 weeks according to the dose level. Adverse events were evaluated according to the Common Terminology Criteria for Adverse Events (CTCAE). Dose-limiting toxicities (DLTs) were defined as Grade 3 or higher adverse events based on CTCAE. The maximum tolerated dose was defined as the highest dose at which no more than 1 of 6 patients experienced DLT. The present study enrolled 11 patients. A total of 31 adverse events occurred. According to the CTCAE, all the observed adverse events were grade 2 or less and no adverse events of grade 3 or more corresponding to DLT occurred. The study results indicated that the maximum tolerated dose of SH003 was 4800 mg/day. A Phase 2 study is required to determine the efficacy of SH003 in patients with cancer at a dose of 4800 mg/day or less.

摘要

癌症是全球主要的健康问题,也是许多国家的主要死亡原因。临床前研究表明,一种新型草药药物 SH003 具有治疗癌症的作用,其主要成分包括 和 。本研究旨在评估 SH003 治疗实体瘤患者的最大耐受剂量。本试验为开放标签、剂量递增试验,采用传统的 3+3 剂量递增设计。根据剂量水平,招募患有实体瘤的患者并给予 SH003 每日 3 次,每次 1 至 4 片,连续服用 3 周。根据不良事件通用术语标准(CTCAE)评估不良事件。根据 CTCAE,定义剂量限制毒性(DLT)为 3 级或更高的不良事件。最大耐受剂量定义为 6 名患者中不超过 1 名患者发生 DLT 的最高剂量。本研究共纳入 11 名患者。共发生 31 例不良事件。根据 CTCAE,所有观察到的不良事件均为 2 级或更低,未发生与 DLT 相对应的 3 级或更高的不良事件。研究结果表明,SH003 的最大耐受剂量为 4800mg/天。需要进行 2 期研究以确定 SH003 在每天 4800mg 或更低剂量下治疗癌症患者的疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8d/7081467/8ceb4a71dd06/10.1177_1534735420911442-fig1.jpg

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