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EGFR 突变阳性非小细胞肺癌脑转移对达可替尼的显著反应

Dramatic Response of Brain Metastasis from EGFR-mutation-positive NSCLC to Dacomitinib.

作者信息

Kudo Kenichiro, Kawakado Keita, Kawajiri Tomoka, Nishi Tatsuya, Makimoto Go, Tamura Tomoki, Kuyama Shoichi, Tanimoto Mitsune

机构信息

Department of Respiratory Medicine, Iwakuni Clinical Center, Japan.

出版信息

Intern Med. 2020 Jul 15;59(14):1739-1740. doi: 10.2169/internalmedicine.4449-20. Epub 2020 Apr 16.

DOI:10.2169/internalmedicine.4449-20
PMID:32296006
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7434540/
Abstract

The central nervous system efficacy of dacomitinib, a key agent used in the treatment of epidermal growth factor receptor (EGFR)-mutant non-small-cell lung cancer (NSCLC), is unclear. We herein present our experience in the use of dacomitinib for the treatment of multiple brain metastatic lesions from EGFR-mutation-positive NSCLC in an elderly patient. This case report demonstrates that dacomitinib can be an essential treatment option for patients with brain metastases.

摘要

达可替尼是治疗表皮生长因子受体(EGFR)突变的非小细胞肺癌(NSCLC)的关键药物,其对中枢神经系统的疗效尚不清楚。我们在此介绍使用达可替尼治疗一名老年患者EGFR突变阳性NSCLC的多发脑转移瘤的经验。本病例报告表明,达可替尼可能是脑转移患者的重要治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d72/7434540/c77212e1eb6d/1349-7235-59-1739-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d72/7434540/c77212e1eb6d/1349-7235-59-1739-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d72/7434540/c77212e1eb6d/1349-7235-59-1739-g001.jpg

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Dramatic Response of Brain Metastasis from EGFR-mutation-positive NSCLC to Dacomitinib.EGFR 突变阳性非小细胞肺癌脑转移对达可替尼的显著反应
Intern Med. 2020 Jul 15;59(14):1739-1740. doi: 10.2169/internalmedicine.4449-20. Epub 2020 Apr 16.
2
Dacomitinib induces objective responses in metastatic brain lesions of patients with EGFR-mutant non-small-cell lung cancer: A brief report.达可替尼诱导EGFR突变型非小细胞肺癌患者脑转移瘤出现客观缓解:简要报告
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Dacomitinib, a second-generation irreversible epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI) to treat non-small cell lung cancer.达可替尼,一种用于治疗非小细胞肺癌的第二代不可逆表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKI)。
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BMC Cancer. 2023 Oct 16;23(1):982. doi: 10.1186/s12885-023-11465-2.
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本文引用的文献

1
Improvement in Overall Survival in a Randomized Study That Compared Dacomitinib With Gefitinib in Patients With Advanced Non-Small-Cell Lung Cancer and EGFR-Activating Mutations.在一项比较达克替尼与吉非替尼用于治疗伴有表皮生长因子受体激活突变的晚期非小细胞肺癌患者的随机研究中,患者的总生存期得到改善。
J Clin Oncol. 2018 Aug 1;36(22):2244-2250. doi: 10.1200/JCO.2018.78.7994. Epub 2018 Jun 4.
2
Dacomitinib versus gefitinib as first-line treatment for patients with EGFR-mutation-positive non-small-cell lung cancer (ARCHER 1050): a randomised, open-label, phase 3 trial.达克替尼对比吉非替尼作为 EGFR 突变阳性非小细胞肺癌患者的一线治疗(ARCHER 1050):一项随机、开放标签、III 期临床试验。
Lancet Oncol. 2017 Nov;18(11):1454-1466. doi: 10.1016/S1470-2045(17)30608-3. Epub 2017 Sep 25.
3
在癌症治疗中靶向 EGFR 信号通路:2023 年有哪些新进展?
Expert Opin Ther Targets. 2023 Apr-May;27(4-5):305-324. doi: 10.1080/14728222.2023.2218613. Epub 2023 Jun 2.
4
Efficacy of dacomitinib in patients with non-small cell lung cancer carrying complex mutations: a real-world study.达可替尼在携带复杂突变的非小细胞肺癌患者中的疗效:一项真实世界研究。
J Thorac Dis. 2022 May;14(5):1428-1440. doi: 10.21037/jtd-21-1841.
5
Clinical efficacy of dacomitinib in rechallenge setting for patients with epidermal growth factor receptor mutant non-small cell lung cancer: A multicenter retrospective analysis (TOPGAN2020-02).达可替尼在表皮生长因子受体突变型非小细胞肺癌患者再挑战治疗中的临床疗效:一项多中心回顾性分析(TOPGAN2020-02)。
Thorac Cancer. 2022 May;13(10):1471-1478. doi: 10.1111/1759-7714.14415. Epub 2022 Apr 12.
Phase II trial of dacomitinib, a pan-human EGFR tyrosine kinase inhibitor, in recurrent glioblastoma patients with EGFR amplification.达克替尼的 II 期临床试验,一种泛人表皮生长因子受体酪氨酸激酶抑制剂,用于表皮生长因子受体扩增的复发性胶质母细胞瘤患者。
Neuro Oncol. 2017 Oct 19;19(11):1522-1531. doi: 10.1093/neuonc/nox105.
4
Preclinical Test of Dacomitinib, an Irreversible EGFR Inhibitor, Confirms Its Effectiveness for Glioblastoma.达可替尼(一种不可逆的 EGFR 抑制剂)的临床前测试证实了其治疗脑胶质瘤的有效性。
Mol Cancer Ther. 2015 Jul;14(7):1548-58. doi: 10.1158/1535-7163.MCT-14-0736. Epub 2015 May 4.
5
Changes in blood-brain barrier permeability induced by radiotherapy: implications for timing of chemotherapy? (Review).放疗引起的血脑屏障通透性变化:对化疗时机的影响?(综述)
Oncol Rep. 2002 Jul-Aug;9(4):683-8.
6
The seed and soil hypothesis: vascularisation and brain metastases.种子与土壤假说:血管生成与脑转移瘤
Lancet Oncol. 2002 Jan;3(1):53-7. doi: 10.1016/s1470-2045(01)00622-2.