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帕唑帕尼治疗转移性软组织肉瘤:一项多中心回顾性研究。

Pazopanib for metastatic soft-tissue sarcoma: A multicenter retrospective study.

机构信息

Department of Medical Oncology, Goztepe Training and Research Hospital, Istanbul Medeniyet University, Istanbul, Turkey.

Department of Medical Oncology, Pendik Training and Research Hospital, Marmara University, Turkey.

出版信息

J Oncol Pharm Pract. 2021 Apr;27(3):541-546. doi: 10.1177/1078155220924075. Epub 2020 May 16.

Abstract

PURPOSE

Soft tissue sarcomas are associated with a poor prognosis and low chemotherapeutic efficiency. Pazopanib is an orally available multi-tyrosine kinase inhibitor that was explored in patients with non-adipocytic advanced soft tissue sarcomas. The aim of this retrospective study was to evaluate the real life data of single-agent pazopanib efficacy and safety for soft tissue sarcomas in the Turkish population.

MATERIALS AND METHODS

We evaluated a total of 103 patients (41 males, 62 females) who received pazopanib for advanced non-adipocytic soft tissue sarcomas diagnosis in eight centers of Turkey, retrospectively. The pazopanib dose was 800 mg once daily. Progression-free survival, overall survival, and adverse events were analyzed.

RESULTS

The median age was 50 years (range, 38-58). Majority of the patients had leimyosarcoma (41%). Median progression-free survival was 4.3 months, and the median overall survival was 10.1 months. The main common toxicities were fatigue, anorexia, weight loss, nausea, hypertension, and grade ≥3 toxicities were fatigue, anorexia, weight loss, and liver disorder.

CONCLUSION

Pazopanib is an efficient and tolerable agent and is well tolerated in good performance status patients with relapsed, advanced non-adipocytic soft tissue sarcomas.

摘要

目的

软组织肉瘤预后不良,化疗效果低。帕唑帕尼是一种可口服的多靶点酪氨酸激酶抑制剂,已在非脂肪性晚期软组织肉瘤患者中进行了探索。本回顾性研究旨在评估帕唑帕尼单药治疗土耳其人群软组织肉瘤的真实疗效和安全性数据。

材料和方法

我们回顾性评估了在土耳其 8 个中心接受帕唑帕尼治疗晚期非脂肪性软组织肉瘤的 103 例患者(41 名男性,62 名女性)。帕唑帕尼的剂量为 800mg 每日一次。分析无进展生存期、总生存期和不良事件。

结果

中位年龄为 50 岁(范围 38-58 岁)。大多数患者为 leiomyosarcoma(41%)。中位无进展生存期为 4.3 个月,中位总生存期为 10.1 个月。常见的主要毒性为疲劳、厌食、体重减轻、恶心、高血压,≥3 级毒性为疲劳、厌食、体重减轻和肝功能障碍。

结论

帕唑帕尼是一种有效且耐受良好的药物,在复发性、晚期非脂肪性软组织肉瘤中,对于体能状态良好的患者具有良好的耐受性。

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