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阿昔替尼作为肾癌的三线或更后线治疗:单机构经验。

Axitinib as a third or further line of treatment in renal cancer: a single institution experience.

机构信息

Oncology Unit, Department of Clinical Therapeutics, Alexandra Hospital, Athens, Greece.

1st Department of Radiology, Aretaieio University hospital, Athens, Greece.

出版信息

BMC Urol. 2020 Jun 2;20(1):60. doi: 10.1186/s12894-020-00618-1.

DOI:10.1186/s12894-020-00618-1
PMID:32487200
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7265645/
Abstract

BACKGROUND

Kidney cancer is a lethal neoplasm that affects several thousands of people every year. Renal cell carcinoma (RCC) is the most common histologic type. Recent developments in the therapeutic approach include antiangiogenic targeted approaches and Immunotherapy. Thus, the therapeutic algorithm of RCC patients and the survival outcomes have changed dramatically.

METHODS

Herein we present a retrospective study of the patients treated in our Department with an antiangiogenic agent -Axitinib, a tyrosine kinase inhibitor- as a third or further line treatment. Statistical analysis was performed with SPSS, including the available clinicopathological data of the patients included.

RESULTS

Axitinib was found to be active in patients who received this treatment beyond second line. The toxicity profile of this regimen did not reveal any unknown adverse events.

CONCLUSIONS

Our real world data reflect that axitinib is a safe and effective option, even beyond the second line.

摘要

背景

肾癌是一种致命的肿瘤,每年影响数千人。肾细胞癌(RCC)是最常见的组织学类型。治疗方法的最新进展包括抗血管生成靶向治疗和免疫治疗。因此,RCC 患者的治疗方案和生存结果发生了巨大变化。

方法

本文回顾性分析了在我院接受抗血管生成药物-阿昔替尼(一种酪氨酸激酶抑制剂)作为三线或以上治疗的患者。采用 SPSS 进行统计学分析,包括纳入患者的临床病理资料。

结果

阿昔替尼在接受二线以上治疗的患者中显示出活性。该方案的毒性谱未显示任何未知的不良事件。

结论

我们的真实世界数据表明,阿昔替尼是一种安全有效的选择,甚至可以超越二线治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f50/7265645/2099562175c6/12894_2020_618_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f50/7265645/7c8f0268e5e0/12894_2020_618_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f50/7265645/2099562175c6/12894_2020_618_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f50/7265645/7c8f0268e5e0/12894_2020_618_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f50/7265645/2099562175c6/12894_2020_618_Fig2_HTML.jpg

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2
Optimizing treatment of renal cell carcinoma with VEGFR-TKIs: a comparison of clinical pharmacology and drug-drug interactions of anti-angiogenic drugs.优化血管内皮生长因子受体酪氨酸激酶抑制剂治疗肾细胞癌:抗血管生成药物的临床药理学和药物相互作用比较。
Cancer Treat Rev. 2020 Mar;84:101966. doi: 10.1016/j.ctrv.2020.101966. Epub 2020 Jan 17.
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The Changing Therapeutic Landscape of Metastatic Renal Cancer.
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Cancers (Basel). 2019 Aug 22;11(9):1227. doi: 10.3390/cancers11091227.
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Long-term Response to First-line Pazopanib Therapy in mRCC Patients: A Multicenter Italian Experience.转移性肾细胞癌患者一线帕唑帕尼治疗的长期反应:一项意大利多中心经验。
Anticancer Res. 2018 Aug;38(8):4913-4918. doi: 10.21873/anticanres.12807.
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Predictors of Long-Term Response With Pazopanib in Patients With Advanced Renal-Cell Carcinoma.帕唑帕尼治疗晚期肾细胞癌患者的长期反应预测因素。
Clin Genitourin Cancer. 2018 Aug;16(4):293-297. doi: 10.1016/j.clgc.2018.03.005. Epub 2018 Mar 23.
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