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法国 200 例原发性和继发性肝肿瘤患者的放射栓塞治疗短期安全性和生活质量结局:多中心分析。

Short-term Safety and Quality of Life Outcomes Following Radioembolization in Primary and Secondary Liver Tumours: a Multi-centre Analysis of 200 Patients in France.

机构信息

Department of Vascular and Interventional Radiology, Image-Guided Therapy Center, CHU Dijon Bourgogne, François-Mitterrand University Hospital, 14 Rue Gaffarel, 21000, Dijon, France.

Department of Radiology, Université de Paris, Hôpital Beaujon APHP, and CRI, INSERM 1149, Paris, France.

出版信息

Cardiovasc Intervent Radiol. 2021 Jan;44(1):36-49. doi: 10.1007/s00270-020-02643-x. Epub 2020 Sep 25.

Abstract

PURPOSE

Radioembolization has emerged as a treatment modality for patients with primary and secondary liver tumours. This observational study CIRT-FR (CIRSE Registry for SIR-Spheres Therapy in France) aims to evaluate real-life clinical practice on all patients treated with transarterial radioembolization (TARE) using SIR-Spheres yttrium-90 resin microspheres in France. In this interim analysis, safety and quality of life data are presented. Final results of the study, including secondary effectiveness outcomes, will be published later. Overall, CIRT-FR is aiming to support French authorities in the decision making on reimbursement considerations for this treatment.

METHODS

Data on patients enrolled in CIRT-FR from August 2017 to October 2019 were analysed. The interim analysis describes clinical practice, baseline characteristics, safety (adverse events according to CTCTAE 4.03) and quality of life (according to EORTC QLQ C30 and HCC module) aspects after TARE.

RESULTS

This cohort included 200 patients with hepatocellular carcinoma (114), metastatic colorectal cancer (mCRC; 38) and intrahepatic cholangiocarcinoma (33) amongst others (15). TARE was predominantly assigned as a palliative treatment (79%). 12% of patients experienced at least one adverse event in the 30 days following treatment; 30-day mortality was 1%. Overall, global health score remained stable between baseline (66.7%), treatment (62.5%) and the first follow-up (66.7%).

CONCLUSION

This interim analysis demonstrates that data regarding safety and quality of life generated by randomised-controlled trials is reflected when assessing the real-world application of TARE.

TRIAL REGISTRATION

Clinical Trials.gov NCT03256994.

摘要

目的

放射栓塞已成为原发性和继发性肝脏肿瘤患者的一种治疗方式。本项观察性研究 CIRT-FR(法国 CIRSE 钇 90 树脂微球 SIR-Spheres 治疗登记处)旨在评估法国所有接受钇 90 树脂微球 SIR-Spheres 经动脉放射栓塞(TARE)治疗的患者的真实临床实践。在此次中期分析中,报告了安全性和生活质量数据。该研究的最终结果,包括次要有效性结果,将在以后公布。总的来说,CIRT-FR 旨在支持法国当局在该治疗的报销考虑方面做出决策。

方法

分析了 2017 年 8 月至 2019 年 10 月期间 CIRT-FR 入组的患者数据。中期分析描述了 TARE 后的临床实践、基线特征、安全性(根据 CTCAE 4.03 评估的不良事件)和生活质量(根据 EORTC QLQ C30 和 HCC 模块评估)方面。

结果

该队列包括 200 例患者,其中肝细胞癌(HCC;114 例)、转移性结直肠癌(mCRC;38 例)和肝内胆管细胞癌(ICC;33 例)等。TARE 主要被指定为姑息治疗(79%)。治疗后 30 天内,12%的患者至少发生 1 次不良事件;30 天死亡率为 1%。总体而言,全球健康评分在基线(66.7%)、治疗(62.5%)和第一次随访(66.7%)之间保持稳定。

结论

此次中期分析表明,在评估 TARE 的真实世界应用时,随机对照试验产生的安全性和生活质量数据得到了反映。

试验注册

ClinicalTrials.gov NCT03256994。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ea0/7728633/3844117a9855/270_2020_2643_Fig1_HTML.jpg

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