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胰腺癌:临床试验中药物的最新进展。

Pancreatic Cancer: Recent Progress of Drugs in Clinical Trials.

机构信息

Key Laboratory of Smart Drug Delivery, Ministry of Education, Department of Pharmaceutics, School of Pharmacy, Fudan University, 826 Zhangheng Road, Shanghai, 201203, People's Republic of China.

出版信息

AAPS J. 2021 Feb 12;23(2):29. doi: 10.1208/s12248-021-00556-2.

DOI:10.1208/s12248-021-00556-2
PMID:33580411
Abstract

Pancreatic cancer is a highly malignant tumor and one of the primary causes of cancer-related death. Because pancreatic cancer is difficult to diagnose in the early course of the disease, most patients present with advanced lesions at the time of diagnosis, and only 20% of patients are eligible for surgery. Consequently, drug treatment has become extremely important. At present, the main treatment regimens for pancreatic cancer are gemcitabine and the FORFIRINOX and MPACT regimens. However, none of these regimens substantially improves the prognosis of patients with pancreatic cancer. Extensive efforts have been dedicated to the study of pancreatic cancer in recent years. With the development and clinical application of biological targeted drugs, the biological targeted treatment of tumors has been widely accepted. Therefore, this article used relevant clinical trial data to summarize the research progress of traditional chemotherapy drugs and biological targeted drugs for the treatment of pancreatic cancer.

摘要

胰腺癌是一种高度恶性的肿瘤,也是癌症相关死亡的主要原因之一。由于胰腺癌在疾病早期难以诊断,大多数患者在诊断时已经处于晚期病变,只有 20%的患者适合手术。因此,药物治疗变得非常重要。目前,胰腺癌的主要治疗方案是吉西他滨以及 FORFIRINOX 和 MPACT 方案。然而,这些方案都没有显著改善胰腺癌患者的预后。近年来,人们对胰腺癌进行了广泛的研究。随着生物靶向药物的发展和临床应用,肿瘤的生物靶向治疗已被广泛接受。因此,本文使用相关的临床试验数据总结了传统化疗药物和生物靶向药物治疗胰腺癌的研究进展。

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Role of hypoxia in the tumor microenvironment and targeted therapy.缺氧在肿瘤微环境及靶向治疗中的作用
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Imaging PARP with [F]rucaparib in pancreatic cancer models.在胰腺癌模型中用[F]鲁卡帕尼对 PARP 进行成像。

本文引用的文献

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BL-8040, a CXCR4 antagonist, in combination with pembrolizumab and chemotherapy for pancreatic cancer: the COMBAT trial.BL-8040,一种 CXCR4 拮抗剂,联合帕博利珠单抗和化疗治疗胰腺癌:COMBAT 试验。
Nat Med. 2020 Jun;26(6):878-885. doi: 10.1038/s41591-020-0880-x. Epub 2020 May 25.
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Pancreatic cancer stroma: an update on therapeutic targeting strategies.胰腺癌基质:治疗靶点策略的最新进展。
Nat Rev Gastroenterol Hepatol. 2020 Aug;17(8):487-505. doi: 10.1038/s41575-020-0300-1. Epub 2020 May 11.
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Randomised phase II trial of gemcitabine and nab-paclitaxel with necuparanib or placebo in untreated metastatic pancreas ductal adenocarcinoma.
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The exploration of quantitative intra-tumoral metabolic heterogeneity in dual-time F-FDG PET/CT of pancreatic cancer.胰腺癌双时相 F-FDG PET/CT 中瘤内代谢异质性的定量研究。
Abdom Radiol (NY). 2021 Sep;46(9):4218-4225. doi: 10.1007/s00261-021-03068-x. Epub 2021 Apr 18.
未经治疗的转移性胰腺导管腺癌中吉西他滨和nab-紫杉醇联合尼鲁帕尼或安慰剂的随机 II 期试验。
Eur J Cancer. 2020 Jun;132:112-121. doi: 10.1016/j.ejca.2020.03.005. Epub 2020 Apr 28.
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PARP inhibitors in pancreatic cancer: molecular mechanisms and clinical applications.PARP 抑制剂在胰腺癌中的应用:分子机制与临床应用。
Mol Cancer. 2020 Mar 2;19(1):49. doi: 10.1186/s12943-020-01167-9.
5
Randomized phase II study of the Bruton tyrosine kinase inhibitor acalabrutinib, alone or with pembrolizumab in patients with advanced pancreatic cancer.一项随机 II 期研究评估了布鲁顿酪氨酸激酶抑制剂阿卡替尼单药或联合帕博利珠单抗治疗晚期胰腺癌患者的疗效。
J Immunother Cancer. 2020 Feb;8(1). doi: 10.1136/jitc-2020-000587.
6
CXCL12 and Its Isoforms: Different Roles in Pancreatic Cancer?CXCL12 及其异构体:在胰腺癌中发挥不同作用?
J Oncol. 2019 Jun 2;2019:9681698. doi: 10.1155/2019/9681698. eCollection 2019.
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Anticancer Res. 2019 Jul;39(7):3609-3614. doi: 10.21873/anticanres.13508.
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Expert Opin Ther Pat. 2019 Apr;29(4):217-241. doi: 10.1080/13543776.2019.1594777.