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肝内胆管癌:成纤维细胞生长因子受体抑制剂的现状。

Intrahepatic Cholangiocarcinoma: State of the Art of FGFR Inhibitors.

机构信息

Department of Hepatobiliary Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, People's Republic of China.

Surgical Intensive Care Unit, Nanfang Hospital, Southern Medical University, Guangzhou, People's Republic of China.

出版信息

Cancer Control. 2021 Jan-Dec;28:1073274821989314. doi: 10.1177/1073274821989314.

Abstract

OBJECTIVE

Intrahepatic cholangiocarcinoma (iCCA), the second most common type of primary liver tumor, has an increasing incidence in the past few decades. iCCA is highly malignant, with a 5-year survival rate of approximately 5-10%. Surgical resection is usually the prescribed treatment for patients with early stage iCCA; however, patients are usually in an advanced stage iCCA upon diagnosis. Currently, targeted therapy combined with chemotherapy and other comprehensive treatment measures have been mainly adopted as palliative treatment measures. As a common candidate of targeted therapy, FGFR inhibitors have demonstrated their unique advantages in clinical trials. At present, the prospect of FGFR targeted therapy is encouraging. The landscape of FGFR inhibitors in iCCA is needed to be showed urgently.

METHODS

We searched relative reports of clinical trials on FGFR inhibitors in PubMed as well as Web of Science. We also concluded other available clinical trials of FGFR inhibitors (Data were collected from clinicaltrials.gov).

RESULTS

Several relatively effective targeted drugs are being used in clinical trials. Some preliminary results indicate the outlook of targeted therapy such as BGJ398, TAS120, and HSP90 inhibitors.

CONCLUSIONS

In summary, FGFR targeted therapy has broad prospects for the treatment of iCCA.

摘要

目的

肝内胆管癌(iCCA)是原发性肝脏肿瘤的第二大常见类型,在过去几十年中其发病率不断上升。iCCA 恶性程度高,5 年生存率约为 5-10%。手术切除通常是早期 iCCA 患者的首选治疗方法;然而,患者通常在诊断时已处于晚期 iCCA。目前,靶向治疗联合化疗和其他综合治疗措施已主要作为姑息治疗措施。作为常见的靶向治疗候选药物,FGFR 抑制剂在临床试验中显示出了独特的优势。目前,FGFR 靶向治疗的前景令人鼓舞。迫切需要展示 FGFR 抑制剂在 iCCA 中的应用前景。

方法

我们在 PubMed 和 Web of Science 上搜索了有关 FGFR 抑制剂的临床试验相关报告。我们还总结了其他可用的 FGFR 抑制剂临床试验(数据来自 clinicaltrials.gov)。

结果

目前正在临床试验中使用几种相对有效的靶向药物。一些初步结果表明,BGJ398、TAS120 和 HSP90 抑制剂等靶向治疗具有广阔的前景。

结论

总之,FGFR 靶向治疗为 iCCA 的治疗提供了广阔的前景。

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