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安罗替尼作为三线治疗后药物用于治疗晚期非小细胞肺癌。

Anlotinib as a post-third-line therapy for the treatment of advanced nonsmall cell lung cancer.

机构信息

Department of Respiratory Medicine, The Affiliated Nanjing Brain Hospital of Nanjing Medical University, Nanjing, China.

Department of Respiratory Medicine, The Second Hospital of Nanjing, Nanjing University of Chinese Medicine, Nanjing, China.

出版信息

J Chemother. 2021 Nov;33(7):492-498. doi: 10.1080/1120009X.2021.1906036. Epub 2021 Apr 5.

Abstract

There is no standard treatment strategy for the third-line and above treatment of advanced nonsmall cell lung cancer (NSCLC). This study aimed to investigate the effects of anlotinib in patients with NSCLC. Data was collected from a group of advanced lung cancer patients who received anlotinib as a third-line or post-third-line treatment between 2017 and 2019. The Kaplan-Meier method was used to calculate the progression-free survival (PFS) of these lung cancer patients treated with anlotinib. Univariate analysis was performed using the log-rank test. Forest plot was used for subgroup analysis.Our study included 44 patients. Oral anlotinib was used as a third-line treatment to treat 26 patients, and as a fourth-line or multiline treatment in 18 patients. The objective control rate was 5%, the disease control rate was 89%, and the median PFS was 4.0 months with a 95% confidence interval. Common toxicities included anorexia, hypertension, and fatigue. Anlotinib demonstrated promising efficacy and was well tolerated with controlled toxicity in patients with NSCLC.

摘要

对于晚期非小细胞肺癌(NSCLC)的三线及以上治疗,目前尚无标准治疗策略。本研究旨在探讨安罗替尼在 NSCLC 患者中的疗效。本研究数据来源于一组 2017 年至 2019 年期间接受安罗替尼三线或三线以上治疗的晚期肺癌患者。采用 Kaplan-Meier 法计算接受安罗替尼治疗的肺癌患者的无进展生存期(PFS)。采用对数秩检验进行单因素分析。采用森林图进行亚组分析。本研究共纳入 44 例患者。26 例患者口服安罗替尼作为三线治疗,18 例患者作为四线或多线治疗。客观缓解率为 5%,疾病控制率为 89%,中位 PFS 为 4.0 个月,95%置信区间为 3.2-4.8。常见毒性包括厌食、高血压和乏力。安罗替尼在 NSCLC 患者中显示出良好的疗效和可耐受的毒性。

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