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雷莫西尤单抗联合氟尿嘧啶、亚叶酸钙和伊立替康(FOLFIRI)方案治疗转移性胃癌患者的疗效

Therapeutic response to ramucirumab + folfiri in patients with metastatic gastric cancer.

作者信息

Rezvani Hamid, Haghighi Shirin, Ghobakhlou Mehdi, Ataei Elnaz

机构信息

Department of Hematology and Oncology, Taleghani Hospital, Shahid Beheshti University of Medical Seiences, Tehran, Iran.

Department of Endoscopy, Bou-Ali Hospital, Hamadan, Iran.

出版信息

J Family Med Prim Care. 2022 Sep;11(9):5166-5169. doi: 10.4103/jfmpc.jfmpc_1678_21. Epub 2022 Oct 14.

DOI:10.4103/jfmpc.jfmpc_1678_21
PMID:36505597
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9731017/
Abstract

BACKGROUND

Gastric tumors are important gastrointestinal malignancies, and the prediction of therapeutic responses and related factors are important to improve the prognosis. Hence the aim of this study was to determine the therapeutic response to ramucirumab + folfiri in patients with metastatic gastric cancer.

METHODS AND MATERIALS

In this prospective cohort, 13 consecutive patients with metastatic gastric cancer attending Taleghani Hospital that underwent ramucirumab + folfiri therapy were enrolled, and the therapeutic response among them was determined.

RESULTS

The results in this study demonstrated that initial therapeutic response was 92.3% and the Progression-free Survival (PFS) was 16.2 months (84.6%) (CI95%:13.2-19.3). The nine-month PFS was 69.2%. Total survival was 16.7 months (CI95%:13.5-19.9).

CONCLUSION

Ultimately, according to the obtained results, it may be concluded that the therapeutic response to ramucirumab + folfiri in a patient with metastatic gastric cancer is good, and the use of this regimen is recommended.

摘要

背景

胃肿瘤是重要的胃肠道恶性肿瘤,预测治疗反应及相关因素对改善预后很重要。因此,本研究的目的是确定雷莫西尤单抗联合氟尿嘧啶、亚叶酸钙和伊立替康(FOLFIRI)方案对转移性胃癌患者的治疗反应。

方法和材料

在这个前瞻性队列研究中,连续纳入了13例在塔莱加尼医院接受雷莫西尤单抗联合FOLFIRI治疗的转移性胃癌患者,并确定了他们的治疗反应。

结果

本研究结果表明,初始治疗反应率为92.3%,无进展生存期(PFS)为16.2个月(84.6%)(95%置信区间:13.2 - 19.3)。9个月的PFS为69.2%。总生存期为16.7个月(95%置信区间:13.5 - 19.9)。

结论

最终,根据所得结果,可以得出结论,雷莫西尤单抗联合FOLFIRI方案对转移性胃癌患者的治疗反应良好,推荐使用该治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f194/9731017/cf3e564f46e7/JFMPC-11-5166-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f194/9731017/ccc16d656421/JFMPC-11-5166-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f194/9731017/cf3e564f46e7/JFMPC-11-5166-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f194/9731017/ccc16d656421/JFMPC-11-5166-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f194/9731017/cf3e564f46e7/JFMPC-11-5166-g002.jpg

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本文引用的文献

1
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Cancers (Basel). 2021 Jul 15;13(14):3536. doi: 10.3390/cancers13143536.
2
Ramucirumab plus paclitaxel or FOLFIRI in platinum-refractory advanced or metastatic gastric or gastroesophageal junction adenocarcinoma-experience at two centres.雷莫西尤单抗联合紫杉醇或FOLFIRI方案治疗铂类难治性晚期或转移性胃或胃食管交界腺癌——两家中心的经验
J Gastrointest Oncol. 2020 Apr;11(2):366-375. doi: 10.21037/jgo.2020.03.10.
3
The Efficacy and Safety of Modified Docetaxel, Cisplatin, and 5-Fluorouracil Vs. Epirubicin, Oxaliplatin, and Capecitabine Regimen in the Advanced Gastric Cancer: A Randomized Controlled Clinical Trial.
改良多西他赛、顺铂和5-氟尿嘧啶方案与表柔比星、奥沙利铂和卡培他滨方案治疗晚期胃癌的疗效与安全性:一项随机对照临床试验
Asian Pac J Cancer Prev. 2020 Mar 1;21(3):727-732. doi: 10.31557/APJCP.2020.21.3.727.
4
Incidence and Mortality of Various Cancers in Iran and Compare to Other Countries: A Review Article.伊朗各类癌症的发病率和死亡率及其与其他国家的比较:一篇综述文章
Iran J Public Health. 2018 Mar;47(3):309-316.
5
Prognostic Factor Analysis of Overall Survival in Gastric Cancer from Two Phase III Studies of Second-line Ramucirumab (REGARD and RAINBOW) Using Pooled Patient Data.利用汇总患者数据对二线雷莫西尤单抗两项III期研究(REGARD和RAINBOW)中胃癌总生存期的预后因素分析
J Gastric Cancer. 2017 Jun;17(2):132-144. doi: 10.5230/jgc.2017.17.e16. Epub 2017 Jun 16.
6
Randomized phase II study of modified FOLFOX-6 in combination with ramucirumab or icrucumab as second-line therapy in patients with metastatic colorectal cancer after disease progression on first-line irinotecan-based therapy.一项在一线伊立替康为基础的治疗后疾病进展的转移性结直肠癌患者中,联合雷莫芦单抗或伊曲珠单抗作为二线治疗的改良 FOLFOX-6 方案的随机 II 期研究。
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7
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Ramucirumab: A Review in Advanced Gastric Cancer.雷莫芦单抗:治疗晚期胃癌的研究进展。
BioDrugs. 2015 Oct;29(5):341-51. doi: 10.1007/s40259-015-0138-1.
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FDA Approval Summary: Ramucirumab for Gastric Cancer.美国食品药品监督管理局批准概要:雷莫芦单抗用于胃癌。
Clin Cancer Res. 2015 Aug 1;21(15):3372-6. doi: 10.1158/1078-0432.CCR-15-0600. Epub 2015 Jun 5.