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卡博替尼、凡德他尼、普拉替尼和塞尔帕替尼治疗进展性甲状腺髓样癌,重点关注高血压作为不良反应。

Cabozantinib, Vandetanib, Pralsetinib and Selpercatinib as Treatment for Progressed Medullary Thyroid Cancer with a Main Focus on Hypertension as Adverse Effect.

机构信息

Department of Biomedicine, Aarhus University, Ole Worms Allé 4, 8000 Aarhus, Denmark.

Department of Microgravity and Translational Regenerative Medicine, Otto von Guericke University, Universitätsplatz 2, 39106 Magdeburg, Germany.

出版信息

Int J Mol Sci. 2023 Jan 24;24(3):2312. doi: 10.3390/ijms24032312.

Abstract

This manuscript investigates cabozantinib, vandetanib, pralsetinib, and selpercatinib, four tyrosine kinase inhibitors (TKIs), which are used to treat advanced and/or metastatic medullary thyroid cancer (MTC). Data on efficacy and safety are presented with the main focus on treatment-related hypertension, a well-known adverse effect (AE) of these TKIs. Taken together, TKI-induced hypertension is rarely a dose-limiting side effect. However, with increasing survival times of patients under treatment, hypertension-associated complications can be expected to be on the rise without proper medication.

摘要

本文研究了卡博替尼、凡德他尼、普拉替尼和塞尔帕替尼这四种酪氨酸激酶抑制剂(TKIs),它们用于治疗晚期和/或转移性甲状腺髓样癌(MTC)。本文介绍了这些 TKI 的疗效和安全性数据,重点是治疗相关的高血压,这是这些 TKI 的已知不良反应(AE)。总的来说,TKI 引起的高血压很少是剂量限制的副作用。然而,随着接受治疗的患者生存时间的延长,如果没有适当的药物治疗,与高血压相关的并发症预计会增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c140/9917177/5e214ddf7dac/ijms-24-02312-g001.jpg

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