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西班牙转移性结直肠癌患者的瑞戈非尼:从临床试验到真实世界证据。

Regorafenib in patients with metastatic colorectal cancer in Spain: from clinical trials to real-world evidence.

机构信息

Medical Oncology Department, Biomedical Research Institute INCLIVA, Hospital Clínico de Valencia, Universidad de Valencia, Valencia, Spain.

CIBERONC, Instituto de Salud Carlos III, Madrid, Spain.

出版信息

Future Oncol. 2024;20(20):1401-1413. doi: 10.1080/14796694.2024.2340422. Epub 2024 Jun 11.

Abstract

To describe the evolution of regorafenib use, since its approval, in patients with previously treated metastatic colorectal cancer (mCRC) in routine clinical practice in Spain. We extracted patient characteristics, dosing, safety and efficacy data for the Spanish cohorts of the CORRECT and CONSIGN trials, and the real-world CORRELATE study. The Spanish cohorts represented 10.7-13.8% of the global cohorts. Efficacy and safety in the Spanish cohorts reflected findings from the global cohorts, with evidence of a flexible dosing approach being adopted in routine clinical practice. Regorafenib use in patients with mCRC has evolved in the real-world setting, emphasizing the need for further research evaluating dosing patterns that can optimize clinical outcomes in these patients. The CORRECT trial is registered at ClinicalTrials.gov, number NCT01103323; the CONSIGN trial is registered at ClinicalTrials.gov, number NCT01538680; the CORRELATE study is registered at ClinicalTrials.gov, number NCT02042144.

摘要

描述在西班牙常规临床实践中,瑞戈非尼在先前治疗过的转移性结直肠癌(mCRC)患者中的应用演变。我们提取了 CORRECT 和 CONSIGN 试验的西班牙队列以及真实世界的 CORRELATE 研究中的患者特征、剂量、安全性和疗效数据。西班牙队列占全球队列的 10.7-13.8%。西班牙队列的疗效和安全性反映了全球队列的结果,表明在常规临床实践中采用了灵活的剂量方案。在真实世界环境中,mCRC 患者的瑞戈非尼使用已经发生了演变,强调需要进一步研究评估能够优化这些患者临床结局的剂量模式。CORRECT 试验在 ClinicalTrials.gov 上注册,编号为 NCT01103323;CONSIGN 试验在 ClinicalTrials.gov 上注册,编号为 NCT01538680;CORRELATE 研究在 ClinicalTrials.gov 上注册,编号为 NCT02042144。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474f/11385448/d745cef1cec4/IFON_A_2340422_F0001_C.jpg

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