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戈沙妥珠单抗用于经大量预处理的铂耐药高级别浆液性卵巢癌

Sacituzumab govitecan in heavily pretreated, platinum-resistant high grade serous ovarian cancer.

作者信息

Greenman Michelle, Bellone Stefania, Demirkiran Cem, Max Philipp Hartwich Tobias, Santin Alessandro D

机构信息

Department of Obstetrics, Gynecology, and Reproductive Sciences Yale University School of Medicine, New Haven, CT 06520, USA.

出版信息

Gynecol Oncol Rep. 2024 Jul 13;54:101459. doi: 10.1016/j.gore.2024.101459. eCollection 2024 Aug.

Abstract

BACKGROUND

Treatment of recurrent platinum-resistant high grade serous ovarian cancer (HGSOC) remains a challenge. Novel treatment options for recurrent disease are an unmet need.

CASE

A 69-year-old with recurrent, metastatic, platinum-resistant HGSOC overexpressing TROP2 experienced a significant response to the antibody-drug conjugate (ADC) sacituzumab govitecan after multiple failed lines of chemotherapy and targeted treatment. Following sacituzumab govitecan treatment she experienced a confirmed partial response as well as a return of CA-125 to baseline. Having now completed 8 cycles (ie, over 6 months of treatment), her disease continues to demonstrate a response to sacituzumab govitecan treatment. The ADC has been well tolerated at a dose of 10 mg/kg with no dose-limiting toxicity or need for dose reductions.

CONCLUSION

Sacituzumab govitecan may represent a treatment option for platinum-resistant/recurrent HGSOC that have previously failed prior lines of chemotherapy. Clinical trials with sacituzumab govitecan in platinum-resistant ovarian cancer patients are currently ongoing (https://classic.clinicaltrials.gov/ct2/show/NCT06028932).

摘要

背景

复发性铂耐药高级别浆液性卵巢癌(HGSOC)的治疗仍然是一项挑战。复发性疾病的新型治疗选择尚未得到满足。

病例

一名69岁的复发性、转移性、铂耐药HGSOC患者,TROP2过表达,在多线化疗和靶向治疗失败后,对抗体药物偶联物(ADC)戈沙妥珠单抗产生了显著反应。接受戈沙妥珠单抗治疗后,她出现了确认的部分缓解,CA-125也恢复到基线水平。目前已完成8个周期(即超过6个月的治疗),她的疾病继续对戈沙妥珠单抗治疗有反应。ADC以10mg/kg的剂量耐受性良好,没有剂量限制毒性或需要降低剂量。

结论

戈沙妥珠单抗可能是先前多线化疗失败的铂耐药/复发性HGSOC的一种治疗选择。目前正在进行戈沙妥珠单抗治疗铂耐药卵巢癌患者的临床试验(https://classic.clinicaltrials.gov/ct2/show/NCT06028932)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62f/11300917/56a5a5479d25/gr1.jpg

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