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[恩杂鲁胺与帕博利珠单抗:晚期或转移性尿路上皮癌一线联合治疗期间的副作用管理]

[Enfortumab vedotin and pembrolizumab : Management of side effects during first line combined treatment for advanced or metastatic urothelial carcinoma].

作者信息

Retz Margitta, Grimm Marc-Oliver, Leucht Katharina, Zschäbitz Stefanie

机构信息

Urologische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland.

Klinik für Urologie, Universitätsklinikum Jena, Friedrich-Schiller-Universität, Jena, Deutschland.

出版信息

Urologie. 2025 Jan;64(1):60-74. doi: 10.1007/s00120-024-02487-0. Epub 2025 Jan 7.

Abstract

The aim of this article is to raise awareness among healthcare providers about the adverse events (AEs) associated with the combined treatment with enfortumab vedotin and pembrolizumab. The differential diagnostic allocation of these AEs to the respective agents is discussed, overlaps between the side effect profiles of the two drugs are identified and strategies for an effective management of these AEs are presented. The recommendations are based on the currently valid prescription information for both drugs, the results of pivotal approval studies and the guidelines of recognized specialist organizations as well as the clinical experience of the authors.

摘要

本文旨在提高医疗保健提供者对与恩沃利单抗和帕博利珠单抗联合治疗相关的不良事件(AE)的认识。讨论了将这些不良事件鉴别诊断分配到各自药物的情况,确定了两种药物副作用谱之间的重叠,并提出了有效管理这些不良事件的策略。这些建议基于两种药物当前有效的处方信息、关键批准研究的结果、公认专业组织的指南以及作者的临床经验。

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