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协同铸就成功:安罗替尼联合用药在晚期非小细胞肺癌治疗中的作用

Synergizing Success: The Role of Anlotinib Combinations in Advanced Non-Small Cell Lung Cancer Treatment.

作者信息

Hetta Helal F, Aljohani Hashim M, Sirag Nizar, Elfadil Hassabelrasoul, Salama Ayman, Al-Twalhy Rand, Alanazi Danah, Al-Johani Manal D, Albalawi Jumanah H, Al-Otaibi Rinad M, Alsharif Raghad A, Sayad Reem

机构信息

Division of Microbiology, Immunology and Biotechnology, Department of Natural Products and Alternative Medicine, Faculty of Pharmacy, University of Tabuk, Tabuk 71491, Saudi Arabia.

Department of Clinical Laboratory Sciences, College of Applied Medical Sciences, Taibah University, Madina 41477, Saudi Arabia.

出版信息

Pharmaceuticals (Basel). 2025 Apr 16;18(4):585. doi: 10.3390/ph18040585.

Abstract

Anlotinib, a novel receptor tyrosine kinase inhibitor that is taken orally, targets several RTKs and is authorized as a third-line treatment for patients with advanced non-small cell lung cancer (NSCLC). Anlotinib is also used in combination with immunotherapy or chemotherapy for advanced NSCLC. We aimed to explore the efficacy and safety of anlotinib-based regimens in NSCLC treatment, focusing on combination therapies. We also addressed challenges that hinder oncologists from using it, such as toxicity and resistance mechanisms. A systematic approach involves searching the National Institute of Health PubMed, Scopus, MedLine, and Web of Science databases up to April 2024. Relevant studies were identified and analyzed for their methodologies, outcomes, and patient characteristics. Findings revealed that numerous effective combination regimens, such as anlotinib with platinum-based chemotherapy and anlotinib combined with PD-1 blockades, have shown positive results in terms of progression-free survival (PFS), overall survival (OS), and objective response rate (ORR). On the other hand, NSCLC treatment faces hurdles due to drug resistance and its toxicity profile. These challenges underscore the need for continued research and optimization of treatment strategies.

摘要

安罗替尼是一种新型口服受体酪氨酸激酶抑制剂,靶向多种受体酪氨酸激酶(RTK),被批准用于晚期非小细胞肺癌(NSCLC)患者的三线治疗。安罗替尼也与免疫疗法或化疗联合用于晚期NSCLC。我们旨在探讨以安罗替尼为基础的治疗方案在NSCLC治疗中的疗效和安全性,重点关注联合治疗。我们还探讨了阻碍肿瘤学家使用该药物的挑战,如毒性和耐药机制。一种系统的方法包括检索截至2024年4月的美国国立医学图书馆(NIH)的PubMed、Scopus、MedLine和Web of Science数据库。对相关研究进行识别,并分析其方法、结果和患者特征。研究结果显示,许多有效的联合治疗方案,如安罗替尼与铂类化疗联合以及安罗替尼与程序性死亡受体1(PD-1)阻断剂联合,在无进展生存期(PFS)、总生存期(OS)和客观缓解率(ORR)方面均显示出积极结果。另一方面,NSCLC治疗因耐药性及其毒性特征而面临障碍。这些挑战凸显了持续研究和优化治疗策略的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf3d/12030542/4ff5a74af3a3/pharmaceuticals-18-00585-g001.jpg

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