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“代码破解”还是“蓝色代码”?评估索托拉西布在转移性结直肠癌中的生命体征

CodeBreaK or code blue? Assessing sotorasib's vital signs in metastatic colorectal cancer.

作者信息

Stevens Samuel X, Gyawali Bishal

机构信息

Department of Oncology, Queen's University, Kingston, Ontario, Canada.

Division of Cancer Care and Epidemiology, Queen's University, Kingston, Ontario, Canada.

出版信息

Cancer. 2025 Sep 1;131(17):e70056. doi: 10.1002/cncr.70056.

DOI:10.1002/cncr.70056
PMID:40831024
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12365368/
Abstract

Although no survival benefit over standard therapies has been established, the combination of sotorasib plus panitumumab recently received full US Food and Drug Administration approval for use in advanced colorectal cancer. The authors highlight key concerns with the CodeBreaK 300 trial design, conduct, and reporting, arguing that excitement for precision medicines must be matched by methodological rigor and transparent reporting.

摘要

尽管与标准疗法相比,索托拉西布联合帕尼单抗尚未显示出生存获益,但该联合疗法最近已获得美国食品药品监督管理局的全面批准,用于治疗晚期结直肠癌。作者强调了CodeBreaK 300试验设计、实施和报告中的关键问题,认为对精准药物的热情必须与方法的严谨性和透明的报告相匹配。

相似文献

1
CodeBreaK or code blue? Assessing sotorasib's vital signs in metastatic colorectal cancer.“代码破解”还是“蓝色代码”?评估索托拉西布在转移性结直肠癌中的生命体征
Cancer. 2025 Sep 1;131(17):e70056. doi: 10.1002/cncr.70056.
2
Health-related quality of life in patients with KRAS-mutated chemorefractory metastatic colorectal cancer treated with sotorasib plus panitumumab or standard of care (CodeBreaK 300): results from a phase 3, randomised clinical trial.索托拉西布联合帕尼单抗或标准治疗方案治疗KRAS突变的化疗难治性转移性结直肠癌患者的健康相关生活质量(CodeBreaK 300):一项3期随机临床试验的结果
Lancet Oncol. 2025 Aug 11. doi: 10.1016/S1470-2045(25)00352-3.
3
The Target Therapy Hyperbole: "KRAS (p.G12C)"-The Simplification of a Complex Biological Problem.靶向治疗的夸张说法:“KRAS(p.G12C)”- 复杂生物学问题的简化
Cancers (Basel). 2024 Jun 28;16(13):2389. doi: 10.3390/cancers16132389.
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A cost-effectiveness analysis of sotorasib as second-line treatment for patients with KRAS-G12C-mutated metastatic non-small cell lung cancer (mNSCLC) in Switzerland.索托拉西布作为瑞士KRAS-G12C突变转移性非小细胞肺癌(mNSCLC)患者二线治疗的成本效益分析。
Swiss Med Wkly. 2025 Jan 6;155:3777. doi: 10.57187/s.3777.
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Sotorasib plus Panitumumab in Refractory Colorectal Cancer with Mutated G12C.索托拉西布联合帕尼单抗治疗携带 G12C 突变的难治性结直肠癌。
N Engl J Med. 2023 Dec 7;389(23):2125-2139. doi: 10.1056/NEJMoa2308795. Epub 2023 Oct 22.
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本文引用的文献

1
Overall Survival Analysis of the Phase III CodeBreaK 300 Study of Sotorasib Plus Panitumumab Versus Investigator's Choice in Chemorefractory G12C Colorectal Cancer.索托拉西布联合帕尼单抗与研究者选择方案用于化疗难治性G12C结直肠癌的III期CodeBreaK 300研究的总生存分析
J Clin Oncol. 2025 Apr 11:JCO2402026. doi: 10.1200/JCO-24-02026.
2
Common Sense Oncology principles for the design, analysis, and reporting of phase 3 randomised clinical trials.3期随机临床试验设计、分析和报告的常识性肿瘤学原则。
Lancet Oncol. 2025 Feb;26(2):e80-e89. doi: 10.1016/S1470-2045(24)00451-0.
3
Dose optimization of sotorasib: Has the burden of proof for the labeled dose been met?索托拉西布的剂量优化:标签剂量的证据负担是否已得到满足?
Eur J Cancer. 2024 Nov;212:115044. doi: 10.1016/j.ejca.2024.115044. Epub 2024 Sep 27.
4
Sotorasib (960 mg or 240 mg) once daily in patients with previously treated KRAS G12C-mutated advanced NSCLC.索托拉西布(960 毫克或 240 毫克)每日一次,用于治疗既往治疗过的 KRAS G12C 突变型晚期 NSCLC 患者。
Eur J Cancer. 2024 Sep;208:114204. doi: 10.1016/j.ejca.2024.114204. Epub 2024 Jul 5.
5
Targeting G12C Mutation in Colorectal Cancer, A Review: New Arrows in the Quiver.针对结直肠癌中的 G12C 突变:综述:箭袋中的新箭。
Int J Mol Sci. 2024 Mar 14;25(6):3304. doi: 10.3390/ijms25063304.
6
Sotorasib plus Panitumumab in Refractory Colorectal Cancer with Mutated G12C.索托拉西布联合帕尼单抗治疗携带 G12C 突变的难治性结直肠癌。
N Engl J Med. 2023 Dec 7;389(23):2125-2139. doi: 10.1056/NEJMoa2308795. Epub 2023 Oct 22.
7
Sotorasib versus docetaxel for previously treated non-small-cell lung cancer with KRAS mutation: a randomised, open-label, phase 3 trial.索托拉西布与多西他赛用于既往接受过治疗的KRAS突变非小细胞肺癌:一项随机、开放标签的3期试验。
Lancet. 2023 Mar 4;401(10378):733-746. doi: 10.1016/S0140-6736(23)00221-0. Epub 2023 Feb 7.
8
The Drug-Dosing Conundrum in Oncology - When Less Is More.肿瘤学中的给药难题——少即是多。
N Engl J Med. 2021 Oct 14;385(16):1445-1447. doi: 10.1056/NEJMp2109826. Epub 2021 Oct 9.
9
KRAS Inhibition with Sotorasib in Advanced Solid Tumors.索托拉西布治疗晚期实体瘤的 KRAS 抑制作用。
N Engl J Med. 2020 Sep 24;383(13):1207-1217. doi: 10.1056/NEJMoa1917239. Epub 2020 Sep 20.
10
Patient and caregiver benefit-risk preferences for nonmetastatic castration-resistant prostate cancer treatment.患者和照护者对非转移性去势抵抗性前列腺癌治疗的获益-风险偏好。
Cancer Med. 2020 Sep;9(18):6586-6596. doi: 10.1002/cam4.3321. Epub 2020 Jul 29.