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Brit J Cancer:平滑肌肉瘤患者艾日布林与达卡巴嗪的疗效比较

2019-05-13 xing.T 网络

由此可见,平滑肌肉瘤患者接受艾日布林的疗效与达卡巴嗪相当。这两种药物都具有较好的安全性。

近日,肿瘤领域权威杂志British Journal of Cancer上发表了一篇研究文章,该研究是针对比较了平滑肌肉瘤患者艾日布林与达卡巴嗪治疗结局3期研究的亚组分析。

该研究随机分配年龄超过18岁的且在治疗前ECOGPS≤2和≥2的晚期脂肪肉瘤或平滑肌肉瘤患者被随机分配(1:1)至甲磺酸艾日布林(第1天和第8天静脉注射1.4 mg/m2)或达卡巴嗪(每21天静脉注射8501000或1200 mg/m2)治疗,直至疾病进展。该研究的主要终点是整体生存期;其他终点是无进展生存期(PFS)和客观反应率(ORR)。

研究人员纳入了309例平滑肌肉瘤患者(艾日布林,n=157;达卡巴嗪,n=152)。中位年龄为57岁;42%的患者患有子宫疾病,57%的患者患有非宫内疾病。对于艾日布林与达卡巴嗪相比,中位整体生存期​分别为12.7和13.0个月(风险比[HR]=0.93[95%CI为0.71-1.20]; P=0.57)。对艾日布林和达卡巴嗪治疗的患者的中位PFS(2.2 vs. 2.6个月,HR=1.07 [95%CI为0.84-1.38]; P=0.58)和ORR(5% vs. 7%)相似。接受艾日布林治疗的患者中69%发生≥3级TEAE,接受达卡巴嗪治疗的患者发生率为59%。 

由此可见,平滑肌肉瘤患者接受艾日布林的疗效与达卡巴嗪相当。这两种药物都具有较好的安全性。 

原始出处:

Jean-Yves Blay.et al.Eribulin versus dacarbazine in patients with leiomyosarcoma: subgroup analysis from a phase 3, open-label, randomised study.British Journal of Cancer.2019.https://www.nature.com/articles/s41416-019-0462-1

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    2019-05-14 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

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    2019-05-13 医者仁心5538

    学习了

    0

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