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J Clin Oncol:贝伐珠单抗添加到标准治疗对新诊断胶质母细胞瘤的患者生存质量没有影响

2015-05-31 范伟译 MedSci原创

目的:随着胶质母细胞瘤的进展,患者经历健康相关的生活质量的下降(HRQoL)。延迟这种下降是重要的治疗目标。在新诊断的胶质母细胞瘤中,贝伐珠单抗添加到放射治疗加替莫唑胺(RT / TMZ)  vs 安慰剂加RT / TMZ(III期AVAglio研究中危险比,0.64;95%置信区间,0.55至0.74;P <&

目的:随着胶质母细胞瘤的进展,患者经历健康相关的生活质量的下降(HRQoL)。延迟这种下降是重要的治疗目标。在新诊断的胶质母细胞瘤中,贝伐珠单抗添加到放射治疗加替莫唑胺(RT / TMZ) vs 安慰剂加RT / TMZ(III期AVAglio研究中危险比,0.64;95%置信区间,0.55至0.74;P < .001)无进展生存期延长;确保贝伐珠单抗添加到标准治疗中与健康相关的生活质量HRQoL的损害无关,HRQoL的评估是次要的目标。

患者和方法:在每个肿瘤评估中,患者完成欧洲研究和治疗组织癌症生活质量问卷C30 和BN20 。原始分数转换为100分制,对基线分数的平均变化值进行评估(稳定:< 10点变化;临床相关的恶化/改善:≥10点变化)。恶化无进展生存期是到恶化/进展/死亡的时间;到恶化的时间即是到恶化/死亡的时间。

结果:大多数可评估无进展的患者(> 74%)至少1年的治疗完成所有HRQoL的评估,在基线几乎所有完成至少一个HRQoL的评估(分别为98.3%和97.6%,贝伐珠单抗组和安慰剂组)。大多数项目组间基线的平均变化值没有达到临床相关的区别。HRQoL在有进展的两组间有下降。在所有项目中恶化的无进展生存期,贝伐珠单抗添加到RT / TMZ导致在统计上(P < .001)更长。对于HRQoL的维度,安慰组加RT / TMZ组(v贝伐珠单抗)到恶化的时间在统计上没有显著差异。

结论:在无进展期间贝伐珠单抗添加到标准治疗中用于新诊断的胶质母细胞瘤的治疗对健康相关的生活质量HRQoL没有影响。

原始出处:

Taphoorn MJ1, Henriksson R2, Bottomley A2, Cloughesy T2, Wick W2, Mason WP2,Saran F2, Nishikawa R2, Hilton M2, TheodoreOklota C2, Ravelo A2, Chinot OL2.HealthRelated Quality of Life in a Randomized Phase III Study of Bevacizumab, Temozolomide, and Radiotherapy in Newly Diagnosed Glioblastoma.J Clin Oncol. 2015 May 26.pii: JCO.2014.60.3217. [Epub ahead of print]

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    2015-09-21 minlingfeng
  4. 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  5. 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  6. 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  7. 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  8. 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encodeId=3b1019152568f, content=<a href='/topic/show?id=e381586e94d' target=_blank style='color:#2F92EE;'>#新诊断#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58679, encryptionId=e381586e94d, topicName=新诊断)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8b48400, createdName=rgjl, createdTime=Mon Nov 23 21:27:00 CST 2015, time=2015-11-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1475783, encodeId=245214e5783b3, content=<a href='/topic/show?id=2bcee797732' target=_blank style='color:#2F92EE;'>#细胞瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77977, encryptionId=2bcee797732, topicName=细胞瘤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf5e7252474, createdName=spoonycyy, createdTime=Tue Jun 02 02:27:00 CST 2015, time=2015-06-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1476965, encodeId=7a6014e696537, content=<a href='/topic/show?id=c32e9220221' target=_blank style='color:#2F92EE;'>#贝伐#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=92202, encryptionId=c32e9220221, topicName=贝伐)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ef557344179, createdName=sunrural_42825359, createdTime=Tue Jun 02 02:27:00 CST 2015, time=2015-06-02, status=1, ipAttribution=)]
    2015-11-23 rgjl
  9. 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  10. 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