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NEJM:Ribociclib+氟维司群可改善晚期乳腺癌患者生存期

2019-12-12 MedSci MedSci原创

研究认为,在激素受体阳性、HER 2阴性的晚期乳腺癌患者中,Ribociclib+氟维司群可显著提高患者的总体生存率

在涉及激素受体阳性、人表皮生长因子受体2(HER2)阴性的绝经后晚期乳腺癌患者的III期研究中,早期分析显示Ribociclib+氟维司群可显著提高患者无进展生存率。近日研究人员报告了第二次中期生存分析的结果。

参与研究的患者在氟维司群基础上,随机接受Ribociclib或安慰剂作为一线或二线治疗手段,研究的主要终点为生存率。

总计275例死亡病例,其中484例接受Ribociclib治疗的患者中167例(34.5%)死亡,242名接受安慰剂治疗的患者中108名(44.6%)死亡。Ribociclib+氟维司群的总体生存率明显高于氟维司群单独治疗。在42个月时,ribociclib组生存率为57.8%,安慰剂组为45.9%,相对死亡风险差异为28%(危险比0.72)。以ribociclib为一线治疗手段患者的中位无进展生存期组为33.6个月,安慰剂组为19.2个月。没有观察到新的安全事件。

研究认为,在激素受体阳性、HER 2阴性的晚期乳腺癌患者中,Ribociclib+氟维司群可显著提高患者的总体生存率。

原始出处:

Dennis J. Slamon et al. Overall Survival with Ribociclib plus Fulvestrant in Advanced Breast Cancer. N Engl J Med, December 11, 2019.

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    2019-12-12 旺医

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