CLIN CANCER RES:ABC294640治疗晚期实体肿瘤患者的Ⅰ期临床试验结果

2017-08-24 MedSci MedSci原创

鞘氨醇激酶(SK1,SK2)通过调节有丝分裂及S1P影响肿瘤生长。ABC294640是第一种口服的SK2抑制剂。CLIN CANCER RES近期发表了一篇文章,报道了ABC294640治疗实体肿瘤的Ⅰ期临床试验结果。

鞘氨醇激酶(SK1,SK2)通过调节有丝分裂及S1P影响肿瘤生长。ABC294640是第一种口服的SK2抑制剂。CLIN CANCER RES近期发表了一篇文章,报道了ABC294640治疗实体肿瘤的Ⅰ期临床试验结果。晚期实体肿瘤的患者接受剂量递增的口服ABC294640治疗,剂量水平为:250mg qd,250mg bid,500mg bid和750mg bid,周期28天。连续收集血样本测定ABC294640浓度。研究共纳入22例患者,21例接受了ABC294640治疗。最常见的药物相关毒性为恶心,呕吐及虚弱。750 mg bid的4例患者中,1例出现剂量限值3级恶心和呕吐,2例由于严重的药物相关毒性无法完成1个周期治疗。500mg bid水平为Ⅱ期试验的推荐剂量。ABC294640摄入后在12小时内会使S1P水平下降,24小时回到基线水平。1例胆管癌患者在250mg bid出现部分反应,为出现的最佳治疗效果,不同剂量水平的6例不同肿瘤患者出现病情稳定。文章最后认为,在500mg bid水平,ABC294640耐受性良好并达到生物学相关血浆浓度。血浆鞘脂水平的改变可以作为ABC29

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    2017-08-26 weiz
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    2017-08-24 1de9c4fdm02(暂无匿称)

    希望能给患者带来更好的生存.

    0

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