新型VEGFR抑制剂Fruquintinib治疗转移性结直肠癌:全球III期试验已经开始

2020-09-04 Allan MedSci原创

和记黄埔已在美国、欧洲和日本启动了一项全球III期试验(FRESCO-2研究)用于评估Fruquintinib治疗转移性结直肠癌(CRC)的有效性和安全性,首例患者于2020年9月3日在美国服药。

和记黄埔已在美国、欧洲和日本启动了一项全球III期试验(FRESCO-2研究)用于评估Fruquintinib治疗转移性结直肠癌(CRC)的有效性和安全性,首例患者于2020年9月3日在美国服药。

FRESCO-2是一项针对转移性CRC患者的随机、双盲、安慰剂对照的多中心试验。该研究的主要终点是总体生存率(OS)。这项大型III期试验将在10个国家/地区的约130个地点进行。

2020年6月,美国食品药品监督管理局(FDA)授予了Fruquintinib治疗转移性CRC的快速通道资格。 FRESCO-2研究设计也得到了欧洲药品管理局(EMA)和日本制药和医疗器械局(PMDA)的审查和认可。

Fruquintinib是一款血管内皮生长因子受体(VEGFR)1/2/3的高度选择性口服型抑制剂。VEGFR抑制剂在阻断肿瘤血管生成中起关键作用。Fruquintinib旨在改善激酶选择性,以最大程度地降低脱靶毒性。迄今为止,经Fruquintinib治疗的患者普遍具有良好的耐受性,根据临床前评估,Fruquintinib无显著的药物相互作用,这表明它适合与其他抗癌疗法联合使用。

 

原始出处:

https://www.firstwordpharma.com/node/1754913?tsid=4

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    2021-03-18 jklm09
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encodeId=8d8e140e3013f, content=<a href='/topic/show?id=d5b01834e3a' target=_blank style='color:#2F92EE;'>#VEGFR#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=18347, encryptionId=d5b01834e3a, topicName=VEGFR)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3d8d2627959, createdName=jml2010, createdTime=Sun Sep 06 11:48:23 CST 2020, time=2020-09-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1453417, encodeId=021b145341e5f, content=<a href='/topic/show?id=098ee8679ad' target=_blank style='color:#2F92EE;'>#结直肠#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78679, encryptionId=098ee8679ad, topicName=结直肠)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9ace5575596, 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  5. [GetPortalCommentsPageByObjectIdResponse(id=1852478, encodeId=239a18524e868, content=<a href='/topic/show?id=f0a254918f0' target=_blank style='color:#2F92EE;'>#抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54918, encryptionId=f0a254918f0, topicName=抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=44a360, createdName=jklm09, createdTime=Thu Mar 18 09:48:23 CST 2021, time=2021-03-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1916330, encodeId=c9bb191633068, content=<a href='/topic/show?id=c5a89550ff' target=_blank style='color:#2F92EE;'>#III#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9550, encryptionId=c5a89550ff, topicName=III)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e68e415, 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createdName=crystal0564, createdTime=Sun Sep 06 11:48:23 CST 2020, time=2020-09-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1534517, encodeId=4224153451ee7, content=<a href='/topic/show?id=22b3e9887e' target=_blank style='color:#2F92EE;'>#GFR#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7988, encryptionId=22b3e9887e, topicName=GFR)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=医者仁心, createdTime=Sun Sep 06 11:48:23 CST 2020, time=2020-09-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1594796, encodeId=99751594e965a, content=<a href='/topic/show?id=b317956200' target=_blank style='color:#2F92EE;'>#III期#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9562, encryptionId=b317956200, topicName=III期)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智智灵药, createdTime=Sun Sep 06 11:48:23 CST 2020, time=2020-09-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=882839, encodeId=accf88283916, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200904/0e28c3efb48e4e09b819b11aafb285fa/714d8655280f42b0b5020b872148186c.jpg, createdBy=e1212204530, createdName=ANNIETIGER, createdTime=Fri Sep 04 23:12:55 CST 2020, time=2020-09-04, status=1, ipAttribution=)]
  6. [GetPortalCommentsPageByObjectIdResponse(id=1852478, encodeId=239a18524e868, content=<a href='/topic/show?id=f0a254918f0' target=_blank style='color:#2F92EE;'>#抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54918, encryptionId=f0a254918f0, topicName=抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=44a360, createdName=jklm09, createdTime=Thu Mar 18 09:48:23 CST 2021, time=2021-03-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1916330, encodeId=c9bb191633068, content=<a href='/topic/show?id=c5a89550ff' target=_blank style='color:#2F92EE;'>#III#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9550, encryptionId=c5a89550ff, topicName=III)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e68e415, 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encodeId=8d8e140e3013f, content=<a href='/topic/show?id=d5b01834e3a' target=_blank style='color:#2F92EE;'>#VEGFR#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=18347, encryptionId=d5b01834e3a, topicName=VEGFR)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3d8d2627959, createdName=jml2010, createdTime=Sun Sep 06 11:48:23 CST 2020, time=2020-09-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1453417, encodeId=021b145341e5f, content=<a href='/topic/show?id=098ee8679ad' target=_blank style='color:#2F92EE;'>#结直肠#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78679, encryptionId=098ee8679ad, topicName=结直肠)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9ace5575596, createdName=crystal0564, createdTime=Sun Sep 06 11:48:23 CST 2020, time=2020-09-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1534517, encodeId=4224153451ee7, content=<a href='/topic/show?id=22b3e9887e' target=_blank style='color:#2F92EE;'>#GFR#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7988, encryptionId=22b3e9887e, topicName=GFR)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=医者仁心, createdTime=Sun Sep 06 11:48:23 CST 2020, time=2020-09-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1594796, encodeId=99751594e965a, content=<a href='/topic/show?id=b317956200' target=_blank style='color:#2F92EE;'>#III期#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9562, encryptionId=b317956200, topicName=III期)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智智灵药, createdTime=Sun Sep 06 11:48:23 CST 2020, time=2020-09-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=882839, encodeId=accf88283916, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200904/0e28c3efb48e4e09b819b11aafb285fa/714d8655280f42b0b5020b872148186c.jpg, createdBy=e1212204530, createdName=ANNIETIGER, createdTime=Fri Sep 04 23:12:55 CST 2020, time=2020-09-04, status=1, ipAttribution=)]
    2020-09-06 jml2010
  7. 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  8. 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topicName=III期)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智智灵药, createdTime=Sun Sep 06 11:48:23 CST 2020, time=2020-09-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=882839, encodeId=accf88283916, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200904/0e28c3efb48e4e09b819b11aafb285fa/714d8655280f42b0b5020b872148186c.jpg, createdBy=e1212204530, createdName=ANNIETIGER, createdTime=Fri Sep 04 23:12:55 CST 2020, time=2020-09-04, status=1, ipAttribution=)]
    2020-09-06 医者仁心
  9. 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  10. 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topicName=III期)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智智灵药, createdTime=Sun Sep 06 11:48:23 CST 2020, time=2020-09-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=882839, encodeId=accf88283916, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200904/0e28c3efb48e4e09b819b11aafb285fa/714d8655280f42b0b5020b872148186c.jpg, createdBy=e1212204530, createdName=ANNIETIGER, createdTime=Fri Sep 04 23:12:55 CST 2020, time=2020-09-04, status=1, ipAttribution=)]
    2020-09-04 ANNIETIGER

    学习

    0

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开放性的随机化3期试验,共679位18-75岁的不能切除的、既往未治疗过的转移性结直肠癌患者。

LONSURF将在中国上市,用于治疗转移性结直肠癌

制药公司Taiho今天宣布,将在中国推出用于治疗转移性结直肠癌(mCRC)的抗癌药LONSURF(三氟吡啶/替吡西酯),LONSURF已于2019年8月在中国获得批准。

ASCO 2020:Pembrolizumab或替代化疗在MSI-H / dMMR CRC中一线治疗的地位

在2020年美国临床肿瘤学会(ASCO)年会第二天,Thierry Andre代表其团队发表了派姆单抗与化疗联合用于微卫星不稳定性高/错配修复缺陷性转移性结直肠癌:KEYNOTE-177 3期研究。

Brit J Cancer:性别在转移性结直肠癌先天性和适应性免疫微环境中的作用

这些数据证明了雄鼠和雌鼠对转移性CRC的免疫反应中存在生存相关的差异。雌鼠表现出细胞因子产生的变化,伴随着免疫细胞数量的增加,偏向Th2表型。在此模型中,CRC免疫反应的关键差异与生存率相关。

Fruquintinib治疗转移性结直肠癌:美国FDA授予快速通道称号

和记中国医疗技术有限公司(Chi-Med)今日宣布,美国食品药品管理局(FDA)已授予Fruquintinib治疗转移性结肠直肠癌(mCRC)患者的快速通道称号。

拓展阅读

European Radiology:结直肠癌治疗反应的种族多样性

根据国家癌症研究所定义,癌症健康差定义为癌症测量的不利差异,如发病率、死亡率和存活率。鉴于癌症健康差异对个人、社会和经济的重大影响,临床上越来越迫切地需要了解和解决这种差异。

Cancer Discov | 阿达格拉西布和西妥昔单抗联合治疗对KRASG12C突变转移性结直肠癌患者的疗效和安全性

该研究旨在评估阿达格拉西布和西妥昔单抗联合治疗对KRASG12C突变转移性结直肠癌患者的疗效和安全性,联合治疗在经治的KRASG12C突变转移性结直肠癌患者中显示出有前景的临床活性且安全可控。

STTT | XELOX联合贝伐珠单抗治疗未经治疗的转移性结直肠癌:一项随机对照Ⅲ期临床试验

该研究旨在评估PD1-T细胞联合XELOX化疗加贝伐珠单抗一线治疗未经治疗的转移性结直肠癌患者的疗效和安全性,PD1-T细胞免疫治疗联合XELOX化疗加贝伐珠单抗一线治疗可显著提高患者疗效且安全可控。

Nat. Med | 索托拉西布联合帕尼单抗治疗化疗难治性KRAS G12C突变结直肠癌:一项1b期试验

该研究旨在评估索托拉西布联合帕尼单抗在化疗难治的KRAS G12C突变转移性结直肠癌患者中的安全性和疗效,联合治疗方案在化疗难治的KRAS G12C突变转移性结直肠癌患者中显示出可接受的安全性和疗效。

ASCO GI 2024:转移性结直肠癌 (mCRC) 患者接受索托拉西布和帕尼单抗与三氟尿苷/替吡嘧啶或瑞戈非尼治疗后的生活质量评估(CodeBreaK 300研究)

在 CodeBreaK 300 中,两种剂量的soto都能改善患者的 HRQoL,而且与对照组相比,病情恶化的风险呈下降趋势。

JCO:5-氟尿嘧啶,甲酰四氢叶酸钙,伊立替康联合西妥昔单抗对比西妥昔单抗作为RAS和BRAF野生型转移性结直肠癌的一线维持治疗:III期ERMES研究

该研究发现在RAS/BRAF野生型转移性结肠癌患者中,一线使用FOLFIRI联合西妥昔单抗后,继续使用FOLFIRI联合西妥昔单抗治疗直至疾病进展或患者耐受是推荐的标准治疗。