DB102(Enzastaurin)治疗初治胶质母细胞瘤(GBM):已启动III期临床试验

2021-01-11 Allan MedSci原创

DB102(enzastaurin)是PKC beta、PI3K和AKT途径的研究性丝氨酸/苏氨酸激酶小分子抑制剂,已经在3,000例实体和血液肿瘤中进行了研究。

胶质母细胞瘤,又称多形性胶质母细胞瘤(GBM),是一种最常见也是最具侵袭性的脑癌。胶质母细胞瘤的体征和症状最初呈非特异性。患者可能会出现头痛、人格改变、觉得恶心、有类似中风的等症状,且症状通常会快速加重,还可能会发展为意识不清。

制药公司Denovo Biopharma今天宣布,III期临床研究中的第一位患者已接受治疗,该试验旨在评估DB102(enzastaurin)与替莫唑胺/放疗联合作为初治多形性胶质母细胞瘤(GBM)一线疗法的有效性和安全性。这项随机、双盲、安慰剂对照的全球研究招募了300多例患者,主要终点是总体生存率(OS)。这项研究已获得美国、加拿大和中国监管机构的许可,DB102(Enzastaurin)于去年获得FDA“快速通道资格”。

DB102(enzastaurin)是PKC beta、PI3K和AKT途径的研究性丝氨酸/苏氨酸激酶小分子抑制剂,已经在3,000例实体和血液肿瘤中进行了研究。

Denovo首席医学官医学博士Zane Yang表示:“GBM仍然是最致命的癌症之一,一线药物治疗仍以替莫唑胺为主。许多有前途的抗癌药物,包括抗PD-1抗体,未能改善替莫唑胺的疗效。我希望我们的创新方法可以为GBM患者带来新希望”。

 

原始出处:

https://www.firstwordpharma.com/node/1789762?tsid=4

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    2021-03-16 juliusluan78
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time=2021-05-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1476110, encodeId=751a14e6110a9, 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=41, 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=Wed Jan 13 00:55:27 CST 2021, time=2021-01-13, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=2088847, encodeId=19a8208884e3b, content=<a href='/topic/show?id=53961018913' target=_blank style='color:#2F92EE;'>#I期临床试验#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10189, encryptionId=53961018913, topicName=I期临床试验)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45b2276, createdName=839640778, createdTime=Wed Nov 10 02:55:27 CST 2021, time=2021-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1916394, encodeId=05a51916394f4, content=<a href='/topic/show?id=c5a89550ff' target=_blank style='color:#2F92EE;'>#III#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, 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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content=<a href='/topic/show?id=5b011018e07' target=_blank style='color:#2F92EE;'>#I期临床#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10187, encryptionId=5b011018e07, topicName=I期临床)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fc1f24335670, createdName=医生2402, createdTime=Thu Mar 25 06:55:27 CST 2021, time=2021-03-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1755799, encodeId=20551e557994c, content=<a href='/topic/show?id=71cce87305' target=_blank style='color:#2F92EE;'>#GBM#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7873, encryptionId=71cce87305, topicName=GBM)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=422437038895, createdName=yangfl18, createdTime=Fri May 21 08:55:27 CST 2021, time=2021-05-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1476110, encodeId=751a14e6110a9, 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=41, 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=Wed Jan 13 00:55:27 CST 2021, time=2021-01-13, status=1, ipAttribution=)]
    2021-05-08 qindq
  6. 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  7. 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  9. 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time=2021-05-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1476110, encodeId=751a14e6110a9, 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=41, 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=Wed Jan 13 00:55:27 CST 2021, time=2021-01-13, status=1, ipAttribution=)]
    2021-05-21 yangfl18
  10. 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近日,国际著名杂志Cancer Research上刊登了韩国成均馆大学医学院研究者的最新研究成果“MET Signaling Regulates Glioblastoma Stem Cells”,文章中,研究者揭示了间叶组织-表皮组织转变(MET)信号路径可以调节胶质母细胞瘤干细胞。 多形性胶质母细胞瘤(GBM)是一种常见的致死率极高的脑部肿瘤,是神经胶质瘤的一种。这种脑瘤具有高琴润性,可以大范

Nature:研究发现胶质母细胞瘤新的治疗靶点

近日,得克萨斯大学西南医学中心研究人员在Nature杂志上发表研究论文揭示了为何最常见的致命的脑肿瘤在成人中会复发,并发现了未来治疗的潜在靶点。 胶质母细胞瘤(GBM),目前被认为是不治之症。尽管初始能接受治疗,但这种癌症类型几乎总是会复发。GBM发病率是一个快速增长的肿瘤类型。 根据国家癌症研究所的数据证实这种恶性脑瘤存活率中位数是大约15个月。 Luis Parada博士说:我们发

Clin J Am Soc Nephrol:抗GBM线性抗原表位抗体与患者肾损伤相关

  北京大学第一医院赵明辉等研究发现,在抗肾小球基底膜(GBM)病患者中,可以检测到抗 肾小球基底膜Ⅳ型胶原α3链非胶原区1[α3(Ⅳ)NC1]上线性表位的抗体,且该抗体与患者的肾损伤相关。该论文发表于《美国肾脏病学会临床杂志》(Clin J Am Soc Nephrol. 2012 Jun;7(6):926-33)。     研究人员共纳入68例抗GBM病患者,并合成了人α3(Ⅳ)

拓展阅读

NEJM:新型CAR-T细胞CARv3-TEAM-E脑室内注射治疗胶质母细胞瘤,5天肿瘤快速消退

本次新型CAR-T疗法的应用,不仅让入组的3例患者肿瘤缩小,而且治疗效果和清除速度更是让人惊艳,这是既往从未遇见的情况,CAR-T治疗实体瘤未来可期!

Cell Discov:西湖大学谢琦等团队揭示胶质母细胞瘤干细胞的选择性聚腺苷化

该研究进行了并行的体外和体内CRISPR/Cas9敲除筛选,针对人类泛素E3连接酶和去泛素化酶,揭示了E3连接酶RBBP6作为GSC维持的一个必需因子,靶向RBBP6抑制了GSC的增殖和肿瘤起始。

European Radiology:原发性中枢神经系统淋巴瘤和胶质母细胞瘤的多参数MR分析

在没有获得性免疫缺陷综合征(AIDS)的患者中,PCNSL的影像学特征(包括出血、坏死或异质性增强)通常是不典型的,几乎与GBM相似,这使得PCNSL和胶质母细胞瘤之间难以区分。

基因组医学| 脑肿瘤mRNA新产品和相关疫苗的开发和应用

研究员开发了针对特定肿瘤预测的个性化 mRNA 疫苗,并在临床前模型中验证了这种策略在提高免疫反应和潜在治疗效果方面的潜力。

European Radiology:DSC-PWI序列在脑淋巴瘤和胶质母细胞瘤术前鉴别诊断中的应用

以往的研究表明,DSC-PWI可以鉴别PCNSL与胶质母细胞瘤,需要使用顺磁造影剂 (CA) 引起其磁场的变化,缩短T2*弛豫时间,并提供脑肿瘤微血管密度、血管生成程度和血管生成活性的准确评估。

Nature Cancer:四川大学周圣涛等团队合作发现胶质母细胞瘤干细胞生长的调控新机制

该研究发现淋巴内皮样细胞(LECs),虽然以前在脑实质中未被识别,但存在于胶质母细胞瘤中,并通过CCL21分泌促进CCR7阳性GSCs的生长。