和记黄埔启动HMPL-453治疗晚期肝内胆管癌的II期试验

2020-09-03 Allan MedSci原创

HMPL‑453是针对FGFR 1、2和3的新型、高度选择性小分子抑制剂。

肝内胆管癌(IHCC)是一种在胆管内细胞中发展的癌症。中国每年有390,000例新病例,占2018年全球肝癌年发病率的近50%。IHCC是第二大最常见的原发性恶性肝肿瘤,仅次于肝细胞癌(HCC)。大约10-15%的IHCC患者患有FGFR2融合的肿瘤。IHCC患者的长期生存要比HCC差,这可能与区域性和远端转移的倾向高以及缺乏有效的全身治疗选择有关。

HMPL‑453是针对FGFR 1、2和3的新型、高度选择性小分子抑制剂。在临床前研究中,HMPL‑453与其他同类药物相比,具有更强的效力和更好的激酶选择性。目前,和记黄埔已开始进行HMPL-453治疗IHCC的II期临床研究。

该临床研究是一项单臂、多中心、开放标签的II期研究,旨在评估HMPL-453在至少一项系统治疗失败的晚期FGFR2融合IHCC患者中的疗效、安全性和药代动力学。主要终点是客观反应率(ORR);次要终点包括疾病控制率(DCR)、响应时间(DoR)、无进展生存期(PFS)和总体生存期(OS)。有关其他详细信息,请访问Clinicaltrials.gov(NCT04353375)。

 

原始出处:

https://www.firstwordpharma.com/node/1754550?tsid=4

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    2021-08-14 xuyong536
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    2020-09-03 124b1980m56暂无昵称

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复旦大学附属中山医院副院长周俭教授:“肝内胆管癌发病率约占原发性肝脏恶性肿瘤的15~20%,且呈上升趋势。大部分肝内胆管癌病人初次就诊时常伴有局部侵犯或远处转移而失去手术根治机会。以吉西他滨联合铂类的化疗方案被推荐为治疗晚期胆管癌的一线方案,客观反应率(ORR)为15~26%,且常发生耐药。目前,临床上缺乏其他有效的治疗药物和方案。” FGFR靶向药物的横空出世解决了胆管癌患者的燃眉之急,今

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胆道癌包括肝内胆管癌(IHCC),肝外胆管癌(EHCC)和胆囊癌(GBC)。这些癌症在临床,病理和生物学上都具有异质性,而且都具有侵袭性,预后差,可用的治疗方法也很少。迄今为止发现的潜在可操作的基因组

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Adv Sci:浙江大学姬峻芳团队发现肝内胆管癌靶向治疗新靶点

该研究发现层粘连蛋白亚基γ-2(LAMC2)在iCCA中具有重要的致癌作用。

J Hepatol:中山大学匡铭等团队合作揭示了华支睾吸虫感染的​肝内胆管癌的代谢特征和免疫微环境

该研究揭示了华支睾吸虫感染的ICCs的代谢特征和免疫微环境,并强调了FASN抑制剂与免疫疗法的联合治疗是治疗华支睾吸虫感染的ICCs的有希望的策略。

首例报道:MET 扩增晚期肝内胆管癌对赛沃替尼的显著反应和获得性耐药机制

本研究证实了c-MET抑制剂在携带MET扩增晚期CCA患者中的治疗价值,并为化疗不耐受的患者提供了一种替代策略。

BJS:可切除肝内胆管癌患者的 C 反应蛋白与白蛋白比率

在ICC患者中,高CAR与RFS独立相关。与术前CAR低的患者相比,CAR高患者的肿瘤行为更具侵略性,包括肿瘤大小更大,微血管入侵频率更高,血清CA19-9浓度更高。

Liver International:肌少症对老年肝内胆管癌患者肝切除术后转归的影响

本研究全面确定了影响老年肝内胆管癌患者肝切除术预后的危险因素,证实了肌少症和肌肉脂肪变性对老年肝内胆管癌患者肝切除术后预后的负面影响。

专家讨论|王葵:浅谈特殊部位肝内胆管癌的诊疗策略

本文将针对近年来特殊部位ICC的外科治疗策略和临床中的经验体会进行阐述。