JCO:Trifluridine/Tipiracil治疗亚洲人群转移性结直肠癌

2017-12-08 MedSci MedSci原创

Trifluridine/Tipiracil(TAS-102)在一项日本的Ⅱ期临床试验中已证明对转移性结直肠癌患者有效。JCO近期报道了Trifluridine/Tipiracil在生物治疗暴露或未暴露的亚洲转移性结直肠癌患者中的有效性及安全性。

Trifluridine/Tipiracil(TAS-102)在一项日本的Ⅱ期临床试验中已证明对转移性结直肠癌患者有效。JCO近期报道了Trifluridine/Tipiracil在生物治疗暴露或未暴露的亚洲转移性结直肠癌患者中的有效性及安全性。该RCT试验包括中国、韩国、泰国共30个中心。患者年龄≥18岁,病理确诊结直肠腺癌,已知KRAS状态且之前接受过2个以上的化疗方案治疗后复发或耐药。符合入组条件的患者随机(2:1)分为Trifluridine/Tipiracil组(每天两次口服;两周内服药5天,间隔2天,周期间14天间隔)或对照组。主要的研究终点为总生存情况。在2013年10月16日至2015年6月15日,共纳入406例患者,其中治疗组271例,对照组135例。与对照组相比,治疗组死亡风险显着下降。治疗组平均总生存时间更长(7.8个月vs7.1个月),平均随访时间为13.8个月和13.4个月。两组间严重不良反应情况相似。未出现治疗相关死亡。文章最后认为,在标准化疗方案耐药或复发的亚洲转移性结直肠癌患中,与安慰剂组相比,Trifluridine/Tipiracil方案可以显着改善

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    2018-04-03 lidong40
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    2017-12-08 139****5926

    好好文章学习了

    0

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