Lancet Oncol:帕妥珠单抗联合曲妥珠单抗治疗HER2阳性结肠癌

2019-03-12 zhangfan MedSci原创

研究认为帕妥珠单抗联合曲妥珠单抗是治疗HER2-扩增转移性结直肠癌的有效手段

HER 2抑制剂是治疗HER 2阳性乳腺癌癌的有效手段, HER2在转移性直肠癌中也发挥了重要作用。近日研究人员评估帕妥珠单抗联合曲妥单抗对HER 2阳性转移性直肠癌的治疗效果。

MyPathway为II2a期临床研究。18岁或以上的HER2扩增转移性结直肠癌患者参与研究,随机接受静脉滴注帕妥珠单抗(起始剂量为840mg,随后每3周420mg,)和曲妥单抗(起始剂量为8mg/kg,随后每3周6 mg/kg)。研究的主要终点为客观响应率。

57名HER2扩增转移性结直肠癌患者纳入研究。截至2017年8月1日,1名(2%)患者完全反应,17名(30%)患者部分反应,客观响应率为32%。最常见的不良事件是腹泻(19人[33%])、疲劳(18人[32%])和恶心(17人[30%])。21人(37%)出现3-4级不良事件,最常见的是低钾血症和腹痛(各3例[5%])。10人(18%)报告了严重的需急救的不良事件,其中2人(4%)与治疗有关,未发生患者死亡。

研究认为帕妥珠单抗联合曲妥珠单抗是治疗HER2-扩增转移性结直肠癌的有效手段。

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    2019-11-13 howi
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    2019-07-20 minlingfeng
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    2019-03-21 zwjnj2

    努力学习认真的学习

    0

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    2019-03-12 1209e435m98(暂无昵称)

    学习了,谢谢分享

    0

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