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J Clin Oncol:拉帕替尼+曲妥珠单抗单抗+AI治疗HR+HER2+转移性乳腺癌

2018-02-14 Aries 肿瘤资讯

该研究旨在评估内分泌治疗和一线曲妥珠单抗+化疗经治的HR+HER2+绝经后乳腺癌患者,使用抗HER2双靶治疗联合AI的疗效和安全性。

该研究旨在评估内分泌治疗和一线曲妥珠单抗+化疗经治的HR+HER2+绝经后乳腺癌患者,使用抗HER2双靶治疗联合AI的疗效和安全性。患者按1:1:1随机接受拉帕替尼+曲妥珠单抗+AI或曲妥珠单抗+AI或拉帕替尼+AI,主要终点是拉帕替尼+曲妥珠单抗+AI对比曲妥珠单抗+AI的PFS,其他终点包括其他干预组的PFS,OS、总体反应率、临床获益率和安全性。结果显示双靶+AI组的PFS、临床获益率、总体反应率及OS均优于其他亚组,三组的严重不良反应时间发生率相当,双靶+AI组因不良反应终止治疗的发生率较低。因此,对于三阳晚期乳腺癌患者,抗HER2双靶治疗+AI方案可免去化疗,效率显着,毒性低。

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    2018-10-22 minlingfeng
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