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CLIN CNACER RES:Foretinib一线治疗晚期肝细胞癌临床试验结果

2017-05-23 MedSci MedSci原创

Foretinib是一种口服MET、ROS、RON、AXL、TIE-2、VEGFR2多激酶抑制剂。CLIN CANCER RES近期报道了一篇文章,研究Foretinib一线治疗晚期肝细胞癌的治疗效果。

Foretinib是一种口服MET、ROS、RON、AXL、TIE-2、VEGFR2多激酶抑制剂。CLIN CANCER RES近期报道了一篇文章,研究Foretinib一线治疗晚期肝细胞癌的治疗效果。

在Ⅰ期试验中,晚期肝细胞癌患者每天接受标准3+3设计递增剂量的Foretinib(30-60mg)治疗。达到最大耐受剂量(MTD)后,32例患者按最大耐受剂量进行Ⅱ期试验,评估Foretinib有效性及安全性。作者还分析了可能与临床疗效及预后有关额潜在分子指标。研究结果表明,Foretinib的最大耐受剂量为30mg每天。最常见的不良反应为高血压、食欲下降、腹水及发热。Foretinib30mg每天作为一线治疗具有良好的抗肿瘤活性。客观反映率为22.9%,病情稳定率为82.9%,中位反应时间为7.6个月。中位疾病进展时间为4.2个月,中位总生存时间15.7个月。循环系统中15个潜在的对Foretinib治疗反应的分子标志水平显着改变。多因素分析表明IL6和IL8是总生存的独立预测因素。

文章最后认为,对于亚洲晚期肝细胞癌患者,Foretinib作为一线治疗药物具有良好的抗肿瘤活性且耐受性良好。血清IL6及IL8水平可以预测对Foretinib的反应。

原始出处:
Thoma C.C.Yau,Riccardo Lencioni,et al.A PhaseⅠ/Ⅱ Multicenter Study of Single-Agent Foretinib as First-Line Therapy in Patients with Advanced Hepatocellular Carcinoma.CLIN CANCER RES.May 2017 doi:10.1158/1078-0432.CCR-16-1789

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    2018-04-28 jml2009
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    2017-10-05 ysjykql
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    2018-02-07 jml2009
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    2017-09-17 xjy02
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    2017-07-14 shanyongle
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    2017-05-23 cqykthl

    又是一个新药诞生了

    0

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    2017-05-23 daiyaozu

    学习了,不错

    0

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染色体不稳定(CIN)是基因组不稳定的最常见形式,其通过增强肿瘤异质性、耐药性和免疫逃逸促进肝细胞癌(HCC)的进展。CIN本身是DNA损伤的重要因素,维持结构染色体异常,但其潜在的机制尚未可知。近期,一项发表在杂志GUT上的研究使用二乙基亚硝胺诱导的HCC动物模型评估了DNA损伤反应蛋白检查点激酶2(Chk2)的表达。Chk2同时也在两个人类肝癌样本队列中确定。为了评估Chk2的功能作用,通过使

Hepatology:乙醛脱氢酶2通过调节AMPK通路抑制肝细胞癌进展

背景:对于肝细胞癌患者而言,迫切需要可预测预后且可作为治疗靶点的潜在生物标记物。方法:为满足这一需求,我们通过筛查来识别在转录组学和蛋白组学水平同肝细胞癌发生及进展相关的功能基因。结果:乙醛脱氢酶-2(ALDH2)被作为兴趣基因进行进一步研究。同正常组织相比,肿瘤组织的ALDH2的mRNA和蛋白水平显着降低,在迁徙能力更强的组织中其水平更低。临床相关性研究提示ALDH2同存活率及多发迁徙相关的临床

ASCO2017:索拉非尼在晚期肝细胞癌患者中的多中心II期研究

在早期剂量递增研究中,索拉非尼是一种新的口服多激酶抑制剂,在0.2g bid和0.3g bid剂量水平下对治疗不同类型实体瘤包括HCC均显示出抗肿瘤活性和良好耐受性。 这项前瞻性研究旨在评估索拉非尼在晚期HCC患者中的安全性和有效性。

JAMA SURGERY:肝切除术后残余肝组织缺血与肝细胞癌早期复发及不良预后有关

肝切除术后残余肝可能会出现血供不足,尤其是进行非解剖性切除以及存在血管损伤的残余肝,血供不足的情况更为严重。JAMA SURGERY近期报道了一篇文章,评估残余肝缺血(RLI)对于肝细胞癌患者肝切除术后长期生存及死亡率的影响。

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