Lancet:贝伐与卡培他滨两药联用维持治疗结直肠癌使总生存期获益

2015-04-10 赵洲译 MedSci原创

新型药物的使用使得转移性结直肠癌的预后得到了改善。贝伐单抗是一种VEGF单克隆抗体,用于化疗可以出现显著的好处或者无进展存活期的存活率。因此,贝伐单抗被视为是一种标准的转移性结直肠癌的一线治疗选择。联合使用贝伐单抗对转移性结直肠癌患者进行化疗的最佳持续时间尚不明确。研究人员进行了卡培他滨结合贝伐单抗对转移性结直肠癌患者的维持治疗的有效性进行评估。 研究人员在荷兰的64所医院进行了此次非盲、临

新型药物的使用使得转移性结直肠癌的预后得到了改善。贝伐单抗是一种VEGF单克隆抗体,用于化疗可以出现显著的好处或者无进展存活期的存活率。因此,贝伐单抗被视为是一种标准的转移性结直肠癌的一线治疗选择。联合使用贝伐单抗对转移性结直肠癌患者进行化疗的最佳持续时间尚不明确。研究人员进行了卡培他滨结合贝伐单抗对转移性结直肠癌患者的维持治疗的有效性进行评估。

研究人员在荷兰的64所医院进行了此次非盲、临床三期的随机对照试验。受试者均是年龄超过18岁的成年人,之前已经患有未经治疗的转移性结直肠癌,病情稳定或者在六轮三周疗程的卡培他滨、奥沙利铂和贝伐单抗(CAPOX-B)治疗后病情改善。病人被随机均分为两组。病人和研究人员都知道治疗的具体分组情况。每九周对疾病状态进行评估。维持治疗包括每日两次口服卡培他滨625mg/m2加上贝伐单抗静脉注射(7.5mg/kg每三周一次)。

试验共有558名病人参与。279人分在了维持治疗组,另一半在观察组。平均跟踪随访48个月。主要监测指标是无进展存活率。试验表明,维持治疗可以很好地被接受。维持治疗导致了平均总存活时间出现了3.5个月的绝对增长。此次试验表明,卡培他滨联用贝伐单抗可以成为首选的治疗策略用于治疗非转移性结直肠癌。

原始出处:

Lieke H J Simkens et al.Maintenance treatment with capecitabine and bevacizumab in metastatic colorectal cancer (CAIRO3): a phase 3 randomised controlled trial of the Dutch Colorectal Cancer Group.Lancet.Published Online April 8, 2015 http://dx.doi.org/10.1016/S0140-6736(14)62004-3

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    2015-09-15 howi
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    2015-04-11 x35042875

    不错的课程

    0

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一项美国回顾性研究显示,1988年~2010年间,大多数Ⅳ期结直肠癌(CRC)患者曾接受过原发肿瘤切除手术,而自2001年起,原发肿瘤切除手术的临床使用逐渐减少,但患者生存率较前改善。随着化疗药物及生物制剂的不断问世,CRC原发肿瘤切除手术或已不再是常规治疗方式。论文1月14日在线发表于《美国医学会杂志·外科学》(JAMA Surg)。 研究纳入美国国立癌症研究所CRC监测、流

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近日,刊登在国际杂志Journal of Clinical Oncology上的一篇研究论文中,来自国外的研究人员通过研究表明,相比不吸烟的结直肠癌幸存者而言,吸烟的患者死亡的风险是前者的2倍,这就揭示了吸烟和结直肠癌患者死亡直接相关,该研究为后期开发有效的干预措施来预防结直肠癌患者的死亡风险提供了一定的帮助。 文章中研究者对美国癌症协会癌症预防研究II期阶段中从18.4万成年人中诊断出

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目的:CRYSTAL是一项III期临床试验,它表明了在KRAS外显子2(密码子12、13)野生型的转移性结直肠癌(mCRC)患者的一线治疗中,FOLFIRI(氟脲嘧啶+亚叶酸钙+伊立替康)方案加上西妥昔单抗能显著提高患者的OS、PFS和客观缓解率。通过更多的RAS基因检测对本试验进行亚组再分析。 材料和方法:将CRYSTAL研究中KRAS外显子2野生型患者的组织样本重新进行其它RAS基因检测。包