吉非替尼治疗晚期NSCLC 3例临床观察并文献复习
摘要
目的通过对吉非替尼(Iressa ZD1839)治疗的3例晚期NSCLC病人的观察及文献复习,进一步了解Iressa的临床治疗价值。方法对经病理确诊的2例化疗无效及1例因其它疾病不能接受化疗的NSCLC病人给予每日口服Iressa250mg,并随访至2004年11月30日。结果2例分别服药至第3、4天症状出现改善,1例18天、1例21天做胸CT复查,双肺弥漫性转移病灶均明显减少。其中1例缓解5个月后病情进展,1例缓解9个月(目前)仍稳定。另1例服药37天无效,病情进展并出现严重腹泻被迫停药,第40天死亡。结论通过3例观察并结合文献报道,Iressa口服方便,毒性小,起效快,对无论是初治还是复治的晚期和转移NSCLC有一定疗效。提高了部分患者的生存期和生活质量。
出处
《结核病与胸部肿瘤》
2005年第2期101-106,共6页
Tuberculosis and Thoracic Tumor
参考文献16
-
1Muthuswamy SK,Gilman M,Brugge JS . Controlled dimerization of ErbB receptors provides evidence for Differential Signaling by homo and heterodimers . Mol Cell Biol,1999,19(10) :6845-6857.
-
2Datta SR,Dudek H,Tao X,et al.Akt phosphorylation of BAD couples survival signals to the cell-intrinsic Death machinery.Cell,1997,91 (2) :231-241.
-
3Cardone MH,Roy N,Stennicke HR,et al. Regulation of cell death protease caspase-9 by phosphorylation.Science, 1998,282(5392) : 1318-1321.
-
4Iardiello F,Caputo R,Bianco R,et al. Inhibition of growth factor production and angiogenesis in humal cancer Cells by ZD1839(Iressa),a selective epidermal growth factor receptor tyrosine kinase inhibitor . Clin Cancer Res, 2001,7(5) : 1459-1465.
-
5Herbst RS,Maddox AM,Rothenberg ML,et al.Selective oral epidermal growth factor receptor tyrosine kinase Inhibitor ZD1839 is generally weB-tolerated and has activity in non-small-cell lung cancer and other solid tumors:relults of a phase Ⅰ Trial . J Clin Oncol,2002,20(18) :3815-3825.
-
6Fukuoka M,Yano S, Giaccone G, et al. Multi-institutional randomized phase Ⅱ trial of gefitinib for previously treated patients with advanced non-small-cell lung cancer. J Clin Oncol,2003,21(12):2237-2246.
-
7Lorusso PM, Herbst RS, Rischin D,et al. Improvements in Quality of Life and Ddisease-related Symptoms in Phase Ⅰ Trials of the Selective Oral Epidermal Growth Factor Tyrosine Kinase Inhibitor ZD1839 in Non-small Cell Lung Cancer and Other Solid Tumors. Clin Cancer Res,2003,9(6):2040-2048.
-
8Schiller JH . New directions for ZD1839 in the treatment of solid tumors . Semin Oncol, 2003, 30(1 Suppl 1):49-55.
-
9Herbst RS.Dose-comparative monotherapy trials of ZD1839 in previously treated non-small cell lung cancer patients. Semin Oncol, 2003, 30(1 Suppl 1):30-38.
-
10Baselga J,Rischin D,Ranson M,et al. Phase Ⅰ safety,pharmacokinetic,and pharmacodynamic trial of ZD1839,a selective oral epidermal growth factor receptor tyrosine kinase inhibitor,in patients with five selected solid tumor types . J Clin Oncol, 2002,20(21):4292-4302.
二级参考文献61
-
1Jemal,A,Murray T,Samuels,et al,Cancer statistics,2003[J].CA Cancer J Clin,2004,53:5-6.
-
2Parkin DM,Bray FI,Devesa SS.Cancer burden in the year 2000.The global picture[J].Eur J Cancer,2001,37:S4-S66.
-
3Bunn PA.Treatment of advanced non-small-cell lung cancer with two drug combinations [J].J Clin Oncol,2002,20:3565-3567.
-
4Schmidt M,Maurer-gebhard M,Groner B,et al.Suppression of metastasis formation by a recombinant single chain antibody toxin targeted to full length and oncogenic variant EGF reeeptors[J].Oncogene,1999,18:1711-1721.
-
5Ciardiello F,Caputo R,Bianco R,et al.Inhibition of growth factor production and angiogenesis in human cancer cells by ZD1839(iressa),a selective epidermal growth factor receptor tyrosine kinase inhibitor[J].Clin Cancer Res,2001,7:1459-1465.
-
6Fukuoka M,Yano S,Giaccone G,et al.Multi-institutional phase Ⅱ trial of gefitinib for previously treated patients with advance non-small-cell lung cancer[J].J Clin Oncol,2003,21:2237-2246.
-
7Prenzel N,Fischer OM,Streit S,et al.The epidermal growth factor receptors:critical mediators of multiple receptor pathways[J].Curr Opin Cell Biol,1999,Ⅱ:184-189.
-
8Nicholson RI,Gec JM,Harper ME.EGFR and cancer prognosis[J].Eur J Cancer,2001,37(Suppl 4):S9-15.
-
9Baselga J,Rischin D,Ranson M,et al.Phase Ⅰ safety,pharmacokinetic,and pharmaeodynamic trial of ZD1839,a selective oral epidermal growth factor receptor tyrosine kinase inhibitor,in patients with five selected solid tumor types[J].J Clin Oncol,2002,20(21):4292-4302.
-
10Herbst RS, Maddox AM, Rothenberg ML, et al. Selective oral epidermal growth factor receptor tyrosine kinase inhibitor ZD1839 is generally well-tolerated and has activity in non-small-cell lung cancer and other solid tumors: results of a phase Ⅰ trial. J
共引文献66
-
1郭洪霞,穆婷婷,董成名,马海娟.呋喃西林对西妥昔单抗致皮肤不良反应的疗效观察[J].临床药物治疗杂志,2014,12(S01):32-34. 被引量:1
-
2吕蕾,缪建华,陈暑波,张迦维.吉非替尼联合艾迪治疗老年非小细胞肺癌的临床研究[J].齐齐哈尔医学院学报,2006,27(17):2057-2059. 被引量:16
-
3徐媺,徐艳霞,高炜.吉非替尼治疗晚期难治性非小细胞肺癌六例的临床观察[J].肿瘤防治杂志,2005,12(14):1103-1104. 被引量:1
-
4鞠文东,施为建,周巧云,伍建辉.真性红细胞增多症合并肺癌广泛转移一例报告并文献复习[J].肿瘤防治杂志,2005,12(19):1510-1512. 被引量:2
-
5胡培安,孙怡芬,仝丽,李宝兰,傅瑜.吉非替尼治疗晚期非小细胞肺癌三例报告[J].北京医学,2005,27(10):634-634. 被引量:2
-
6岳莉,薛海鸥,郭健生,张文陆,周桂英.吉非替尼治疗中晚期非小细胞肺癌6例报告[J].锦州医学院学报,2005,26(5):92-92.
-
7谢晓冬,郑振东,刘大为,刘永叶,张冠中,单学健,邢春景.吉非替尼治疗晚期非小细胞肺癌33例疗效观察[J].沈阳部队医药,2006,19(1):37-38. 被引量:1
-
8吴洪斌.吉非替尼不良反应的临床表现及其处理[J].药物不良反应杂志,2006,8(1):28-30. 被引量:44
-
9徐凯,刘丽荣,白建平,李柳宁,刘宇龙,郑剑宵.慈仁胶囊治疗Ⅲ_b、Ⅳ期非小细胞肺癌近期疗效观察[J].山东中医杂志,2006,25(5):312-315. 被引量:2
-
10谢晓冬,郑振东,刘大为,张爽,刘永叶,张冠中,单学健,邢春景.吉非替尼(Iressa)治疗晚期复治非小细胞肺癌的临床观察[J].中国肿瘤临床,2006,33(10):574-576. 被引量:10
-
1刘鹏熙,周劬志,刘晓雁,欧阳慧英,唐利立.卡培他滨治疗蒽环类及紫杉类耐药的复发转移性乳腺癌的临床观察[J].临床肿瘤学杂志,2006,11(1):49-51. 被引量:2
-
2唐俊,吴伟忠.肿瘤干细胞与肿瘤转移[J].中国临床医学,2013,20(4):599-601. 被引量:2
-
3朱海鹏,包永星,吴克雄.60例中晚期食管癌的放化疗疗效观察[J].中国肿瘤临床,2009,36(22):1292-1293. 被引量:5
-
4张明雷.进展期胃癌治疗中新辅助化疗的应用价值研究[J].中国现代药物应用,2016,10(8):169-170. 被引量:3
-
5李理.新辅助化疗在宫颈癌治疗中的效果观察[J].中国医药指南,2016,14(28):85-86.
-
6董丹.放化疗联合治疗中晚期食管癌100例临床观察[J].中国现代医药杂志,2009,11(2):104-105. 被引量:5
-
7陈昕,邓洪梅.谷氨酰胺治疗化疗所致严重腹泻6例[J].基层医学论坛(B版),2006,10(4):329-329.
-
8付全宝,年卫国,何永明.帕米磷酸二钠治疗恶性肿瘤骨转移疼痛的临床研究[J].基层医学论坛,2005,9(6):499-500. 被引量:2
-
9刘崇远,吕鲁闽,徐宝康.卡培他滨联合奥沙利铂或伊立替康治疗转移性结直肠癌的疗效与安全性[J].中国临床药理学杂志,2014,30(10):907-908. 被引量:10
-
10冯海洋,李德川,楼荣灿,朱远,刘鲁迎.新辅助治疗低位局部进展期直肠癌35例结果分析[J].中华胃肠外科杂志,2005,8(2):125-128. 被引量:9