舒尼替尼联合放疗治疗1例肾癌脑多发转移并文献复习
摘要
近年来,随着肾癌发病分子机制的深入研究,多种治疗晚期肾癌的分子靶向药物相继问世,很大程度上提高了晚期肾癌患者的总缓解率,并延长其中位无疾病进展生存期(PFS)。多靶点的小分子酪氨酸激酶抑制剂——舒尼替尼在一线、二线治疗晚期转移性肾恶性肿瘤中取得显著疗效[1]。有研究表明,舒尼替尼能够穿透血-脑脊液屏障到达颅内发挥抗肿瘤效应[2]。因此,舒尼替尼是否可用于肾癌脑转移的治疗备受关注。
出处
《实用肿瘤杂志》
CAS
2015年第1期82-84,共3页
Journal of Practical Oncology
参考文献14
-
1马建辉.晚期肾癌靶向治疗临床研究现状[J].实用肿瘤杂志,2010,25(3):257-260. 被引量:10
-
2Patyna S, Haznedar J, Morris D, et al. Evaluation of the safety and pharmacokinetics of the multi-targeted receptor tyrosine kinase inhibitor sunitinib during embryo-fetaldevelopment in rats and rabbits [ J ]. Birth Defects Res B Dev Reprod Toxicol,2009,86(4) :204 - 213.
-
3Weight C J, Larson BT, Gao T, et al. Elective partial nephrectomy in patients with clinical Tlb renal tumors is associated with improved overall survival [ J ]. Urology, 2010,76(3) :631 -637.
-
4王莹,李真,宋鑫.转移性肾癌靶向治疗研究新进展[J].实用肿瘤杂志,2013,28(6):569-574. 被引量:7
-
5Culine S, Bekradda M, Kramar A, et al. Prognostic factors for survival in patients with brain metastases from renal cell carcinoma [ J ]. Cancer, 1998,83 ( 12 ) :2548 - 2553.
-
6Motzer ILl, Hutson TE, Tomczak P, et al. Overall servival and updated results for sunitinib compared with interferon alfa in patients with metastatic renal cell carcinoma[J]. J Clin Onco1,2009,27 ( 22 ) :3548 - 3590.
-
7Caffo M, Barresi V, Caruso G, et al. Innovative therapeutic strategies in the treatment of brain metastases [ J ]. Int J Mol Sci,2013,14( 1 ) :2135 -2174.
-
8Wronski M, Arbit E, Russo P, et al. Surgical resection of brain metastases from renal cell carcinoma in 50 patients [ J ]. Urology, 1996,47 (2) : 187 - 193.
-
9Yun OH, David J. Stewart Systemic therapy for lung cancer brain metastases : a rationale for clinical trials [ J ]. Oneology,2008,22(2) : 168 - 168.
-
10Mima T,Toyonaga S,Mori K, et al. Early decrease of P- glycoprotein in the endothelium of the rat brain capillarise after moderate dose of irradiation [ J ]. Neurol Res, 1999,21 ( 2 ) : 209 - 209.
二级参考文献70
-
1Escudier B, Eisen T, Stadler WM, et al. Sorafenib in advanced clear-cell renal-cell carcinoma [ J ]. N Engl J Med,2007,356(2) :125 - 134.
-
2Escudier B, Eisen T, Stadler WM, et al. Sorafenib for treatment of renal cell carcinoma : Final efficacy and safety results of the phase III treatment approaches in renal cancer global evaluation trial [ J]. J Clin Oncol,2009,27 (20) :3312 -3318.
-
3Knox J, Figlin R, Stadler W, et al. The Advanced Renal Cell Carcinoma Sorafenib (ARCCS) expanded access trial in North America:Safety and efficacy [ J ]. J Clin Oncol,2007,25(18S) :5011.
-
4Escudier B, Szczylik C, Hutson T E, et al. Randomized phase H trial of first-line treatment with sorafenib versus interferon Alfa-2a in patients with metastatic renal cell carcinoma [ J]. J Clin Onco1,2009,27 (8) : 1280 - 1289.
-
5Motzer R J, Rini BI, Bukowski RM, et al. Sunitinib in patients with metastatic renal cell carcinoma [J]. JAMA, 2006,295 (21) :2516 - 2524.
-
6Motzer RJ, Hutson TE, Tomczak P, et al. Sunitinib versus interferon alfa in metastatic renal-cell carcinoma [ J ]. N Engl J Med ,2007,356 (2) : 115 - 124.
-
7Motzer RJ, Hutson TE, Tomczak P, et al. Overall survival and updated results for sunitinib compared with interferon alfa in patients with metastatic renal cell carcinoma [ J ]. J Clin Oncol, 2009,27 ( 22 ) : 3584 - 3590.
-
8Gore ME, Szczylik C, Porta C, et al. Safety and efficacy of sunitinib for metastatic renal-cell carcinoma: an expanded-access trial [ J ]. Lancet Oncol, 2009,10 ( 8 ) : 757 - 763.
-
9Escudier B, Pluzanska A, Koralewski P, et al. Bevacizumab plus interferon alfa-2a for treatment of metastatic renal cell carcinoma: a randomised, double- blind phase III trial[J]. Lancet, 2007,370 (9605) : 2103 -2111.
-
10Escudier B J, Bellmunt J, Negrier S,et al. Final results of the phase III, randomised, double-blind AVOREN Trial of First-line bevacizumab (BEV) + interferon-alpha2a (IFN) in metastatic renal cell carcinoma(mRCC) [ J ]. J Clin Oncol ( Meeting Abstraacts), 2009,27 : Abstraacts5020.
共引文献15
-
1孙飞达,王东文,米振国.肾癌分子靶向治疗的现状及研究进展[J].现代泌尿生殖肿瘤杂志,2012,4(1):1-3. 被引量:14
-
2王楠,谷江,张永春,杨永安,朱致晖,杨清滔,沈俊,祝庆亮.京尼平对肾癌细胞解偶联蛋白2及线粒体能量代谢的作用[J].贵阳医学院学报,2013,38(1):31-34. 被引量:3
-
3王青蓝.索拉非尼靶向治疗晚期肾癌的临床价值分析[J].实用药物与临床,2013,16(4):288-290. 被引量:9
-
4杨永安,谷江,张永春,王楠,朱致晖,杨清涛,祝庆亮.线粒体解偶联蛋白2在京尼平促进肾癌细胞抑制作用中的研究[J].南京医科大学学报(自然科学版),2013,33(4):444-448. 被引量:2
-
5张斌,陈杰,刘雁,张士宝,刘双庆,刘波,王全颖,杨广笑,刘庆勇.分泌表达肾癌抑制融合肽的重组腺伴随病毒对肾癌移植瘤的疗效[J].山东大学学报(医学版),2013,51(5):33-36.
-
6熊戴群,王红.肾癌分子靶向治疗药物的不良反应及处理研究进展[J].肿瘤预防与治疗,2013,26(4):235-239. 被引量:3
-
7丁素银.索拉非尼治疗晚期肾癌的近期及远期疗效分析[J].中国医药导刊,2015,17(10):1030-1032. 被引量:2
-
8陈亮,吴波.Toll样受体7激动剂刺激肾癌患者外周血单个核细胞中免疫相关因子表达的实验研究[J].华西医学,2015,30(11):2035-2039. 被引量:2
-
9刘立平.白介素-2联合索拉非尼在晚期肾癌治疗中的应用价值研究[J].中国卫生标准管理,2015,6(31):78-79. 被引量:1
-
10朱培欣,卢占兴,王闯胜,李陆鹏,肖贾伟,沈琳.中晚期肾癌术前采用靶血管栓塞治疗效果研究[J].癌症进展,2016,14(3):274-276. 被引量:6
-
1王莹,李真,宋鑫.转移性肾癌靶向治疗研究新进展[J].实用肿瘤杂志,2013,28(6):569-574. 被引量:7
-
2李嘉瑜,周彩存.非小细胞肺癌EGFR-TKI耐药机制研究进展[J].实用肿瘤杂志,2012,27(6):573-578. 被引量:6
-
3陈晓丹,冯国生.晚期NSCLC靶向新药阿法替尼的研究进展[J].实用肿瘤杂志,2016,31(2):107-110. 被引量:1
-
4薛渊博.阿法替尼在NSCLC中的应用与展望[J].实用肿瘤杂志,2016,31(2):104-107. 被引量:3
-
5刘静毅,张俊萍.阿法替尼在NSCLC治疗中的研究进展[J].实用肿瘤杂志,2016,31(2):111-115. 被引量:3
-
6郭嘉仲,孙启峰,丛波,赵云鹏,彭传亮,赵小刚.Syk、VEGF-C在非小细胞肺癌中表达及意义[J].中华医学杂志,2013,93(47):3801-3803. 被引量:5
-
7朱婷,鲍杨漪,江茜.盐酸埃克替尼治疗老年晚期非小细胞肺癌患者的临床观察[J].实用肿瘤杂志,2014,29(3):259-262. 被引量:9
-
8王双,王燕,张琳琳,曹飞飞.吸烟对表皮生长因子酪氨酸激酶抑制剂治疗晚期非小细胞肺癌疗效的影响研究[J].中国全科医学,2015,18(9):994-997. 被引量:4
-
9张倩玉,许斌,宋启斌.EGFR-TKIs在Ⅰb~Ⅲa期非小细胞肺癌术后辅助治疗中的应用[J].中国医师杂志,2015,17(6):817-820.
-
10熊建萍,赵建国.胃癌分子靶向治疗的进展[J].实用肿瘤杂志,2009,24(4):329-333. 被引量:4