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中国国家药品监督管理局批准安罗替尼用于经两种系统化疗后疾病进展的晚期非小细胞肺癌的治疗 被引量:9
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作者 Ming Zhou Xiaoyuan Chen +14 位作者 Hong Zhang Lin Xia Xin Tong Limin Zou ruimin hao Jianhong Pan Xiao Zhao Dongmei Chen Yuanyuan Song Yueli Qi Ling Tang Zhifang Liu Rong Gao Yuankai Shi Zhimin Yang 《癌症》 SCIE CAS CSCD 2019年第12期517-527,共11页
背景2018年5月8日,中国国家药品监督管理局(National Medical Products Administration,NMPA)批准了小分子多靶点抗血管抑制剂盐酸安罗替尼,用于既往经过至少两种系统化疗后疾病进展的晚期非小细胞肺癌(non-small cell lung cancer,NSC... 背景2018年5月8日,中国国家药品监督管理局(National Medical Products Administration,NMPA)批准了小分子多靶点抗血管抑制剂盐酸安罗替尼,用于既往经过至少两种系统化疗后疾病进展的晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)患者的治疗。概要中国NMPA审查了一项随机双盲、安慰剂对照的III期临床试验,该临床试验的主要终点为总生存期(overall survival,OS)。试验共纳入437例患者随机分组(2∶1)接受安罗替尼(n=294)或安慰剂(n=143)治疗,每日1次,连服2周,停药1周。表皮生长因子受体(epidermal growth factor receptor,EGFR)基因敏感突变或间变性淋巴瘤激酶(activating anaplasticlymphomakinase,ALK)阳性的患者须经过NMPA已批准的药物治疗后出现疾病进展。安罗替尼为中国NMPA批准的用于治疗既往经过两种及以上系统化疗后疾病进展的晚期NSCLC患者的首个药物。安罗替尼组的中位OS(9.46个月)较安慰剂组[6.37个月;风险比(hazard ratio,HR)=0.70,95%置信区间(confidence Interval,CI):0.55–0.89;双侧log-rank P=0.002]显著延长。安罗替尼组的客观缓解率(objective responserate,ORR)为9.2%,安慰剂组为0.7%。安罗替尼组的中位缓解持续时间(durationofresponse,DoR)为4.83个月,95%CI为3.31–6.97个月。安罗替尼的常见不良反应(adverse drug reactions,ADRs)包括高血压(67.4%)、手足综合征(43.9%)、咳血(14.0%)、促甲状腺激素(thyroid stimulating hormone,TSH)升高(46.6%)、心电图QT间期(corrected QT Interval,QTc)延长(26.2%)。结论安罗替尼显著延长了患者的OS,可作为经二线及以上化疗后晚期或转移性非小细胞肺癌的一种新的治疗方案。 展开更多
关键词 晚期非小细胞肺癌 安罗替尼 抗血管生成 表皮生长因子受体 间变性淋巴瘤激酶 药物不良反应
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晚期结直肠癌新药临床试验设计及审评考虑 被引量:4
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作者 郝瑞敏 夏琳 +4 位作者 宋媛媛 仝昕 赵肖 胡文娟 杨志敏 《中国肿瘤临床》 CAS CSCD 北大核心 2022年第8期379-383,共5页
结直肠癌(colorectal cancer,CRC)是中国恶性肿瘤发病率和死亡率均较高的肿瘤,改善患者生存状态是其重要的治疗目标。伴随新药研发进展,晚期CRC患者的总生存期不断延长,因此对临床试验设计和终点选择带来了挑战。本文将从审评角度,通过... 结直肠癌(colorectal cancer,CRC)是中国恶性肿瘤发病率和死亡率均较高的肿瘤,改善患者生存状态是其重要的治疗目标。伴随新药研发进展,晚期CRC患者的总生存期不断延长,因此对临床试验设计和终点选择带来了挑战。本文将从审评角度,通过对目前晚期CRC中抗肿瘤药物的研发进展、生物标志物的研发以及临床研究设计的情况进行分析,阐述当前对晚期CRC临床试验设计与审评考虑,期望为抗肿瘤药物研发人员在晚期CRC临床试验设计和终点选择方面提供参考,提高研发效率,使患者早日获益。 展开更多
关键词 晚期结直肠癌 生物标志物 临床研究设计 审评考虑
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境外授权许可引进抗肿瘤新药临床研发策略的审评考虑 被引量:2
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作者 赵肖 郝瑞敏 +5 位作者 仝昕 邹丽敏 唐凌 张虹 夏琳 杨志敏 《中国肺癌杂志》 CAS CSCD 北大核心 2022年第7期448-451,共4页
随着我国创新药产业的蓬勃发展,授权许可引进逐渐成为创新药企的重要研发模式。不同研发阶段引进的药物,在中国的研发策略有所不同。企业需全面整理药物已产生的境外临床数据,对临床药理学、安全性、有效性和种族敏感性进行详细的分析... 随着我国创新药产业的蓬勃发展,授权许可引进逐渐成为创新药企的重要研发模式。不同研发阶段引进的药物,在中国的研发策略有所不同。企业需全面整理药物已产生的境外临床数据,对临床药理学、安全性、有效性和种族敏感性进行详细的分析。应基于上述数据和分析的结果制定合理的临床研发策略。我们鼓励引进中国境内真正未满足临床需求的优质药物,尽可能在研发的早期阶段引进,以实现国内外的同步研发。新药引进后的临床研发策略对于药物能否顺利上市尤为重要,企业应遵循国家药品监督管理局已发布的指导原则和相应的临床指南进行临床试验设计,积极与监管部门进行沟通。 展开更多
关键词 授权许可 抗肿瘤新药 研发策略 桥接研究
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MiR-16-5p plays an inhibitory role in human non-small cell lung cancer through Fermitin family member 2
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作者 JUNQI GUO YUN YANG +6 位作者 WEI Zhao ZHONGHAI YAN XIA YANG YUNFEI YAN ruimin hao JINXIA HU FEI JIAO 《BIOCELL》 SCIE 2021年第3期627-638,共12页
Increasing evidence indicates that aberrant expressions of some microRNAs are associated with cancer progression.However,the roles and biological mechanisms of miRNA-16-5p in human non-small cell lung cancer(NSCLC)are... Increasing evidence indicates that aberrant expressions of some microRNAs are associated with cancer progression.However,the roles and biological mechanisms of miRNA-16-5p in human non-small cell lung cancer(NSCLC)are not to be well studied.Here,we validated that the expression of miR-16-5p was decreased significantly in NSCLC samples and cell lines.The correlation between the clinicopathological features of NSCLC and the miR-16-5p expression showed that the expression of miR-16-5p in non-small cell lung cancer was linked with the advanced TNM stage,positive lymph node metastasis,with short overall survival(OS).Also,a negative correlation between miR-16-5p and Fermitin family member 2(FERMT2)was observed,implying there may be a potential link about their regulation.The hypothesis was further confirmed by in-silico analysis and dual-luciferase reporter assay.Moreover,we demonstrated that the transfections of miR-16-5p mimics could alter some biological characteristics of NSCLC cells remarkably accomplished by the expression variance of FERMT2 in vitro and in vivo assays.Summarily,this study demonstrated that miR-16-5p,as a tumor suppression factor in NSCLC by targeting FERMT2,could serve as one promising biomarker in the prediction for NSCLC patients. 展开更多
关键词 miR-16-5p Non–small-cell lung cancer(NSCLC) Fermitin family member 2(FERMT2) APOPTOSIS INVASION Overall survival(OS)
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China National Medical Products Administration approval summary:anlotinib for the treatment of advanced non-small cell lung cancer after two lines of chemotherapy 被引量:38
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作者 Ming Zhou Xiaoyuan Chen +14 位作者 Hong Zhang Lin Xia Xin Tong Limin Zou ruimin hao Jianhong Pan Xiao Zhao Dongmei Chen Yuanyuan Song Yueli Qi Ling Tang Zhifang Liu Rong Gao Yuankai Shi Zhimin Yang 《Cancer Communications》 SCIE 2019年第1期338-347,共10页
Background:On May 8,2018,the China National Medical Products Administration(NMPA)approved anlotinib,an orally administered anti-angiogenesis inhibitor,for the treatment of patients with advanced non-small cell lung ca... Background:On May 8,2018,the China National Medical Products Administration(NMPA)approved anlotinib,an orally administered anti-angiogenesis inhibitor,for the treatment of patients with advanced non-small cell lung can-cer(NSCLC)who have progressed after treatment with two or more lines of prior systemic chemotherapy.Main body of the abstract:China NMPA reviewed and inspected a regional double-blinded,placebo-controlled,Phase III trial comparing the overall survival(OS)of NSCLC patients between the anlotinib and placebo arms.A total of 437 patients were randomized(2:1)to receive either anlotinib(n=294)or placebo(n=143)once daily on a 2-week on and 1-week off schedule.Patients with epidermal growth factor receptor(EGFR)or activating anaplastic lymphoma kinase(ALK)genomic tumor aberrations should have disease progression on NMPA-approved therapy.Anlotinib is the first NMPA-approved drug for patients with advanced NSCLC who have progressed on at least two lines of prior systemic chemotherapies in China.The approval was based on a statistically and clinically significant improvement in median OS with anlotinib(9.46 months)compared with placebo[6.37 months;hazard ratio(HR])=0.70,95%confidence interval(CI)=0.55-0.89;two-sided log-rank P=0.002].The confirmed objective response rate(ORR)was 9.2%in the anlotinib arm and 0.7%in the placebo arm.The median duration of response(DoR)was 4.83 months,with a 95%CI of 3.31-6.97 months.The toxicity profile of anlotinib was consistent with that of known anti-angiogenesis inhibitors.Common adverse drug reactions(ADRs)in anlotinib-treated patients included hypertension(67.4%),hand-foot syndrome(43.9%),hemoptysis(14.0%),thyroid stimulating hormone(TSH)elevation(46.6%),and corrected QT interval(QTc)prolongation(26.2%).Short conclusion:Anlotinib demonstrated a clinically significant OS prolongation as a novel therapeutic option for advanced or metastatic NSCLC following at least two lines of chemotherapy. 展开更多
关键词 Advanced non-small cell lung cancer Anlotinib ANTI-ANGIOGENESIS Epidermal growth factor receptor Activating anaplastic lymphoma kinase Adverse drug reaction National Medical Products Administration
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