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临床试验不良事件监管在可手术Ⅲ期非小细胞肺癌新辅助治疗中的作用
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作者 张云 周爽 +1 位作者 陶文弢 李榕 《中国肺癌杂志》 CAS CSCD 北大核心 2023年第6期461-466,共6页
背景与目的 程序性细胞死亡受体1(programmed cell death protein 1, PD-1)抑制剂联合含铂双药化疗是用于可手术Ⅲ期非小细胞肺癌(non-small cell lung cancer, NSCLC)的新辅助治疗方法,相关药物临床试验的质量保证对试验结果起到至关... 背景与目的 程序性细胞死亡受体1(programmed cell death protein 1, PD-1)抑制剂联合含铂双药化疗是用于可手术Ⅲ期非小细胞肺癌(non-small cell lung cancer, NSCLC)的新辅助治疗方法,相关药物临床试验的质量保证对试验结果起到至关重要的作用。本研究旨在探讨监管不良事件(adverse events, AEs)对降低患者治疗相关AEs的影响。方法 前瞻性收集2020年7月-2021年10月上海市胸科医院收治的NSCLC患者66例,均接受卡瑞利珠单抗联合多西他赛和顺铂新辅助治疗3个周期,新辅助治疗完成后4周-6周内接受手术;术后30 d内接受1个周期的术后辅助治疗,术后辅助治疗完成3周后进入卡瑞利珠单抗巩固治疗阶段,总计13个周期。采用生命质量测定量表(quality of life-C30, QoL-C30)测定患者生活质量,并监测AEs的发生情况。结果 总体安全性良好,66例患者共发生300次AEs,其中1级-2级AEs 282人次,3级-4级AEs 18人次。最常见的与PD-1抗体相关的3级-4级AEs为6次(9.1%)。监管新辅助治疗情况可使患者QOL-C30评分下降(P<0.05),生活质量提高。结论 卡瑞利珠单抗联合多西他赛和顺铂用于可手术Ⅲ期NSCLC的新辅助治疗,通过AEs的观察与管控,可以及时采取处理措施,减少并发症的进一步发生,保证患者安全,确保临床试验数据的真实、科学、可靠。 展开更多
关键词 新辅助治疗 肺肿瘤 不良事件 监管
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Ant Pupae from Myanmar Amber Reveal the Evolutionary Process of Cocoon-Spinning Behavior in Formicidae
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作者 wentao tao Baojie Du +1 位作者 Shuai Ma Rui Chen 《宝石和宝石学杂志(中英文)》 CAS 2023年第4期120-135,共16页
Many extant species spin cocoons before their pupal stage,which can protect them from predators,pathogens,and fluctuant environmental factors in nests.However,owing to the scarcity of ant cocoon fossils,little is know... Many extant species spin cocoons before their pupal stage,which can protect them from predators,pathogens,and fluctuant environmental factors in nests.However,owing to the scarcity of ant cocoon fossils,little is known about the origin and evolution of this behavior in Formicidae.Here,we describe two ant pupae specimens from Myanmar amber.The presence of cocoons in these Mesozoic fossils suggests the ancestral origin of spinning cocoon behavior;based on our phylogenetic analysis and ancestral state reconstruction,this behavior was secondarily lost at least six times in Formicidae,which could be ascribed to the transition of nesting and feeding habits,as well as the development of eusociality.Moreover,the first specimen preserved worker ants with empty cocoons simultaneously,indicating garbage removal or brood care behavior,which improves our understanding of their eusociality in the Cretaceous. 展开更多
关键词 Formicidae ant pupae fossil Myanmar amber cocoon-spinning behavior social behavior Cretaceous
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