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吉非替尼(Iressa)治疗晚期复治非小细胞肺癌的临床观察 被引量:10

Clinical Experience of Treating Recurrent Terminal Non-small Cell Lung Cancer By Gefitinib(Iressa)
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摘要 目的:总结吉非替尼(Iressa)治疗晚期复治非小细胞肺癌的临床经验及体会。方法:选取2003年12月至2005年2月经IressaEAP治疗的33例患者临床资料进行分析整理,评价其临床疗效、症状、生活质量、中位生存期、疾病进展时间及毒副反应。结果:病灶总缓解率为28.1%,总控制率为62.5%,临床症状改善率为63.6%,服药4周内KPS评分提高差异有显著性,患者中位生存期为3.3个月,疾病进展时间为3个月,未出现3~4级的毒性反应。结论:Iressa是一种有效且具有良好耐受性的分子靶向治疗药物,为晚期复发转移的非小细胞肺癌治疗提供了一条安全有效的途径。 Objective: To sum up our clinical experience of treating terminal non-small cell lung cancer by gefitinib (Iressa). Method: Clinical data of 33 patients were collected who received Iressa EAP therapy from Dec.2003 to Feb.2005. Evaluations were made about curative effects, symptoms, quality of life, mean survival time, time to progression and toxic reactions. Results: Total mitigative rate of the focus was 28.1%,total control rate was 62.5%, and alleviative rate of clinical symptoms was 63.6%. The difference of KPS grades was significant. Mean survival time of all the patients was 3.3 months. Time to progression was 3 months. - grades of toxic reaction were not found. Conclusion: Gefitinib is an effective molecule-target curative with good tolerance. It provides a safe and effective way for the treatment of recurrent terminal non-small cell lung cancer.
出处 《中国肿瘤临床》 CAS CSCD 北大核心 2006年第10期574-576,共3页 Chinese Journal of Clinical Oncology
关键词 吉非替尼 非小细胞肺癌 分子靶向治疗 表皮生长因子受体 Gefitinib Non-small-cell lung cancer Molecular targeting therapy Epidermal growth factor receptor
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参考文献10

  • 1蒋国,洪小南,樊旼,王佳蕾,傅小龙,钱浩,丁琳.吉非替尼(Iressa)治疗手术、放疗、化疗治疗后失败的非小细胞肺癌的初步报告[J].中国肺癌杂志,2004,7(4):305-308. 被引量:45
  • 2Hirata A,Ogawa S,Kometani T,et al.ZD1839 (Iressa) induces antiangiogenic effects through inhibition of epidermal growth factor receptor tyrosine kinase[J].Cancer Res,2002,62(9):2554~2560.
  • 3Ciardiello 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(5):1459~1465.
  • 4BaselgaJ,Averbuch SD.ZD1839 (Iressa)as an anticancer agent[J].Drugs,2000,60 Suppl 1:33~40.
  • 5Swaisland H,Stafford L,Laight A,et al.Pharmacokinetics and tolerability of the orally active selective epidermal growth factor receptor tyrosine kinase inhibitor ZD1839 in healthy volunteers[J].Clin Pharmacokinet,2001,40(4):297~306.
  • 6Ranson M,Hammond LA,Ferry D,et al.ZD1839,a selective oral epidermal growth factor receptor-tyrosine kinase inhibitor,is well tolerated and active in patients with solid malignant tumors:results of a phase trial[J].J Clin Oncol,2002,20(9):2240~2250.
  • 7Lynch TJ,Bell DW,Sordella R,et al.Activating mutations in the epidermal growth factor receptor underlying responsiveness of non-small cell lung cancer to gefitinib[J].N Engl J Med,2004,350(21):2129~2139.
  • 8Paez JG,Janne PA,Lee JC,et al.EGFR mutations in lung cancer:correlation with clinical response to gefitinib therapy[J].Science,2004,304(5676):1497~1500.
  • 9张晓彤,李龙芸,穆新林,王树兰.ZD1839(Iressa)在晚期非小细胞肺癌治疗中的应用[J].中国肺癌杂志,2004,7(4):309-312. 被引量:12
  • 10简红,廖美琳.IRESSA(ZD1839)治疗晚期复治NSCLC40例[J].中国肿瘤,2004,13(10):625-628. 被引量:12

二级参考文献28

  • 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

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