首页|细胞周期蛋白依赖性激酶4/6抑制剂治疗激素受体阳性、人表皮生长因子受体2阴性的晚期乳腺癌的研究进展

细胞周期蛋白依赖性激酶4/6抑制剂治疗激素受体阳性、人表皮生长因子受体2阴性的晚期乳腺癌的研究进展

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激素受体阳性(hormone receptor positive,HR+)、人表皮生长因子受体 2 阴性(human epidermal growth factor receptor 2 negative,HER2-)的乳腺癌是乳腺癌中最常见的分子亚型,预后情况常取决于患者对内分泌治疗的敏感性.HR+、HER2-晚期乳腺癌多已对内分泌治疗药物耐药,而此往往会致患者生存期缩短、生命质量下降等不良结局,故临床上亟需有新的治疗策略/药物.近年来,一些新型口服靶向药物细胞周期蛋白依赖性激酶(cyclin-dependent kinase,CDK)4/6 抑制剂陆续获准上市,它们因能为HR+、HER2-晚期乳腺癌患者提供显著的生存益处且安全性良好,成为该类患者的重要有效治疗选择之一.本文就CDK4/6 抑制剂的作用机制、有效性、安全性和药物经济学研究进展作一概要介绍和对比分析.
Research progress of cyclin-dependent kinase 4/6 inhibitors for hormone receptor positive,human epidermal growth factor receptor 2 negative advanced breast cancer
Hormone receptor positive(HR+),+kg human epidermal growth factor receptor 2 negative(HER2-)breast cancer is the most common molecular subtype of breast cancer,with a highly variable prognosis that depends on sensitivity to endocrine agents.Resistance to endocrine therapy in HR+,HER2-advanced breast cancer patients may result in shortened survival time,deteriorated life quality,and other adverse outcomes.Therefore,it is of great significance to develop new therapy strategies.Currently an oral targeted therapy drug,cyclin-dependent kinase(CDK)4/6 inhibitor,has obtained clinical approval and changed treatment pattern of HR+,HER2-advanced breast cancer,with great improvement on survival benefits and safety,so that breast cancer guidelines recommend CDK4/6 inhibitor as one of the preferred therapy drugs for HR+,HER2-advanced patients.This review introduces research progress on mechanism,effectiveness,safety and pharmacoeconomics of CDK4/6 inhibitors.

cyclin-dependent kinase 4/6 inhibitorsbreast cancereffectivenesssafetypharmacoeconomics

范嘉躜、朱林蕙、王萌萌、杜琼、刘继勇、翟青

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复旦大学附属肿瘤医院药剂科 上海 200032

复旦大学上海医学院肿瘤系 上海 200433

细胞周期蛋白依赖性激酶 4/6抑制剂 乳腺癌 有效性 安全性 药物经济学

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(5)
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