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呋喹替尼治疗转移性结直肠癌的真实世界观察

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目的 探讨呋喹替尼治疗转移性结直肠癌(metastatic colorectal cancer,mCRC)的临床疗效和安全性.方法 收集本院2019年1月至2021年12月接受呋喹替尼三线或后线治疗的48例mCRC患者资料.分析其临床治疗、无进展生存期(progression-free survival,PFS)和不良反应发生情况.结果 48例mCRC患者接受呋喹替尼治疗2~17个周期,完全缓解(complete response,CR)0 例(0.0%),部分缓解(partial response,PR)3 例(6.2%),疾病稳定(stable disease,SD)32 例(66.7%),疾病进展(progressive disease,PD)13 例(27.1%),疾病控制率(disease control rate,DCR)为 72.9%,客观缓解率(objective response rate,ORR)为6.2%,中位PFS为4.9个月.呋喹替尼单药治疗和联合治疗患者的中位PFS分别为4.7个月和6.2个月(P=0.445).48例患者常见不良反应有高血压、手足皮肤反应、甲状腺功能异常、蛋白尿、乏力和肝功能异常.31.3%(15/48)的患者发生3~4级不良反应,主要是高血压和手足皮肤反应.结论 呋喹替尼在mCRC三线或后线治疗中有明确的临床获益,且耐受性良好,总体不良反应可控,与免疫治疗的联合值得进一步探索.
Real world observation of fruquintinib in treatment of metastatic colorectal cancer
Objective To investigate the clinical efficacy and safety of fruquintinib in the treatment of metastatic colorectal cancer(mCRC).Methods The clinical data of 48 mCRC patients receiving fruquintinib as third-or later-treatment in our hospital from January 2019 to De-cember 2021 were collected.The treatment,progression-free survival(DFS)and incidence of adverse reactions were analyzed.Results The 48 mCRC patients received 2 to 17 cycles of fruquintinib treatment.Complete response(CR)was not observed(0.0%),partial response(PR)was observed in three cases(6.2%),stable disease(SD)in 32 cases(66.7%),and progressive disease(PD)in 13 cases(27.1%).The disease control rate(DCR)was 72.9%,and the objective response rate(ORR)was 6.2%.The median PFS was 4.9 months.The median PFS of patients with fruquintinib monotherapy and of those with fruquintinib combination therapy was 4.7 months and 6.2 months,respectively(P=0.445).Common adverse reactions in the 48 patients included hypertension,hand-foot-skin reactions,abnormal thyroid function,proteinuria,fatigue,and liver function abnormalities.31.3%(15/48)of patients experienced grade 3-4 adverse reactions,mainly presented as hypertension and hand-foot-skin reactions.Conclusions Fruquintinib demonstrates clear clinical benefits and good tolerability as third-or later-line treat-ment of mCRC.Overall adverse reactions are manageable,and further exploration of its combination with immunotherapy is warranted.

metastatic colorectal cancerfruquintinibreal worldtargeted therapy

郭芬、时建明、张璐瑶、王国强、汪丽钰

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南京医科大学姑苏学院,苏州市立医院,南京医科大学附属苏州医院肿瘤内科,江苏苏州 215001

转移性结直肠癌 呋喹替尼 真实世界 靶向治疗

苏州市科技计划项目

SS2019068

2024

实用肿瘤杂志
浙江大学

实用肿瘤杂志

CSTPCD
影响因子:1.034
ISSN:1001-1692
年,卷(期):2024.39(1)
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