首页|卡瑞利珠单抗联合仑伐替尼治疗对晚期肝癌局部治疗后患者的有效性及安全性分析

卡瑞利珠单抗联合仑伐替尼治疗对晚期肝癌局部治疗后患者的有效性及安全性分析

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目的 探讨卡瑞利珠单抗联合仑伐替尼治疗对晚期肝癌局部治疗后患者的有效性以及安全性.方法 回顾性收集 2021 年 1月~2022 年 12 月在某院接受诊治及随访的晚期肝癌患者病例资料进行研究,根据治疗方案将这些患者分为试验组(58 例)和对照组(52例),试验组接受卡瑞利珠单抗联合仑伐替尼治疗,对照组接受仑伐替尼单药治疗,两组均至少接受 42 d治疗.评价指标包括疾病缓解率、生存时间以及药品不良反应.结果 试验组客观缓解率(ORR)为 53.45%,高于对照组 32.69%;疾病控制率(DCR)为 79.31%,高于对照组 57.69%(P<0.05).随访时间为 5~20 个月,中位随访时间为 13.00(9.00,20.00)个月.试验组总生存时间(OS)、无进展生存时间(PFS)均高于对照组,总生存率高于对照组(P<0.05).试验组肝肾损伤发生率高于对照组(P<0.05).结论 卡瑞利珠单抗联合仑伐替尼治疗对晚期肝癌局部治疗后患者能够提高疾病缓解率,延长生存时间,但治疗期间容易加重肝肾损害.
Efficacy and safety analysis of camrelizumab combined with lenvatinib in the treatment of patients with advanced liver cancer after local treatment
Objective To investigate the efficacy and safety of camrelizumab combined with lenvatinib in the treatment of patients with advanced liver cancer after local treatment.Methods The clinical data of patients with advanced liver cancer who were treated and followed up in a hospital from January 2021 to December 2022 were retrospectively collected for study.According to the treatment plan,these patients were divided into the test group(58 cases)and the control group(52 cases).The test group was treated with camrelizumab combined with lenvatinib,while the control group was treated with lenvatinib monotherapy.Both groups were treated for at least 42 days.The evaluation indicators included disease remission rate,survival time and adverse drug reactions.Results The objective remission rate(ORR)of the test group was 53.45%,which was higher than that of the control group(32.69%),and the disease control rate(DCR)was 79.31%,which was higher than that of the control group(57.69%)(P<0.05).The follow-up time was 5 to 20 months,and the median follow-up time was 13.00(9.00,20.00)months.The overall survival(OS)and progression-free survival(PFS)of the test group were higher than those of the control group,and the total survival rate was higher than that of the control group(P<0.05).The incidence of liver and kidney injury in the test group was higher than that in the control group(P<0.05).Conclusion Camrelizumab combined with lenvatinib can improve the remission rate and prolong the survival time of patients with advanced liver cancer after local treatment,but it is easy to aggravate the liver and kidney damage during the treatment.

Advanced liver cancerLocal treatmentCamrelizumabLenvatinib

陈姣红、郭芮菲、兰堃田、李铮

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三门峡市中心医院放疗科,河南三门峡 472099

晚期肝癌 局部治疗 卡瑞利珠单抗 仑伐替尼

三门峡市科技发展计划项目

2021004036

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(8)
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