首页|伊尼妥单抗后线治疗DS-8201经治失败的HER2阳性乳腺癌1例报告

伊尼妥单抗后线治疗DS-8201经治失败的HER2阳性乳腺癌1例报告

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抗人表皮生长因子受体2(HER2)治疗是HER2阳性晚期乳腺癌患者的标准治疗。针对患者在多线抗HER2治疗耐药后的治疗策略仍然在探索中。本文报道1例乳腺癌术后多发转移患者,辅助治疗及一线治疗采用以曲妥珠单抗为基础的治疗方案,后经历多线抗HER2治疗失败,包括以吡咯替尼为基础的治疗、抗体偶联药物(ADC)治疗(A166、DS-8201)等。在第七线时应用伊尼妥单抗联合优替德隆及吉西他滨治疗。患者症状在第一次疗效评价时即达到部分缓解。随访至2023年4月,患者无疾病进展生存期已10个月。伊尼妥单抗联合优替德隆及吉西他滨应用于该例DS-8201经治失败的HER2阳性晚期乳腺癌患者依然具有良好疗效。
A case report of HER2-positive breast cancer with failed treatment of DS-8201 with post treatment with Initumumab
Anti-human epidermal growth factor receptor 2(HER2)therapy is the standard treatment for patients with advanced breast cancer with positive HER2.The treatment strategy for patients who are resistant to multi-line anti-HER2 therapy is still being explored.A case of breast cancer with multiple metastases after operation is reported in this paper.The adjuvant therapy and first-line therapy are based on trastuzumab,and then fail to receive multi-line anti-HER2 therapy,including the treatments based on pyrrolitinib and antibody-drug conjugates(ADC)therapy(A166,DS-8201),etc.Initumumab combined with Utedelon and Gemcitabine is applied in the seventh line.The patient achieves partial remission at the first efficacy evaluation.Follow-up until April 2023 showed the patient's disease-free survival time has been 10 months.Initumumab combined with Utedelon and Gemcitabine still has good efficacy on this case of HER2 positive advanced breast cancer who fails to be treated by DS-8201.

InitumumabUtedelonGemcitabineDS-8201Anti-HER2 therapyHER2 positive breast cancer

金奕滋、林明曦、张剑

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复旦大学附属肿瘤医院肿瘤大内科 复旦大学附属肿瘤医院Ⅰ期临床试验病房复旦大学上海医学院肿瘤学系,上海 200032

伊尼妥单抗 优替德隆 吉西他滨 DS-8201 抗HER2治疗 HER2阳性乳腺癌

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(8)
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