首页|102例临床应用卡瑞利珠单抗的安全性分析

102例临床应用卡瑞利珠单抗的安全性分析

扫码查看
目的:探究卡瑞利珠单抗治疗恶性肿瘤患者的用药安全性,为临床安全合理用药提供参考.方法:回顾性分析2021年3月4日~2023年10月30日期间于某院使用注射用卡瑞利珠单抗治疗的102例肿瘤患者,统计其基本资料、用药信息、联合用药情况、免疫相关不良事件(irAEs)发生情况、处理措施与转归等.结果:患者年龄32~86岁;男性66例,女性36例;男女比例为11∶6;60例(58.82%)合并基础疾病,52例(50.98%)联合使用抗血管生成药物(如仑伐替尼、安罗替尼、阿帕替尼).共49例患者发生irAEs,其中以反应性毛细血管增生症(RCCEP)最为常见,大多为G1~G2级.卡瑞利珠单抗联合抗血管生成药物可显著降低irAEs的发生率(P<0.05).卡瑞利珠单抗治疗合并基础疾病患者的irAEs发生率高于无基础疾病的患者(P<0.05).结论:临床应用卡瑞利珠单抗时,irAEs发生率较高,但严重程度均较轻,大多为G1~G2级,且多数在治疗后可缓解.
Safety Analysis of Clinical Application of Camrelizumab in 102 Cases
Objective:To explore the safety of camrelizumab in the clinical treatment of patients with malignant tumors,so as to provide reference for clinical rational and safe medication.Methods:A total of 102 tumor patients treated with camrelizumab for injection from 04 Mar 2021 to 30 Oct 2023 in a hospital were retrospectively analyzed and summarized for their general data,medication information,combination medications,immune-related adverse events(irAEs),interventions and outcomes.Results:The patients ranged in age from 32 to 86 years.There were 66 males and 36 females,with a male-to-female ratio of 11:6.Basic diseases were present in 60 patients(58.82%).Combination therapy with anti-angiogenic drugs(such as lenvatinib,anlotinib and apatinib)was given in 52 patients(50.98%).A total of 49 patients experienced irAEs,with the most common event being reactive capillary endothelial proliferation(RCCEP)which was mostly grade G1 or G2.Camrelizumab in combination with anti-angiogenic drugs significantly reduced the incidence of irAEs(P<0.05).The incidence of irAEs with camrelizumab was higher in patients with basic diseases as compared with those without basic diseases(P<0.05).Conclusion:The clinical application of camrelizumab was associated with a high incidence of irAEs,while the severity of them were mild and mostly grade G1~G2,and most of them were resolved with treatment.

malignant tumorcamrelizumabreactive cutaneous capillary endothelial proliferationimmune-related adverse eventssafety

王勤、李会琴、王莹杰、李佳音、张柳艳、姚丽鸽

展开 >

郑州市第三人民医院乳腺肿瘤内科,郑州 450000

恶性肿瘤 卡瑞利珠单抗 反应性毛细血管增生症 免疫相关不良事件 安全性

河南省医学科技攻关计划联合共建项目

LHGJ20210737

2024

中国合理用药探索
中国执业药师协会

中国合理用药探索

影响因子:0.62
ISSN:2096-3327
年,卷(期):2024.21(5)