期刊文献+

白蛋白结合型紫杉醇治疗转移性乳腺癌的临床疗效与安全性观察 被引量:21

Clinical Efficacy and Safety of Abraxane in Treatment of Metastatic Breast Cancer
暂未订购
导出
摘要 目的:观察并比较注射用白蛋白结合型紫杉醇与普通紫杉醇治疗转移性乳腺癌的近期疗效及安全性。方法:将75例晚期转移乳腺癌患者随机分为2组,试验组37例患者接受注射用白蛋白结合型紫杉醇单药治疗,对照组38例接受普通注射用紫杉醇单药治疗,观察2组患者的近期疗效和不良反应。结果:试验组白蛋白结合型紫杉醇:完全缓解1例,部分缓解15例,稳定14例,进展7例,总有效率(CR+PR)为48.65%;对照组普通紫杉醇完全缓解0例,部分缓解9例,稳定19例,进展10例,总有效率为23.68%。两组患者治疗后主要不良反应为骨髓抑制及周围神经毒性。结论:白蛋白结合型紫杉醇治疗复发转移性乳腺癌疗效较好,不艮反应可以耐受。 Objective: This work aims to observe the short-term efficacy of Abraxane in treating patients with metastatic breast cancer. Methods: A total of 75 patients with advanced and metastatic breast cancer were randomized into two groups. Group One ( test group ) comprised 37 patients who were treated with Abraxane monotherapy. Group Two ( control group ) comprised 38 patients who were treated with conventional injection of single-agent paclitaxel medication. The two groups were observed for short-term efficacy and adverse events. Results: In Group One, complete remission ( CR ) was found in 1 patient, partial remission ( PR ) in 15, stable dis- ease ( SD ) in 14, and progression of disease ( PD ) in 7. In Group Two, CR was not observed, PR in 9, SD in 19, and PD in 10 patients. The total remission rates in Groups One and Two were 43.24% and 23.68%, respectively. The most commonly observed adverse events in the two groups were myelo-supression and neurotoxicity. Conclusion: Abraxane treatment of metastatic breast cancer has a favorable therapeutic efficacy, and the adverse reactions are tolerable.
出处 《中国肿瘤临床》 CAS CSCD 北大核心 2012年第6期352-354,共3页 Chinese Journal of Clinical Oncology
关键词 白蛋白结合型紫杉醇 紫杉醇 转移性乳腺癌 化疗 Abraxane Paclitaxel Metastatic breast cancer Chemotherapy
  • 相关文献

参考文献18

  • 1Weiss RB,Donehower RC,Wiernik PH,et al.Hypersensitivity re-actions from taxol[J].J Clin Oncol,1990,8(7):1263-1271.
  • 2Ten Tije AJ,Verweij J,Loos WJ,et al.Pharmacological effect of formulation vehicles:implications for cancer chernotherapy[J].Clin Pharmacokinel,2003,42(7):665-672.
  • 3Gelderorn H,Verweij J,Nooter K,et al.Cremophor EL:The draw-backs and advantages of vebicle selection for drug formulation[J].Eur J Cancer,2001,37(13):1590-1599.
  • 4滕小玉,管忠震,姚志文,刘冬耕,周宁宁,罗汉钰,Michael Hawkins,Patrick Soon-Shiong.晚期实体癌患者对不含聚氧乙烯蓖麻油注射用紫杉醇白蛋白纳米粒悬浮液的临床耐受性研究[J].癌症,2004,23(z1):1431-1436. 被引量:39
  • 5Rempel SA,Ge S,Gutierrez JA.SPARC:A potential diagnostic marker of invasive meningiomas[J].Clin Cancer Res,1999,5(2):237-242.
  • 6Schnitxer JE.Oh P Antibodies to SPARC inhibit albumin binding to SPARC,gp60,and microvascular endothelium[J].Am J Physiol,1992,263(6 Pt 2):H1872-H1879.
  • 7Porter PL,Sage EH,Lame TF,et al.Distribution of SPARC in nor-mal and neoplastic human tissue[J].J Histochern Cytochern,1995,43(8):79-88.
  • 8Desai N,Trieu V,Yao ZW,et al.Increased antitumor activity,in-tratumor paclitaxel concentrations,and endothelial cell transport of cremophor-free,albumin-bound paclitaxel,ABI-007,compared with cremophor-based paclitaxel[J].Clin Cancer Res,2006,12(4):1317-1324.
  • 9张晓静,张频.紫杉醇新剂型的开发及临床研究进展[J].癌症进展,2007,5(1):66-72. 被引量:57
  • 10John TA,Vogel SM,Tiruppathi C,et al.Quantitative analysis of al-bumin uptake and transport in the rat microvessel endothelial monolayer[J].Am J Physiol Lung Cell Mol Physiol,2003,284(1):L187-195.

二级参考文献58

  • 1滕小玉,管忠震,姚志文,刘冬耕,周宁宁,罗汉钰,Michael Hawkins,Patrick Soon-Shiong.晚期实体癌患者对不含聚氧乙烯蓖麻油注射用紫杉醇白蛋白纳米粒悬浮液的临床耐受性研究[J].癌症,2004,23(z1):1431-1436. 被引量:39
  • 2[1]1Wani MC,Taylor HL,Wall ME,et al.Plant antitumor agents.Ⅵ.The isolation and structure of taxol,a novel antileukemic and antitumor agent from Taxus brevifolia.J Am Chem Soc,1971,93 (9):2325
  • 3[2]Schiff PB,Fant J,Horwitz SB.Promotion of microtubule assembly in vitro by taxol.Nature,1979,277 (5698):665
  • 4[3]Horwitz SB.Mechanism of action of taxol.Trends Pharmacol Sci,1992,13 (4):134
  • 5[4]Stierle A,Strobel G,Stierle D,et al.The search for a taxol -producing microorganism among the endophytic fungi of the Pacific yew,Taxus brevifolia.J Nat Prod,1995,58(9):1315
  • 6[5]Byrd CA,Bornmann W,Erdjument-Bromage H,et al.Heat shock protein 90 mediates macrophage activation by Taxol and bacterial lipopolysaccharide.Proc Natl Acad Sci U S A,1999,96 (10):5645
  • 7[6]Srivastava RK,Sasaki CY,Hardwick JM,et al.Bcl -2 -mediated drug resistance:Inhibition of apoptosis by blocking nuclear factor of activated T lymphocytes (NFAT)-induced Fas ligand transcription.J Exp Med,1999,190 (2):253
  • 8[7]Weiss RB,Donehower RC,Wiernik PH,et al.Hypersensitivity reactions from taxol.J Clin Oncol,1990,8 (7):1263
  • 9[8]ten Tije AJ,Verweij J,Loos WJ,et al.Pharmacological effects of formulation vehicles:implications for cancer chemotherapy.Clin Pharmacokinet,2003,42 (7):665
  • 10[9]Gelderblom H,Verweij J,Nooter K,et al.Cremophor EL:The drawbacks and advantages of vehicle selection for drug formulation.EurJ Cancer,2001,37 (13):1590

共引文献92

同被引文献168

引证文献21

二级引证文献126

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部