CLIN CANCER RES:AZD5363治疗实体肿瘤,PIK3CA突变乳腺癌和妇科恶性肿瘤

2018-05-09 MedSci MedSci原创

CLIN CANCER RES近期发表了一篇文章,报道了选择性pan-AKT抑制剂AZD5363治疗晚期实体肿瘤的临床试验结果。该研究的目的是评估AZD5363的安全性,耐受性和药代动力学,评估其初步的临床效果。

CLIN CANCER RES近期发表了一篇文章,报道了选择性pan-AKT抑制剂AZD5363治疗晚期实体肿瘤的临床试验结果。该研究的目的是评估AZD5363的安全性,耐受性和药代动力学,评估其初步的临床效果。

研究纳入≥18岁的患者。分为连续给药,间断给药{4天/周(4/7),2天/周(2/7)},同时进行安全性,药代动力学和药效学研究。拓展队列由约20例患者构成,研究AZD5363在PIK3CA突变乳腺癌和妇科肿瘤中的作用。研究结果表明,连续给药组最大耐受剂量为320mg,间断给药(4/7)最大耐受剂量为480mg,间断给药(2/7)的最大耐受剂量为640mg。连续给药的剂量限制毒性为皮疹和腹泻,2/7组为高血糖,4/7组无剂量限制毒性。常见的不良反应为腹泻和恶心。在PIK3CA突变乳腺癌和妇科肿瘤拓展队列使用推荐Ⅱ期剂量(480mg bid,4/7间断),分别有46%和56%的患者出现肿瘤缩小,RECIST反应分别为4%和8%。这些反应低于预期的20%,因此未进行进一步的PIK3CA突变队列的研究。

文章最后认为,使用推荐Ⅱ期剂量时,AZD5363耐受性良好且对肿瘤具有稳定的控制效果。

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    2018-11-28 xinmeili
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    2018-09-28 szhvet
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    2018-05-11 weiz
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    2018-05-10 1de11f7fm56(暂无匿称)

    学习了.谢谢分享

    0

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    2018-05-10 张新亮1853311252142e2fm

    好文献学习了

    0