心脏毒性会干扰曲妥珠单抗治疗乳腺癌患者
该研究纳入608例接受曲妥珠单抗治疗的HER2阳性乳腺癌患者,并对因应用曲妥珠单抗出现心脏毒性(TIC)所致治疗干扰的发生率、风险因素和处理进行了评估。研究发现,18%的患者的曲妥珠单抗治疗受到干扰:与未受干扰者相比,药物剂量下调。TIC是治疗受干扰的最常见因素。
曲妥珠单抗治疗受到干扰较为常见,常是因TIC受到干扰。作者强调,应研究减少心脏毒性及其对治疗的干扰的方法。
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The incidence, risk factors, and management of trastuzumab interruption due to treatment-induced cardiotoxicity (TIC) were assessed in 608 patients with HER2-positive breast cancer receiving trastuzumab. Trastuzumab was interrupted in 18% of patients and was administered at a lower dose compared with dose in patients whose therapy was uninterrupted. TIC was the most common reason for interruption.
Trastuzumab interruption is common and often a result of TIC. The authors stress that methods to minimize cardiotoxicity and treatment interruption should be investigated.
Breast Cancer Research and Treatment
Trastuzumab Interruption and Treatment-Induced Cardiotoxicity in Early HER2-Positive Breast Cancer
Breast Cancer Res Treat 2015 Jan 01;[EPub Ahead of Print], AF Yu, NU Yadav, BY Lung, AA Eaton, HT Thaler, CA Hudis, CT Dang, RM Steingart
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来源: PracticeUpdate
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