Journal of Chemotherapy最新文献

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Comparison of the efficacy of sunitinib and pazopanib in patients with advanced non-clear renal cell carcinoma. 比较舒尼替尼和帕唑帕尼对晚期非透明肾细胞癌患者的疗效。
IF 1.8 4区 医学
Journal of Chemotherapy Pub Date : 2024-09-10 DOI: 10.1080/1120009x.2024.2403051
Hasan Cagri Yildirim,Ertuğrul Bayram,Elvin Chalabiyev,Nargız Majidova,Tugay Avci,Halil Göksel Güzel,Caner Kapar,Mehmet Uzun,Perihan Perkin,Fahri Akgül,Saadet Sim Yildirim,Seda Sali,Anil Yildiz,Seher Nazli Kazaz,Engin Hendem,Murat Arcagok,Gulnihal Tufan,Umit Yildirim,Omer Faruk Akgul,Çagatay Arslan,Hakan Taban,Eren Sahin,Melek Caglayan,Ramazan Esen,Berna Öksüzoğlu,Deniz Can Guven,Muhammet Ali Kaplan,Murat Araz,Mert Basaran,Erdem Cubukcu,Erhan Gokmen,Irfan Cicin,Efnan Algin,Huseyin Salih Semiz,Deniz Tural,Banu Ozturk,Atike Pinar Erdogan,Murat Sari,Oguz Kara,Mustafa Erman
{"title":"Comparison of the efficacy of sunitinib and pazopanib in patients with advanced non-clear renal cell carcinoma.","authors":"Hasan Cagri Yildirim,Ertuğrul Bayram,Elvin Chalabiyev,Nargız Majidova,Tugay Avci,Halil Göksel Güzel,Caner Kapar,Mehmet Uzun,Perihan Perkin,Fahri Akgül,Saadet Sim Yildirim,Seda Sali,Anil Yildiz,Seher Nazli Kazaz,Engin Hendem,Murat Arcagok,Gulnihal Tufan,Umit Yildirim,Omer Faruk Akgul,Çagatay Arslan,Hakan Taban,Eren Sahin,Melek Caglayan,Ramazan Esen,Berna Öksüzoğlu,Deniz Can Guven,Muhammet Ali Kaplan,Murat Araz,Mert Basaran,Erdem Cubukcu,Erhan Gokmen,Irfan Cicin,Efnan Algin,Huseyin Salih Semiz,Deniz Tural,Banu Ozturk,Atike Pinar Erdogan,Murat Sari,Oguz Kara,Mustafa Erman","doi":"10.1080/1120009x.2024.2403051","DOIUrl":"https://doi.org/10.1080/1120009x.2024.2403051","url":null,"abstract":"Non-clear cell renal cell carcinoma (non-ccRCC) is a highly heterogeneous disease group, accounting for approximately 25% of all RCC cases. Due to its rarity and especially heterogeneity, phase III trial data is limited and treatment options generally follow those of clear cell RCC. In the literature, there exists a number of studies with sunitinib, cabozantinib, and everolimus, but data on the efficacy of pazopanib are limited. Our aim in this study was to compare the efficacy of pazopanib and sunitinib, in a multicenter retrospective cohort of non-ccRCC patients. Our study included patients diagnosed with non-ccRCC who received pazopanib or sunitinib treatment as first-line therapy from 22 tertiary hospitals. We compared the progression-free survival (PFS), overall survival (OS), and response rates of pazopanib and sunitinib treatments. Additionally, we investigated prognostic factors in non-ccRCC. PFS and response rates of sunitinib and pazopanib were found to be similar, while a numerical difference was observed in OS. Being 65 years and older, being in the intermediate or poor risk group according to the International Metastatic Renal Cell Carcinoma Database Consortium, having liver metastases, presence of a sarcomatoid component, and having de novo metastatic disease were found to be significantly associated with shorter PFS. Pazopanib treatment appears to have similar efficacy in the treatment of non-ccRCC compared to sunitinib. Though randomized controlled trials are lacking and will probably be never be available, we suggest that pazopanib could be a preferred agent like sunitinib and cabozantinib.","PeriodicalId":15338,"journal":{"name":"Journal of Chemotherapy","volume":"59 1","pages":"1-12"},"PeriodicalIF":1.8,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142187338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
TRIM24/ZFX affects the stemness and resistance to 5-FU of colorectal cancer cells. TRIM24/ZFX影响结直肠癌细胞的干性和对5-FU的耐药性。
IF 1.9 4区 医学
Journal of Chemotherapy Pub Date : 2024-09-02 DOI: 10.1080/1120009X.2024.2376422
Xuming Yao, Zhiping Yang, Guoxin Hou, Jialu Jiang, Lvbin Wang, Jin Jiang
{"title":"TRIM24/ZFX affects the stemness and resistance to 5-FU of colorectal cancer cells.","authors":"Xuming Yao, Zhiping Yang, Guoxin Hou, Jialu Jiang, Lvbin Wang, Jin Jiang","doi":"10.1080/1120009X.2024.2376422","DOIUrl":"https://doi.org/10.1080/1120009X.2024.2376422","url":null,"abstract":"<p><p>Colorectal cancer (CRC) is the second leading cause of cancer death, and about 10% of all malignancies are CRC. Cancer stem cells are considered main culprits in CRC treatment resistance and disease recurrence. This study explored the effects of tripartite motif containing 24 (TRIM24) and zinc finger protein, X-linked (ZFX) on CRC cell stemness and 5-FU resistance. A 5-FU-resistant cell line (HT29-5-FU) was constructed for functional analysis of CRC 5-FU-resistant cells. qRT-PCR and western blot (WB) were employed to analyze mRNA and protein levels of ZFX in 5-FU resistant cells and sensitive cells. WB was also utilized to analyze the surface markers of stem cells in each group. CCK-8 assay determined the IC<sub>50</sub> values of different cell groups treated with 5-FU. The sphere-forming ability of cells in each group was determined using tumor sphere assay. Dual-luciferase reporter gene assay validated binding of ZFX to TRIM24. ZFX was highly expressed in HT29-5-FU cells. Silencing ZFX significantly reduced the 5-FU resistance and IC<sub>50</sub> value of HT29-5-FU cells, and the surface markers and cell sphere-forming ability of stem cells were also significantly reduced. The function of HT29 cells was opposite when ZFX was overexpressed. In CRC cells, TRIM24 was an upstream transcription factor of ZFX, and they interacted with each other. TRIM24 activated the expression of ZFX to influence the stemness and 5-FU resistance of cells. The TRIM24/ZFX regulatory axis affected the stemness of CRC cells and their sensitivity to 5-FU, providing potential drug targets for novel therapeutic avenues for CRC.</p>","PeriodicalId":15338,"journal":{"name":"Journal of Chemotherapy","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142107884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Resveratrol suppresses NSCLC cell growth, invasion and migration by mediating Wnt/β-catenin pathway via downregulating SIX4 and SPHK2. 白藜芦醇通过下调SIX4和SPHK2介导Wnt/β-catenin通路,抑制NSCLC细胞的生长、侵袭和迁移。
IF 1.9 4区 医学
Journal of Chemotherapy Pub Date : 2024-09-01 Epub Date: 2023-11-15 DOI: 10.1080/1120009X.2023.2281759
Xiaolan Wang, Caixia Liu, Jian Wang, Zexiang Tian
{"title":"Resveratrol suppresses NSCLC cell growth, invasion and migration by mediating Wnt/β-catenin pathway via downregulating SIX4 and SPHK2.","authors":"Xiaolan Wang, Caixia Liu, Jian Wang, Zexiang Tian","doi":"10.1080/1120009X.2023.2281759","DOIUrl":"10.1080/1120009X.2023.2281759","url":null,"abstract":"<p><p>Resveratrol (RSV) has been found to have a cancer-suppressing effect in a variety of cancers, including non-small cell lung cancer (NSCLC). Studies have shown that sine oculis homeobox 4 (SIX4) and sphingosine kinase 2 (SPHK2) are tumour promoters of NSCLC. However, whether RSV regulates SIX4 and SPHK2 to mediate NSCLC cell functions remains unclear. NSCLC cell functions were assessed by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-2H-tetrazolium bromide (MTT) assay, 5-ethynyl-2'-deoxyuridine (EdU) assay, flow cytometry, transwell assay and wound healing assay. Protein expression levels were detected by western blot. SIX4 and SPHK2 mRNA levels in NSCLC tumour tissues were examined using quantitative real-time PCR. In addition, mice xenograft models were built to explore the impact of RSV on NSCLC tumour growth. RSV inhibited NSCLC cell proliferation, invasion and migration, while facilitated apoptosis. SIX4 and SPHK2 were up-regulated in NSCLC tissues and cells, and their expression was reduced by RSV. Knockdown of SIX4 and SPHK2 suppressed NSCLC cell growth, invasion and migration, and the regulation of RSV on NSCLC cell functions could be reversed by SIX4 and SPHK2 overexpression. RSV inactivated Wnt/β-catenin pathway <i>via</i> decreasing SIX4 and SPHK2 levels. In animal experiments, RSV reduced NSCLC tumour growth <i>in vivo</i>. RSV repressed NSCLC malignant process by decreasing SIX4 and SPHK2 levels to restrain the activity of Wnt/β-catenin pathway.</p>","PeriodicalId":15338,"journal":{"name":"Journal of Chemotherapy","volume":" ","pages":"411-421"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134649054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recent advances in caspase-3, breast cancer, and traditional Chinese medicine: a review. 半胱氨酸天冬氨酸蛋白酶-3、乳腺癌症和中药的最新进展:综述。
IF 1.9 4区 医学
Journal of Chemotherapy Pub Date : 2024-09-01 Epub Date: 2023-11-07 DOI: 10.1080/1120009X.2023.2278014
He Dou, Ping Yang Yu, Yu Qi Liu, Yue Zhu, Fu Cheng Li, You Yu Wang, Xing Yan Chen, Min Xiao
{"title":"Recent advances in caspase-3, breast cancer, and traditional Chinese medicine: a review.","authors":"He Dou, Ping Yang Yu, Yu Qi Liu, Yue Zhu, Fu Cheng Li, You Yu Wang, Xing Yan Chen, Min Xiao","doi":"10.1080/1120009X.2023.2278014","DOIUrl":"10.1080/1120009X.2023.2278014","url":null,"abstract":"<p><p>Caspases (cysteinyl aspartate-specific proteinases) are a group of structurally similar proteases in the cytoplasm that can be involved in cell differentiation, programmed death, proliferation, and inflammatory generation. Experts have found that caspase-3 can serve as a terminal splicing enzyme in apoptosis and participate in the mechanism by which cytotoxic drugs kill cancer cells. Breast cancer (BC) has become the most common cancer among women worldwide, posing a severe threat to their lives. Finding new therapeutic targets for BC is the primary task of contemporary physicians. Numerous studies have revealed the close association between caspase-3 expression and BC. Caspase-3 is essential in BC's occurrence, invasion, and metastasis. In addition, Caspase-3 exerts anticancer effects by regulating cell death mechanisms. Traditional Chinese medicine acting through caspase-3 expression is increasingly used in clinical treatment. This review summarizes the biological mechanism of caspase-3 and research progress on BC. It introduces a variety of traditional Chinese medicine related to caspase-3 to provide new ideas for the clinical treatment of BC.</p>","PeriodicalId":15338,"journal":{"name":"Journal of Chemotherapy","volume":" ","pages":"370-388"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71482032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PFKP is upregulated in 5-fluorouracil-resistant patients and suppresses the antitumor activity of 5-fluorouracil in colorectal cancer in vitro and in vivo. PFKP在5-氟尿嘧啶耐药患者中上调,体外和体内均抑制5-氟尿嘧啶在结直肠癌中的抗肿瘤活性。
IF 1.9 4区 医学
Journal of Chemotherapy Pub Date : 2024-09-01 Epub Date: 2023-12-03 DOI: 10.1080/1120009X.2023.2288742
Lili Deng, Yan Zhao, Wen Liu
{"title":"PFKP is upregulated in 5-fluorouracil-resistant patients and suppresses the antitumor activity of 5-fluorouracil in colorectal cancer <i>in vitro</i> and <i>in vivo</i>.","authors":"Lili Deng, Yan Zhao, Wen Liu","doi":"10.1080/1120009X.2023.2288742","DOIUrl":"10.1080/1120009X.2023.2288742","url":null,"abstract":"<p><p>As a long-established chemotherapy drug, 5-fluorouracil (5-FU) is widely used to clinically manage colorectal cancer (CRC). However, a substantial portion of patients develop 5-FU resistance at some stage, which poses a great challenge. Therefore, revealing the mechanisms that could guide the development of effective strategies to overcome 5-FU resistance is required. Here, we report that the expression of PFKP was higher in HCT116/5-FU CRC. Furthermore, genetic suppression of PFKP suppresses glycolysis, NF-κB activation, and expression of GLUT1 and HK2 in HCT116/5-FU cells. PFKP overexpression promotes glycolysis and expression of GLUT1 and HK2 <i>via</i> the NF-κB signaling pathway in HCT116 cells. Our functional assays demonstrated that PFKP silencing could sensitize HCT116/5-FU cells to 5-FU with an elevated population of apoptotic cells. In contrast, forced expression of PFKP conferred 5-FU resistance in HCT116 cells. Furthermore, PFKP silencing significantly inhibited CRC xenograft tumor growth. Notably, the combination of PFKP silencing and 5-FU inhibited tumor growth. Therefore, our results demonstrated that PFKP enhances 5-FU resistance by promoting glycolysis, indicating that PFKP could be a novel candidate for targeted therapy for 5-FU-resistant CRC.</p>","PeriodicalId":15338,"journal":{"name":"Journal of Chemotherapy","volume":" ","pages":"422-434"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138477807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does discontinuing bleomycin due to toxicity increase the risk of lymphoma progression? Real-life data from a homogeneous population of advanced stage Hodgkin lymphoma. 因毒性停用博来霉素会增加淋巴瘤进展的风险吗?来自同质晚期霍奇金淋巴瘤人群的真实数据。
IF 1.9 4区 医学
Journal of Chemotherapy Pub Date : 2024-09-01 Epub Date: 2023-11-16 DOI: 10.1080/1120009X.2023.2281089
Umut Yılmaz, Güldane Zulfaliyeva, Adnan Nuri Güzelli, Deniz Özmen, Tuğrul Elverdi, Ayşe Salihoğlu, Ahmet Emre Eskazan, Şeniz Öngören, Zafer Başlar, Muhlis Cem Ar
{"title":"Does discontinuing bleomycin due to toxicity increase the risk of lymphoma progression? Real-life data from a homogeneous population of advanced stage Hodgkin lymphoma.","authors":"Umut Yılmaz, Güldane Zulfaliyeva, Adnan Nuri Güzelli, Deniz Özmen, Tuğrul Elverdi, Ayşe Salihoğlu, Ahmet Emre Eskazan, Şeniz Öngören, Zafer Başlar, Muhlis Cem Ar","doi":"10.1080/1120009X.2023.2281089","DOIUrl":"10.1080/1120009X.2023.2281089","url":null,"abstract":"<p><p>Hodgkin Lymphoma (HL) is often curable with ABVD therapy and improving outcomes is a main goal of ongoing research. Bleomycin-associated pneumonitis (BAPT) is a potentially life-threatening complication that necessitates bleomycin discontinuation. We conducted this study on a homogenous cohort of advanced stage HL treated only with ABVD for frontline therapy to assess if bleomycin discontinuation increases the risk of lymphoma progression. After the exclusion of patients who received radiotherapy or other drugs, 106 and 28 patients in the six-cycle ABVD and BAPT groups respectively had similar survival curves for progression and death with a 49-month median follow-up. PFS rates were also very similar at two and four years from diagnosis with 2-year PFS rates of 83.9% and 82.1% (RR = 1.1 95%CI = 0.45-2.2). Outcome comparisons were also similar between the two groups when stratified according to early response assessment with PET/CT. Patients who discontinued bleomycin due to toxicity did not experience an increased risk of progression compared to patients who completed six ABVD cycles.</p>","PeriodicalId":15338,"journal":{"name":"Journal of Chemotherapy","volume":" ","pages":"403-410"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136397580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fixed-dose antiretroviral combinations in children living with human immunodeficiency virus type 1 (HIV-1): a systematic review. 对感染 1 型人类免疫缺陷病毒(HIV-1)儿童的固定剂量抗逆转录病毒组合疗法:系统综述。
IF 16.4 4区 医学
Journal of Chemotherapy Pub Date : 2024-09-01 Epub Date: 2023-12-28 DOI: 10.1080/1120009X.2023.2297095
Federica Attaianese, Irene Dalpiaz, Martina Failla, Elisa Pasquali, Luisa Galli, Elena Chiappini
{"title":"Fixed-dose antiretroviral combinations in children living with human immunodeficiency virus type 1 (HIV-1): a systematic review.","authors":"Federica Attaianese, Irene Dalpiaz, Martina Failla, Elisa Pasquali, Luisa Galli, Elena Chiappini","doi":"10.1080/1120009X.2023.2297095","DOIUrl":"10.1080/1120009X.2023.2297095","url":null,"abstract":"<p><p>Fixed-Dose antiretroviral Combinations (FDCs) are the most used drug regimes in adult patients with human-immunodeficiency virus 1 infection, since they increase adherence to antiretroviral therapy and enable good quality of life. The European AIDS Clinical Society guidelines recommend the use of FDCs in paediatrics. However, the use of FDCs in paediatric population is restricted since studies in children and adolescents are mostly conducted in small sample sizes and are heterogeneous in settings and design. This systematic review aims to summarize the current knowledge about the use of FDCs in paediatric population, highlighting the relevant outcomes regarding efficacy and effectiveness, adherence, safety, and adverse events of these regimens.</p>","PeriodicalId":15338,"journal":{"name":"Journal of Chemotherapy","volume":" ","pages":"355-369"},"PeriodicalIF":16.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139048852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Amikacin treatment in urinary tract infection patients: evaluating the risk of acute kidney injury - a retrospective cohort study. 尿路感染患者的阿米卡星治疗:评估急性肾损伤的风险--一项回顾性队列研究。
IF 1.9 4区 医学
Journal of Chemotherapy Pub Date : 2024-09-01 Epub Date: 2024-02-19 DOI: 10.1080/1120009X.2024.2319454
Avner Dagan, Danny Epstein, Ami Neuberger, Jonathan Isenberg
{"title":"Amikacin treatment in urinary tract infection patients: evaluating the risk of acute kidney injury - a retrospective cohort study.","authors":"Avner Dagan, Danny Epstein, Ami Neuberger, Jonathan Isenberg","doi":"10.1080/1120009X.2024.2319454","DOIUrl":"10.1080/1120009X.2024.2319454","url":null,"abstract":"<p><p>The rise in ESBL-producing and carbapenem-resistant Gram-negative bacterial infections is alarming. Aminoglycosides remain attractive for treating urinary tract infections (UTIs). However, aminoglycosides-associated acute kidney injury (AKI) raises concerns, especially in patients with underlying renal impairment. We conducted a retrospective cohort study to evaluate the risk of AKI in patients with UTI empirically treated with amikacin. Among 395 patients (median age 41.9 years [IQR 28.3-67.1], 342 [86.6%] female), 162 (41.0%) received amikacin and 233 (59.0%) were empirically treated with other antibiotics. AKI incidence was low (5.6%) and not associated with amikacin exposure (OR 0.56, 95% CI 0.22-1.43, <i>p</i> = 0.23), even in those with pre-existing renal impairment or AKI on admission. The clinical outcomes (including cure by the third day, AKI, maximal creatinine, length of stay, mortality, and readmission) did not differ between the groups. Once-daily amikacin may offer a safe UTI treatment option amid increasing multi-drug resistance.</p>","PeriodicalId":15338,"journal":{"name":"Journal of Chemotherapy","volume":" ","pages":"398-402"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139899982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy and safety of anlotinib as maintenance therapy in patients with advanced non-small cell lung cancer achieving SD post first-line chemotherapy combined with immunotherapy. 安罗替尼作为一线化疗联合免疫疗法后达到 SD 的晚期非小细胞肺癌患者的维持疗法的有效性和安全性。
IF 1.9 4区 医学
Journal of Chemotherapy Pub Date : 2024-09-01 DOI: 10.1080/1120009X.2024.2397924
Xiaobing Li, Yi Peng, De Wu, Jing Tang, Yuebing Wu
{"title":"Efficacy and safety of anlotinib as maintenance therapy in patients with advanced non-small cell lung cancer achieving SD post first-line chemotherapy combined with immunotherapy.","authors":"Xiaobing Li, Yi Peng, De Wu, Jing Tang, Yuebing Wu","doi":"10.1080/1120009X.2024.2397924","DOIUrl":"https://doi.org/10.1080/1120009X.2024.2397924","url":null,"abstract":"<p><p>Advanced non-small cell lung cancer (NSCLC) remains a significant clinical challenge, particularly in patients who exhibit stable disease (SD) following first-line chemotherapy combined with immunotherapy. This study aims to evaluate the efficacy and safety of Anlotinib, a novel multitarget tyrosine kinase inhibitor, as maintenance therapy in this patient cohort. This retrospective, single-center study enrolled patients with advanced NSCLC who showed SD after receiving a combination of first-line chemo-immunotherapy for 4 cycles, then add anlotinib to subsequent standard maintenance therapy, continuing treatment until disease progression or the occurrence of intolerable toxic side effects. The primary endpoint was progression-free survival (P FS), overall survival (OS), objective response rate (ORR), disease control rate (DCR) and safety profile. A total of 52 patients were enrolled, the median P FS and OS was 5.0m and 10.0m, respectively. The ORR and DCR was 28.85% and 67.31%. subgroup analysis indicated that its efficacy correlate with certain Adverse Effects (AEs, such as hypertension, proteinuria, and hand-foot syndrome). Further mechanistic analysis suggests that this regimen may likely reduce immune suppression by depleting Tregs, thereby further activating the immune system to exert synergistic anti-tumor effects. Besides promising efficacy, the toxicity can be tolerated. Anlotinib demonstrates promising efficacy as a maintenance therapy in patients with advanced NSCLC who have achieved SD following first-line chemotherapy combined with immunotherapy. The manageable safety profile and the observed extension in P FS and OS suggest that Anlotinib could be a valuable therapeutic option for this challenging patient population. Further large-scale randomized controlled trials are warranted to confirm these findings and to optimize patient selection and management strategies.</p>","PeriodicalId":15338,"journal":{"name":"Journal of Chemotherapy","volume":" ","pages":"1-9"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142107883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In vitro killing of drug susceptible and multidrug resistant bacteria by amikacin considering pulmonary drug concentrations based on an inhaled formulation. 考虑到基于吸入制剂的肺部药物浓度,阿米卡星对易感细菌和耐多药细菌的体外杀灭作用。
IF 1.9 4区 医学
Journal of Chemotherapy Pub Date : 2024-09-01 Epub Date: 2024-02-10 DOI: 10.1080/1120009X.2024.2313908
Joseph M Blondeau, Leah D Blondeau, Shantelle D Fitch
{"title":"<i>In vitro</i> killing of drug susceptible and multidrug resistant bacteria by amikacin considering pulmonary drug concentrations based on an inhaled formulation.","authors":"Joseph M Blondeau, Leah D Blondeau, Shantelle D Fitch","doi":"10.1080/1120009X.2024.2313908","DOIUrl":"10.1080/1120009X.2024.2313908","url":null,"abstract":"<p><p>Nosocomial infections with drug resistant bacteria impact morbidity and mortality, length of therapy and stay and the overall cost of treatment. Key pathogens with ventilator associated pneumonia may be drug-susceptible or multi-drug resistant and inhaled amikacin has been investigated as an adjunctive therapy option. High pulmonary drug concentrations (epithelial lining fluid [ELF]) along with minimal systemic toxicity is seen as an advantage to inhaled formulations. <i>In vitro</i> killing of bacteria using clinically relevant drug concentrations provide insight on bug-drug interactions. The aim of this study was to measure killing of clinical isolates of <i>Acinetobacter baumannii</i>, <i>Escherichia coli</i>, <i>Klebsiella pneumoniae</i>, <i>Pseudomonas aeruginosa</i>, methicillin-resistant <i>Staphylococcus aureus</i> and methicillin-susceptible <i>S. aureus</i> using the minimum inhibitory concentration (MIC), mutant prevention concentration (MPC) and median (976 µg/ml) ELF drug concentration for amikacin. Overall killing took longer at the MIC drug concentration and was inconsistent amongst the pathogens tested with the percentage of bacteria killed following 180 min of drug exposure ranging from growth in the presence of the drug to 95% kill. At the MPC drug concentrations, killing ranged from 55-88% for all pathogens following 30 min of drug exposure and increased to 99-100% following 180 min of drug exposure. At the ELF amikacin tested, killing was 81-100% following 20 min and 94-100% by 30 min of drug exposure. Rapid killing against MDR respiratory pathogens by amikacin ELF drug concentrations is encouraging.</p>","PeriodicalId":15338,"journal":{"name":"Journal of Chemotherapy","volume":" ","pages":"389-397"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139712290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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