特泊替尼用于因肾衰竭而同时接受血液透析的携带 MET 第 14 号外显子的晚期非小细胞肺癌患者:病例报告

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC
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引用次数: 0

摘要

-特泊替尼是一种强效、高选择性、每日一次的口服MET酪氨酸激酶抑制剂,已在多个国家获批用于治疗晚期/转移性METex14跳跃NSCLC,可用于轻中度肾功能损害患者,无需调整剂量。我们报告了在一名接受血液透析的晚期 METex14 跳过 NSCLC 终末期肾病患者身上使用标准剂量特泊替尼(500 毫克;450 毫克活性分子)的可行性,该患者病情得到控制,仅出现轻微不良反应,无需调整剂量。-特泊替尼血浆浓度的测量结果支持了标准剂量的使用,其浓度在使用群体药代动力学模型预测的典型 NSCLC 患者的预期范围内,并表明在透析过程中没有临床相关的药物流失。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tepotinib in a Patient With Advanced Non-Small Cell Lung Cancer Harboring MET Exon 14 Skipping Undergoing Concomitant Hemodialysis for Renal Failure: A Case Report

  • Tepotinib, a potent, highly selective, once-daily, oral MET tyrosine kinase inhibitor, is approved in multiple countries for the treatment of advanced/metastatic METex14 skipping NSCLC and can be used in patients with mild-moderate renal impairment without dose adjustment. However, data in severe renal impairment are lacking.

  • We report the feasibility of using the standard dose of tepotinib (500 mg; 450 mg active moiety) in a patient with advanced METex14 skipping NSCLC with end-stage renal disease undergoing hemodialysis, who attained disease control, with only mild adverse events that did not necessitate dose adjustment.

  • Use of the standard dose was supported by tepotinib plasma concentration measurements, which fell within the expected range for a typical patient with NSCLC predicted using a population pharmacokinetic model and indicated no clinically relevant drug loss during dialysis.

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来源期刊
CiteScore
7.20
自引率
4.30%
发文量
567
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