依维莫司治疗激素受体阳性乳腺癌患者的临床结果:一项现实世界分析。

IF 2.6 4区 医学 Q2 ONCOLOGY
Xinyu Gui, Yuhong Liu, Ying Yan, Lijun Di, Guohong Song
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引用次数: 0

摘要

目的:本研究旨在评价依维莫司联合内分泌治疗对激素受体阳性、人表皮生长因子受体-2阴性(HR+/HER2-)晚期乳腺癌患者的有效性和安全性。方法:回顾性分析2012年1月至2025年2月北京肿瘤医院收治的成年HR+/HER2晚期乳腺癌患者资料。结果:共纳入137例患者,中位无进展生存期(PFS)为4.13个月(95%可信区间[CI]: 2.86-5.40)。客观有效率为10.9%,疾病控制率为51.1%。不同治疗线间PFS差异无统计学意义(p = 0.433),依维莫司与不同联合用药间PFS差异无统计学意义(p = 0.528)。先前未使用周期蛋白依赖性激酶4/6 (CDK4/6)抑制剂的患者的中位PFS为4.20个月,而先前使用CDK4/6抑制剂的患者为3.07个月(p = 0.466)。先前使用CDK4/6抑制剂超过6个月的患者在随后使用依维莫司联合内分泌治疗时表现出延长的PFS(7.63个月vs 2.03个月)。结论:对于HR+/HER2-晚期乳腺癌患者,依维莫司联合内分泌治疗可作为CDK4/6抑制剂疾病进展后的替代选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical outcomes of everolimus in patients with hormone receptor positive breast cancer: a real-world analysis.

Aims: The study aimed to evaluate the effectiveness and safety of everolimus combined with endocrine therapy in patients with hormone receptor-positive, human epidermal growth factor receptor-2 negative (HR+/HER2-) advanced breast cancer.

Methods: Data from adult patients with HR+/HER2- advanced breast cancer at Beijing Cancer Hospital between January 2012 and February 2025 were analyzed retrospectively.

Results: A total of 137 patients were included and the median progression-free survival (PFS) was 4.13 months (95% confidence interval [CI]: 2.86-5.40). The objective response rate and disease control rate (DCR) were 10.9% and 51.1%, respectively. No significant difference was found in PFS between different lines of therapy (p = 0.433) or different combination drugs with everolimus (p = 0.528). The median PFS in patients without prior use of cyclin-dependent kinase 4/6 (CDK4/6) inhibitors was 4.20 months, compared to 3.07 months in patients previously treated with CDK4/6 inhibitors (p = 0.466). The patients with prior CDK4/6 inhibitors for more than six months exhibited an extended PFS when subsequently treated with everolimus plus endocrine therapy (7.63 vs. 2.03 months, p<0.001). Meanwhile, everolimus-based treatment was generally well-tolerated.

Conclusion: For patients with HR+/HER2- advanced breast cancer, everolimus combined with endocrine therapy may serve as an alternative option after disease progression on CDK4/6 inhibitors.

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来源期刊
Future oncology
Future oncology ONCOLOGY-
CiteScore
5.40
自引率
3.00%
发文量
335
审稿时长
4-8 weeks
期刊介绍: Future Oncology (ISSN 1479-6694) provides a forum for a new era of cancer care. The journal focuses on the most important advances and highlights their relevance in the clinical setting. Furthermore, Future Oncology delivers essential information in concise, at-a-glance article formats - vital in delivering information to an increasingly time-constrained community. The journal takes a forward-looking stance toward the scientific and clinical issues, together with the economic and policy issues that confront us in this new era of cancer care. The journal includes literature awareness such as the latest developments in radiotherapy and immunotherapy, concise commentary and analysis, and full review articles all of which provide key findings, translational to the clinical setting.
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