临床肿瘤学杂志

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VEGFR-TKI治疗晚期非小细胞肺癌的研究进展

蒋 侃 综述,黄 诚 审校   

  1. 350014 福州 福建医科大学教学医院 福建省肿瘤医院内科
  • 收稿日期:2017-03-19 修回日期:2017-07-14 出版日期:2017-09-30 发布日期:2017-09-30
  • 通讯作者: 黄 诚

Progression of VEGFR-TKI in advanced non-small cell lung cancer

JIANG Kan,HUANG Cheng.
  

  1. Department of Medical Oncology,Fujian Provincial Cancer Hospital,Teaching Hospital of Fujian Medical University, Fuzhou 350014, China
  • Received:2017-03-19 Revised:2017-07-14 Online:2017-09-30 Published:2017-09-30
  • Contact: HUANG Cheng

摘要: 血管生成在肿瘤的发生和发展中起了重要的作用。抗血管生成已成为肿瘤治疗的一个重要手段,贯穿肿瘤治疗的全过程。血管内皮生长因子受体酪氨酸激酶抑制剂(VEGFR-TKI)是小分子抗肿瘤血管生成的药物。本文介绍国内外已上市和正处于研发阶段的VEGFR-TKIs,其单药、与化疗药物联用、与靶向药物联用的治疗模式提高了晚期非小细胞肺癌(NSCLC)的客观缓解率(ORR),延长了无进展生存期(PFS),但在延长总生存期(OS)方面未见优势。并且,VEGFR-TKIs的不良反应较大。如何提高疗效,减少不良反应,将是今后研究的方向。

Abstract: Angiogenesis plays an important role in tumor genesis and development. Therefore, anti-angiogenic therapy has become an important part in cancer therapy and throughout the entire therapy process. Vascular endothelial growth factor receptor tyrosine kinase inhibitor (VEGFR-TKI) is small molecular anti-angiogenic drug. This article introduces the domestic and international listed and researching VEGFR-TKIs. The models of single-agent/combined with chemotherapy drugs/combined with targeted drugs can improve the objective response rates(ORR)of advanced non-small cell lung cancer (NSCLC), lengthen progression-free survival(PFS). But it was failed to lengthen overall survival(OS). And the adverse effects of VEGFR-TKIs were greater. How to improve the efficacy and reduce adverse effects will be the direction of future research.

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