姜战胜, 潘战宇, 谢广茹. 晚期非小细胞肺癌一线靶向治疗的研究进展[J]. 中国肿瘤临床, 2012, 39(19): 1449-1452. DOI: 10.3969/j.issn.1000-8179.2012.19.016
引用本文: 姜战胜, 潘战宇, 谢广茹. 晚期非小细胞肺癌一线靶向治疗的研究进展[J]. 中国肿瘤临床, 2012, 39(19): 1449-1452. DOI: 10.3969/j.issn.1000-8179.2012.19.016
Zhansheng JIANG, Zhanyu PAN, Guangru XIE. Development of First-line Molecular-targeted Therapy for Advanced Non-small Cell Lung Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2012, 39(19): 1449-1452. DOI: 10.3969/j.issn.1000-8179.2012.19.016
Citation: Zhansheng JIANG, Zhanyu PAN, Guangru XIE. Development of First-line Molecular-targeted Therapy for Advanced Non-small Cell Lung Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2012, 39(19): 1449-1452. DOI: 10.3969/j.issn.1000-8179.2012.19.016

晚期非小细胞肺癌一线靶向治疗的研究进展

Development of First-line Molecular-targeted Therapy for Advanced Non-small Cell Lung Cancer

  • 摘要: 肺癌是世界上发病率和死亡率最高的恶性肿瘤之一, 其中85%以上为非小细胞肺癌(non-small cell lung cancer, NSCLC)。目前, 对于复发或转移性晚期NSCLC, 化疗是必选治疗方法之一, 但其疗效已进入平台期, 近期和远期疗效均不甚理想。靶向治疗作为20世纪90年代以来的肿瘤研究重点, 在NSCLC的治疗中已占据重要地位。针对表皮生长因子受体的单克隆抗体(西妥昔单抗)和小分子酪氨酸激酶抑制剂(厄洛替尼尼或吉非替尼)、血管内皮生长因子的单克隆抗体(贝伐珠单抗)以及针对ALK阳性突变的抑制剂Crizotinib均已成为晚期NSCLC的一线治疗选择其中, 尤其以小分子酪氨酸激酶抑制剂疗效卓越, 在表皮生长因子受体突变的患者中, 其单药应用的疗效优于一线化疗, 有效率高达60%以上, 可使患者的无疾病进展时间延长至10个月。本文将就以上几种药物的相关临床研究对目前晚期NSCLC一线靶向治疗加以综述。

     

    Abstract: Lung cancer is malignant tumor with the highest morbidity and mortality rates.Non-small cell lung cancer(NSCLC) occurs in over 85%of all lung cancer cases.Chemotherapy is the current primary treatment choice for recurrent and metastatic NSCLC. However, chemotherapy has reached a plateau in terms of short- and long-term response rates.Since the 1990s, intensified studies on molecular-targeted therapy have played an important role in NSCLC.At present, monoclonal antibodies(cetuximab) and small molecular tyrosine kinase inhibitors(erlotinib or gefitinib) for epidermal growth factor receptor(EGFR), inhibitors for vascular endothelial growth factor(VEGF), monoclonal antibody(bevacizumab), and ALK positive mutations(Crizotinib) comprise the first-line treatment regimen for NSCLC.The efficacy of small molecule tyrosine kinase inhibitors is unambiguously excellent in patients with EGFR mutations—better than that of first-line chemotherapy—achieving a response rate of 60%or higher and extending patients' progression-free survival to 10 months.Therefore, the present study introduces clinical studies of the above-mentioned drugs used as first-line targeted therapy for advanced NSCLC.

     

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