中国医师学会骨肿瘤专业委员会, 中国骨肿瘤研究协作组. 抗血管生成酪氨酸激酶抑制剂治疗骨与软组织肉瘤的药物安全管理共识[J]. 中国肿瘤临床, 2020, 47(4): 163-171. DOI: 10.3969/j.issn.1000-8179.2020.04.342
引用本文: 中国医师学会骨肿瘤专业委员会, 中国骨肿瘤研究协作组. 抗血管生成酪氨酸激酶抑制剂治疗骨与软组织肉瘤的药物安全管理共识[J]. 中国肿瘤临床, 2020, 47(4): 163-171. DOI: 10.3969/j.issn.1000-8179.2020.04.342
Musculoskeletal Tumor Society, Chinese Medical Doctor Association, Chinese Sarcoma Study Group CSSG. Consensus on the safety management of anti-angiogenic tyrosine kinase inhibitors in bone and soft tissue sarcoma treatment[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2020, 47(4): 163-171. DOI: 10.3969/j.issn.1000-8179.2020.04.342
Citation: Musculoskeletal Tumor Society, Chinese Medical Doctor Association, Chinese Sarcoma Study Group CSSG. Consensus on the safety management of anti-angiogenic tyrosine kinase inhibitors in bone and soft tissue sarcoma treatment[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2020, 47(4): 163-171. DOI: 10.3969/j.issn.1000-8179.2020.04.342

抗血管生成酪氨酸激酶抑制剂治疗骨与软组织肉瘤的药物安全管理共识

Consensus on the safety management of anti-angiogenic tyrosine kinase inhibitors in bone and soft tissue sarcoma treatment

  • 摘要: 抗血管生成靶向药物,特别是抗血管生成酪氨酸激酶抑制剂已在进展期骨肿瘤及软组织肉瘤中有广泛的应用,其中国产的阿帕替尼、安罗替尼等也通过全国单中心或多中心的临床研究证实有较好的疗效。但是,这类抗血管生成的靶向药物使用过程中所出现的不良反应,是限制这类药物发挥作用的关键。2019年8月中国骨肿瘤研究协作组成员进行充分的讨论,达成本共识,主要针对抗血管生成靶向药物在使用过程中常见的不良反应进行分类及处理,以期指导相关临床医生的用药管理,给更多使用抗血管生成靶向药物的患者带来生存受益。

     

    Abstract: Anti- angiogenesis-targeted drugs, especially anti- angiogenic tyrosine kinase inhibitors (aa- TKIs), are broadly used in the treatment of advanced bone and soft tissue sarcoma. The antitumor effects of Chinese domestically developed aa-TKIs, such as apatinib and anlotinib, were also demonstrated in several single-center or multi-center clinical studies. However, treatment-related adverse events (AEs) have limited the use of aa-TKIs. On Aug 30, 2019, the members of the Chinese Sarcoma Study Group conducted a thorough discussion on this issue and reached a consensus, focusing on the classification and treatment of common AEs that may occur during the use of aa-TKIs. The aim of this article is to improve our understanding and provide AE management guidance for clinicians as well as benefit patients using aa-TKIs.

     

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