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美国FDA批准VIZIMPRO用于EGFR突变的转移性非小细胞肺癌的一线治疗

2018-09-28 MedSci MedSci原创

辉瑞公司于9月27日宣布,美国食品和药物管理局(FDA)已经批准了VIZIMPRO®(dacomitinib)用于EGFR突变的转移性非小细胞肺癌的一线治疗。

辉瑞公司于927日宣布,美国食品和药物管理局(FDA)已经批准了VIZIMPRO®dacomitinib)用于EGFR突变的转移性非小细胞肺癌的一线治疗。

辉瑞肿瘤学全球总裁Andy Schmeltz说:改善患者的治疗效果是我们开发和提供新药的重点。VIZIMPRO是辉瑞公司致力于提供更多肺癌选择的一个例子。VIZIMPROFDA批准之后,辉瑞公司已经拥有三种针对独特肺癌生物标志物的药物

VIZIMPRO的安全性和有效性已经在ARCHER 1050试验中得到证实,ARCHER 1050是一项随机、多中心的全球开放标签研究。患者为无法切除的转移性NSCLC,既往无转移性疾病或复发性疾病治疗,完成全身治疗后至少12个月无疾病进展;ECOG的表现状态为01EGFR外显子19缺失或外显子21 L858R取代突变。共有452名患者以11的比例随机分配至VIZIMPRO组(n = 227)或吉非替尼组(n = 225)。主要终点是无进展生存期(PFS),次要终点包括总体反应率(ORR)、反应持续时间(DoR)和总生存期(OS)。与吉非替尼相比,VIZIMPRO组的患者的PFS显著改善:VIZIMPRO组的中位PFS14.7个月(95CI11.1-16.6),而吉非替尼组仅为9.2个月(95CI9.1-11.0)。


原始出处:

http://www.firstwordpharma.com/node/1593876#axzz5SJBcSQbc

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    2018-09-30 liuyiping
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    2018-09-30 sunylz

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以顺铂为基础的辅助化疗是治疗II-IIIA期非小细胞肺癌(NSCLC)患者的标准护理。RADIANT和SELECT试验的数据表明EGFR酪氨酸酶激酶抑制剂疗法或可改善携带EGFR突变的IB-IIIA期NSCLC术后患者的预后。WenZhao Zhong等人,针对携带EGFR突变的II-IIIA(N1-N2)期的NSCLC完全切除术后的患者,比较吉非替尼与长春瑞滨联合顺铂的辅助治疗效果。

CLIN CANCER RES:EGFR突变肺癌中与EGFR酶抑制剂耐药有关的基因突变

CLIN CANCER RES近期发表了一篇文章,研究与EGFR酶抑制剂治疗效果有关的分子因素,寻找耐药机制。作者使用靶向二代测序技术分析了EGFR突变肿瘤治疗前与接受EGFR TKI治疗后进展的肿瘤分子情况。

CLIN CANCER RES:ASP8273治疗EGFR突变非小细胞肺癌

在EGFR突变肺癌中, 获得性EGFR T790M突变是最常见的EGFR TKI耐药机制。ASP8273是第三代EGFR TKI,在EGFR突变,包括EGFR T790M突变肺癌临床前模型中具有抗肿瘤活性。CLIN CANCER RES近期发表了一篇文章,报道ASP8273治疗非小细胞肺癌的疗效。

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