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尼妥珠单抗联合三维适形放疗治疗复发性鼻咽癌的临床研究

周同冲 余宏伟 廖志伟

国际医药卫生导报2013,Vol.19Issue(21):3257-3260,4.
国际医药卫生导报2013,Vol.19Issue(21):3257-3260,4.DOI:10.3760/cma.j.issn.1007-1245.2013.21.006

尼妥珠单抗联合三维适形放疗治疗复发性鼻咽癌的临床研究

Clinical study of nimotuzumab and three dimensional conformal radiotherapy in the treatment of recurrent nasopharyngeal carcinoma

周同冲 1余宏伟 1廖志伟1

作者信息

  • 1. 510095 广州医科大学附属肿瘤医院放疗二科
  • 折叠

摘要

Abstract

Objective To investigate efficacy and tolerability of nimotuzumab in combination with three dimensional conformal radiotherapy in recurrent nasopharyngeal carcinoma.Methods 32 cases of recurrent nasopharyngeal carcinoma were randomly divided into control group and experimental group,16 cases in each group.Control group was treated with conventional concomitant fractionated radiation (60-70 Gy in 2 Gy fractions) and 2 cycles of cisplatin 20 mg/m2 (d1-4) every 3 weeks.Nimotuzumab was added at a dose of 100 mg i.v.weekly for 6-7 weeks at the beginning of radiotherapy in experimental group.Results The response rate (RR) and the disease control rate (DCR) of control group were 43.75% and 68.75% respectively,while those of experimental group were 50% and 75% respectively,without significant differences between two groups.The most common reported adverse events were lymphopenia and gastrointestinal reactions,with significant difference between two groups.The most frequent nimotuzumab-related adverse events were fever (25%),hypotension (18.75%) and rash (18.75%),which didn' t disturb the therapy.Conclusion Nimotuzumab in combination with three dimensional conformal radiotherapy is well-tolerated and feasible for recurrent nasopharyngeal carcinoma,worthy of clinical application.

关键词

复发性鼻咽癌/尼妥珠单抗/三维适形放疗/顺铂

Key words

Recurrent nasopharyngeal carcinoma/ Nimotuzumab/ Three dimensional conformal radiotherapy/ Cisplatin

引用本文复制引用

周同冲,余宏伟,廖志伟..尼妥珠单抗联合三维适形放疗治疗复发性鼻咽癌的临床研究[J].国际医药卫生导报,2013,19(21):3257-3260,4.

基金项目

广东省科技计划项目(2009B060700084) (2009B060700084)

国际医药卫生导报

1007-1245

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