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长春瑞滨联合铂类治疗蒽环和紫杉类耐药的转移性乳腺癌的临床研究

凌琼颖 赵爱峡 谢晓楠 周文献 陆永奎 王洪学 刘燕 谭爱花 谢伟敏

广西医科大学学报2017,Vol.34Issue(12):1717-1720,4.
广西医科大学学报2017,Vol.34Issue(12):1717-1720,4.DOI:10.16190/j.cnki.45-1211/r.2017.12.010

长春瑞滨联合铂类治疗蒽环和紫杉类耐药的转移性乳腺癌的临床研究

Navelbine plus platinum protocol for metastatic breast cancer patients with drug-resistant to both anthracyclines and taxanes

凌琼颖 1赵爱峡 2谢晓楠 1周文献 3陆永奎 3王洪学 3刘燕 3谭爱花 3谢伟敏3

作者信息

  • 1. 广西医科大学,南宁530021
  • 2. 广西百色市人民医院肿瘤化疗科,百色533000
  • 3. 广西医科大学附属肿瘤医院乳腺及骨软组织肿瘤内科,南宁530021
  • 折叠

摘要

Abstract

Objective:To investigate the efficacy and safety of navelbine (NVB) plus platinum protocol in metastatic breast cancer (MBC) patients with drug-resistant to anthracyclines and taxanes.Methods:MBC patients previously treated with anthracyclines and taxanes were enrolled.Treatment consisted of NVB (25 mg/m2 i.v.on days 1 and 5) and cisplatin (25 mg/m2 i.v.on days 1 to 5) or carboplatin (AUC 5 i.v.on day 1) administered every 21 days.Results:Objective response rate was 40.0% including 2 complete response (3.6%) and 20 partial responses (36.4%).Eighteen patients (32.7%) had stable disease.The median progression-free survival (PFS) was 6 months (95% CI 3.1-8.9 months).The most common grade 3-4 toxicities included vomiting (9.1%),neutropenia (21.8%),and thrombocytopenia (5.5%).All adverse events were reversible and no treatment-related death.Conclusion:NVB plus cisplatin or carboplatin had promising efficacy in MBC patients with drug-resistant to anthracyclines and taxanes.This combination could improve patients' tolerability.

关键词

乳腺癌/长春瑞滨/顺铂/卡铂/蒽环类和紫杉类耐药

Key words

breast cancer/navelbine/cisplatin/carboplatin/drug-resistant to anthracyclines and taxanes

分类

医药卫生

引用本文复制引用

凌琼颖,赵爱峡,谢晓楠,周文献,陆永奎,王洪学,刘燕,谭爱花,谢伟敏..长春瑞滨联合铂类治疗蒽环和紫杉类耐药的转移性乳腺癌的临床研究[J].广西医科大学学报,2017,34(12):1717-1720,4.

基金项目

国家自然科学基金资助项目(No.81560468) (No.81560468)

广西自然科学青年基金资助项目(No.2014GXNSFBA118141) (No.2014GXNSFBA118141)

广西自然科学基金资助项目(No.2016GXNSFAA380245). (No.2016GXNSFAA380245)

广西医科大学学报

OACSTPCD

1005-930X

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