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伏美替尼治疗非小细胞肺癌的研究进展OACSTPCD

Research Progress on Furmonertinib in the Treatment of Non-Small Cell Lung Cancer

中文摘要英文摘要

目的 为伏美替尼临床治疗非小细胞肺癌(NSCLC)的合理应用提供参考.方法 采用计算机检索Web of Science及PubMed数据库中 2021 年 1 月至2023年3月的伏美替尼相关文献,总结伏美替尼的药代动力学特征、临床疗效、药品不良反应(ADR)的研究进展.结果 伏美替尼的药物代谢与给药剂量及联用药物相关,其治疗NSCLC和表皮生长因子受体(EGFR)ex20ins,T790M突变的转移性NSCLC均有较好疗效和安全性.除肝功能损伤、腹泻、皮疹等常见ADR外,伏美替尼还存在血栓、凝血功能异常、高血压、电解质紊乱、尿路感染、消化道穿孔、心功能损伤等罕见ADR.结论 临床应用时应注意监测伏美替尼与其他联用药物间的相互作用,为避免出现严重ADR,治疗前应进行肝肾功能、心脏彩超、凝血功能等检查.

Objective To provide a reference for the rational application of furmonertinib in the clinical treatment of non-small cell lung cancer(NSCLC).Methods Literature related to furmonertinib in the Web of Science and PubMed databases from January 2021 to March 2023 were searched to summarize the research progress on the pharmacokinetic characteristics,clinical efficacy,and adverse drug reactions(ADRs)of furmonertinib.Results The drug metabolism of furmonertinib is related to the dosage and combination therapy.It has good efficacy and safety in the treatment of NSCLC and metastatic NSCLC with epidermal growth factor receptor(EGFR)ex20ins and T790M mutations.In addition to common ADRs such as liver function damage,diarrhea,rash,etc.,furmonertinib also has some rare ADRs such as thrombosis,coagulation dysfunction,hypertension,electrolyte disorders,urinary tract infections,gastrointestinal perforation,and cardiac function damage.Conclusion In clinical application,attention should be paid to monitoring the drug-drug interaction between furmonertinib and other combination drugs.To avoid severe ADR,some examinations such as liver and kidney function,cardiac ultrasound,coagulation function should be carried out for the patients before receiving furmonertinib treatment.

夏盼盼;范若南;鹿楠楠;沈爱宗

中国科学技术大学附属第一医院·安徽省立医院,安徽 合肥 230001||安徽省药品临床综合评价技术中心,安徽 合肥 230001安徽省药品临床综合评价技术中心,安徽 合肥 230001||安徽医科大学药学院,安徽 合肥 230032中国科学技术大学附属第一医院·安徽省立医院,安徽 合肥 230001中国科学技术大学附属第一医院·安徽省立医院,安徽 合肥 230001||安徽省药品临床综合评价技术中心,安徽 合肥 230001||安徽医科大学药学院,安徽 合肥 230032

药学

非小细胞肺癌伏美替尼酪氨酸激酶抑制剂药物代谢药品不良反应

non-small cell lung cancerfurmonertinibtyrosine kinase inhibitordrug metabolismadverse drug reactions

《中国药业》 2024 (001)

128,后插1-后插4 / 5

国家自然科学基金面上项目[52273308];国家自然科学基金青年项目[82203882].

10.3969/j.issn.1006-4931.2024.01.029

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