国际肿瘤学杂志 ›› 2015, Vol. 42 ›› Issue (4): 301-304.doi: 10.3760/cma.j.issn.1673-422X.2015.04.017

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三种抗血管生成药物治疗晚期结直肠癌研究进展

  

  1. 733000 甘肃省武威市肿瘤医院消化科(吴正奇、张志镒、王慧娟);兰州大学第一医院肿瘤内科(刘小军)
  • 出版日期:2015-04-08 发布日期:2015-04-22
  • 通讯作者: 刘小军,Email: xjliu@lzu.edu.cn

Research progress of three antiangiogenic agents in the treatment of advanced colorectal cancer

  1. Department of Gastroenterology, Wuwei Tumor Hospital, Wuwei 733000, China.
  • Online:2015-04-08 Published:2015-04-22
  • Contact: Liu Xiaojun, Email: xjliu@lzu.edu.cn

摘要: 血管生成在结直肠癌的发生、发展中发挥重要作用。靶向血管内皮生成因子信号通路的药物治疗晚期结直肠癌获得了重要的生存改善。在化疗基础上联合贝伐珠单抗一线、二线和跨线治疗晚期结直肠癌可进一步延长生存期。阿柏西普联合含伊立替康的化疗方案治疗晚期结直肠癌延长了生存期。对抵抗所有化疗药物的晚期结直肠癌患者使用瑞格非尼后仍延长了生存期。这些抗血管生成药物为晚期结直肠癌患者带来了生存获益,并拥有良好的安全性,可以和化疗药物联合用于晚期结直肠癌患者的的治疗。

关键词: 血管生成抑制剂, 结直肠肿瘤, 阿柏西普, 瑞格非尼

Abstract: Angiogenesis plays a vital role in carcinogenesis and development of colorectal cancer. Treatment targeting VEGF signaling pathway acquires important survival prolong for advanced colorectal cancer patients. For advanced colorectal cancer patients, bevacizumab could furtherly prolongs survival time in the setting of first line, second line and continuing therapy after firstprogression therapy combined with chemotherapy. Aflibercept used in combination with irinotecancontaining regimen improves the survival of advanced colorectal cancer patients in secondline setting. Regorafenib also improves the survival of advanced colorectal cancer patients who have progressed after all line treatment. Considering these suivival benefit and their favorable safety, antiangiogenic agents should be taken into all lines of therapy in the management of advanced colorectal cancer.

Key words: Angiogenesis inhibitors, Colorectal neoplasms, Aflibercept, Regorafenib