伦伐替尼一线治疗晚期肝细胞癌的实际效果：当前的见解。

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL Pragmatic and Observational Research Pub Date : 2024-06-10 eCollection Date: 2024-01-01 DOI:10.2147/POR.S395974

Tiago Biachi de Castria, Richard D Kim

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摘要

2018年，伦伐替尼首次获批用于治疗晚期肝细胞癌。此后，在REFLECT试验非劣效性数据的支持下，它已成为首选一线药物。值得注意的是，与索拉非尼相比，来伐替尼表现出更有利的毒性特征和更高的应答率。尽管免疫疗法将于2020年获批，特别是IMbrave150试验后阿特珠单抗和贝伐珠单抗的联合用药，但酪氨酸激酶抑制剂仍是肝细胞癌治疗领域不可或缺的一类药物。本综述深入探讨了来伐替尼在肝细胞癌中应用的各个方面，揭示了真实世界的数据，探讨了面临的挑战，并对克服这些障碍的策略提出了见解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Real-World Effectiveness of First Line Lenvatinib Therapy in Advanced Hepatocellular Carcinoma: Current Insights.

Lenvatinib received its initial approval in 2018 for the treatment of advanced hepatocellular carcinoma. It has since emerged as the preferred first line agent, supported by non-inferiority data from the REFLECT trial. Notably, lenvatinib exhibits a more favorable toxicity profile and a higher response rate compared to sorafenib. Despite the approval of immunotherapy in 2020, specifically the combination of atezolizumab and bevacizumab following the IMbrave150 trial, tyrosine kinase inhibitors remain an indispensable class of agents in the landscape of hepatocellular carcinoma treatment. This comprehensive review delves into various facets of lenvatinib utilization in hepatocellular carcinoma, shedding light on real-world data, addressing challenges, and providing insights into strategies to overcome these obstacles.

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Pragmatic and Observational Research MEDICINE, GENERAL & INTERNAL-

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期刊介绍： Pragmatic and Observational Research is an international, peer-reviewed, open-access journal that publishes data from studies designed to closely reflect medical interventions in real-world clinical practice, providing insights beyond classical randomized controlled trials (RCTs). While RCTs maximize internal validity for cause-and-effect relationships, they often represent only specific patient groups. This journal aims to complement such studies by providing data that better mirrors real-world patients and the usage of medicines, thus informing guidelines and enhancing the applicability of research findings across diverse patient populations encountered in everyday clinical practice.