使用西妥昔单抗治疗口腔癌以及不同治疗方案的不良反应:一项为期11年的单中心回顾性研究

Saki Ishikawa, Taiki Suzuki, Shiori Tanaka, Ayaka Tatsumi, Yuri Aiso, Shoichi Sekikawa, S. Ogane, Akira Katakura, Takeshi Nomura
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摘要

这项回顾性研究的目的是评估西妥昔单抗(C-mab)单药或与各种方案联合治疗口腔癌在我院的使用情况和安全性。研究对象包括 2013 年 1 月至 2022 年 12 月期间在东京牙科大学口腔癌中心接受 C-mab 化疗的 53 例口腔癌患者。共分析了 68 种方案。采用 Kaplan-Meier 曲线分析了每种方案的不良事件(AEs)发生时间和发生率,从而确定了累积率。所采用的治疗方案包括:诱导C-mab+紫杉醇+卡铂(ICT-PCE,n = 7)、C-mab+放疗(RT)(n = 22)、C-mab+顺铂+氟尿嘧啶(n = 7)、C-mab+紫杉醇+卡铂(n = 1)、C-mab+紫杉醇(n = 16)、C-mab维持治疗(n = 11)和其他4种情况。这项回顾性研究调查了含有 C-mab 的口腔癌治疗方案的有效性以及这些方案的不良反应。在多种药物治疗中使用 C-mab 时,C-mab 是口腔癌治疗的重要组成部分。含有 C-mab 的治疗方案可能会导致直接或间接的不良反应。持续、严格的监测对于减少这些事件至关重要。与其他部门合作有助于降低这些事件的严重性。
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The use of cetuximab for oral cancer and adverse events with different treatment regimens: A single‐center retrospective study over an 11‐year period
The aim of this retrospective study was to assess the use and safety of cetuximab (C‐mab) monotherapy or combination therapy with various regimens for treating oral cancer in our hospital.The study comprised 53 patients diagnosed with oral cancer who underwent chemotherapy with C‐mab between January 2013 and December 2022 at the Oral Cancer Center, Tokyo Dental College. In total, 68 regimens were analyzed. The cumulative rate was determined by analyzing the timing and incidence of adverse events (AEs) with each regimen using a Kaplan–Meier curve.The treatment regimens administered included the following: induction C‐mab + paclitaxel + carboplatin (ICT‐PCE, n = 7), C‐mab + radiotherapy (RT) (n = 22), C‐mab + cisplatin + fluorouracil (n = 7), C‐mab + paclitaxel + carboplatin (n = 1), C‐mab + paclitaxel (n = 16), C‐mab maintenance (n = 11), and four other cases. The total number of doses administered was 895.This retrospective study investigated the effectiveness of treatment regimens containing C‐mab for oral cancer and adverse reactions to these regimens. C‐mab is a crucial component of oral cancer treatment when used in multidrug therapy. C‐mab containing regimens may result in direct or indirect AEs. Ongoing, rigorous monitoring is essential to mitigate these events. Partnering with other departments can help to limit their severity.
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