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作 者:李祥[1] 郑红梅[1] 吴奇[2] 孙圣荣[2] 吴新红[1]
机构地区:[1]湖北省肿瘤医院乳腺科,武汉430079 [2]武汉大学人民医院甲乳外科
出 处:《临床外科杂志》2017年第4期314-315,共2页Journal of Clinical Surgery
基 金:湖北省卫生计生委重点资助项目(WJ2015MA016)
摘 要:近几年关于抗肿瘤血管生成药物的研究越来越多,血管内皮生长因子受体(vascular endothelial growth factor receptors,VEGFR)在血管形成过程起重要作用。阿帕替尼是一种新型口服小分子VEGFR酪氨酸激酶抑制剂(tyrosine kinase inhibitors,TKI),目前主要用于晚期胃癌、乳腺癌和肺癌等治疗,目前已进入Ⅲ期临床试验。相比于同类药物索拉非尼和舒尼替尼,阿帕替尼显现出更高的体外和体内活性,具有很强的抗肿瘤作用。本文就关于阿帕替尼的研究背景、临床研究和药物不良反应进行综述。In recent years,there were many reports involved in anti-angiogenesis drugs,vascular endothelial growth factor receptors(VEGFRs)which played a vital role in angiogenesis.Apatinib was known as a novel orally small-molecule VEGFR tyrosine kinase inhibitor,mainly used in the therapy of advanced refractory gastric cancer,breast cancer and lung cancer.Currently apatinib has entered phase Ⅲ clinical trials.It had stronger antineoplastic activity both in vivo and in vitro when compared with the similar drug such as sorafenib or sunitinib,which was comfirmed by a lot of basic and clinical research.In this article,background,basic information,pharmacodynamics,clinical trials and drug toxicity of apatinib will be discussed.
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