cyclin-dependent kinase inhibitors

细胞周期蛋白依赖性激酶抑制剂
  • 文章类型: Case Reports
    细胞周期蛋白依赖性激酶抑制剂被批准与激素疗法组合用于治疗表达激素受体的乳腺癌。已经推测了在表达激素受体的妇科癌症中的活性。卵巢颗粒细胞瘤就是这样一种癌症,对传统的细胞毒性化疗相对耐药。我们报告了一个病例系列,包括7例接受严重预处理的卵巢复发性颗粒细胞瘤患者,使用细胞周期蛋白依赖性激酶抑制剂结合激素治疗,3例患者表现出部分反应,2例疾病稳定。截至数据截止,3例患者仍在治疗中,5例存活,未达到治疗持续时间和总生存期的真正中位数(中位数分别为64周和62个月).治疗一般耐受性良好,1例患者因3级疲劳而选择停止治疗。该方案代表了治疗卵巢颗粒细胞瘤的可能选择,在这种通常需要许多治疗方法的惰性疾病中,有必要对这种未满足的需求进行进一步的前瞻性研究。
    Cyclin-dependent kinase inhibitors are approved in combination with hormonal therapy for treatment of hormone receptor expressing breast cancers. Activity in hormone receptor expressing gynecologic cancers has been postulated. Granulosa cell tumor of the ovary is one such cancer, which is relatively resistant to traditional cytotoxic chemotherapy. We report a case series of 7 heavily pre-treated patients with recurrent granulosa cell tumor of the ovary with a cyclin-dependent kinase inhibitor in combination with hormonal therapy, with 3 patients demonstrating partial response and 2 with stable disease. As of the data cutoff, 3 patients remained on treatment and 5 were alive, with true medians for duration of treatment and overall survival not reached (medians at data cutoff of 64 weeks and 62 months respectively). The treatment was generally well tolerated, with 1 patient choosing to discontinue treatment due to grade 3 fatigue. This regimen represents a possible option in the treatment of granulosa cell tumor of the ovary, warranting further prospective study for this unmet need in this indolent disease which often requires many lines of treatment.
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