Acetonitriles

乙腈
  • 文章类型: Journal Article
    已经开发了选择性KRASG12C抑制剂以将癌基因共价锁定在非活性GDP结合状态。其中两个分子,sotorasib和adagrasib,已被批准用于治疗KRASG12C突变的先前治疗过的晚期非小细胞肺癌的成年患者。药物治疗施加选择性压力,导致耐药变体的生长。来自患者活检的质量测序确定了许多获得性KRAS突变-在顺式和反式抗性肿瘤中。我们在此证明,由于适应性机制和增加的KRAS-GTP负荷,体内疾病进展也可能发生。使用临床前工具三复合物KRASG12C选择性共价抑制剂,RMC-4998(也称为RM-029),靶向癌基因的活性GTP结合(ON)状态,我们提供了一个概念验证,即临床阶段KRASG12C(ON)抑制剂RMC-6291单独使用或与KRASG12C(OFF)药物联合使用可以作为一种替代的潜在治疗策略,以规避由于KRAS-GTP负荷增加而产生的耐药性.
    Selective KRASG12C inhibitors have been developed to covalently lock the oncogene in the inactive GDP-bound state. Two of these molecules, sotorasib and adagrasib, are approved for the treatment of adult patients with KRASG12C-mutated previously treated advanced non-small cell lung cancer. Drug treatment imposes selective pressures leading to the outgrowth of drug-resistant variants. Mass sequencing from patients\' biopsies identified a number of acquired KRAS mutations -both in cis and in trans- in resistant tumors. We demonstrate here that disease progression in vivo can also occur due to adaptive mechanisms and increased KRAS-GTP loading. Using the preclinical tool tri-complex KRASG12C-selective covalent inhibitor, RMC-4998 (also known as RM-029), that targets the active GTP-bound (ON) state of the oncogene, we provide a proof-of-concept that the clinical stage KRASG12C(ON) inhibitor RMC-6291 alone or in combination with KRASG12C(OFF) drugs can be an alternative potential therapeutic strategy to circumvent resistance due to increased KRAS-GTP loading.
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  • 文章类型: Journal Article
    在这里,制备了一种新型的电化学传感器,首次用于多巴胺(DA)的灵敏和选择性检测。新传感器基于玻璃碳电极表面(GC)的装饰,并带有1,3-苯并噻唑-2-基((4-羧基苯基)肼)乙腈(聚(BTCA))的聚合物膜。所制备的(聚(BTCA)通过使用不同的技术,如1HNMR,13CNMR,FTIR,和紫外可见光谱。使用循环伏安法(CV)和差分脉冲伏安法(DPV)评估DA的电化学研究。获得的结果表明,与未改性的GC相比,改性剂提高了电催化效率,在最佳pH为7.0和扫描速率为200mV/s的0.1M磷酸盐缓冲溶液(PBS)中DA的氧化峰电流显着增加。新的传感器显示了一个良好的性能检测DA与检测极限(LOD3σ),和定量限(LOQ10σ)分别为0.28nM和94nM。DA的峰值电流与0.1至10.0µM范围内的浓度成线性比例。此外,制作的电极显示出足够的重现性,稳定性,以及在存在不同干扰物的情况下DA检测的选择性。所提出的聚(BTCA)/GCE传感器有效地用于检测生物样品中的DA。
    Herein, a novel electrochemical sensor that was used for the first time for sensitive and selective detection of dopamine (DA) was fabricated. The new sensor is based on the decoration of the glassy carbon electrode surface (GC) with a polymer film of 1,3-Benzothiazol-2-yl((4-carboxlicphenyl)hydrazono)) acetonitrile (poly(BTCA). The prepared (poly(BTCA) was examined by using different techniques such as 1H NMR, 13C NMR, FTIR, and UV-visible spectroscopy. The electrochemical investigations of DA were assessed using cyclic voltammetry (CV) and differential pulse voltammetry (DPV). The results obtained showed that the modifier increased the electrocatalytic efficiency with a noticeable increase in the oxidation peak current of DA in 0.1 M phosphate buffer solution (PBS) at an optimum pH of 7.0 and scan rate of 200 mV/s when compared to unmodified GC. The new sensor displays a good performance for detecting DA with a limit of detection (LOD 3σ), and limit of quantification (LOQ 10σ) are 0.28 nM and 94 nM respectively. The peak current of DA is linearly proportional to the concentration in the range from 0.1 to 10.0 µM. Additionally, the fabricated electrode showed sufficient reproducibility, stability, and selectivity for DA detection in the presence of different interferents. The proposed poly(BTCA)/GCE sensor was effectively applied to detect DA in the biological samples.
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  • 文章类型: Journal Article
    索利那新(SFC)是一种有效的毒蕈碱拮抗剂,可有效减少膀胱肌肉收缩,从而减轻症状,如排尿频率和尿急。SFC的氧化导致杂质K的形成。这种杂质的有效分析和控制对于确保符合监管标准和保护患者健康至关重要。为了应对这些挑战,我们提出了一种由SFC一步法合成杂质K的新方法。使用硝酸铈(IV)铵(CAN)在水/乙腈作为溶剂中合成杂质K。此外,我们描述了一种新的HPLC-MS方法,用于检测琥珀酸索利那新片剂中的杂质K。
    Solifenacin (SFC) is a potent muscarinic antagonist that effectively reduces bladder muscle contraction, thereby alleviating symptoms such as frequency of micturition and urgency. Oxidation of SFC leads to the formation of impurities like Impurity K. Effective analysis and control of this impurity is crucial for ensuring compliance with regulatory standards and safeguarding patient health. To address these challenges, we propose a novel one-step synthesis of Impurity K from SFC. Impurity K was synthesized using cerium(IV) ammonium nitrate (CAN) in water/acetonitrile as the solvent. Additionally, we describe a new HPLC-MS method for the detection of Impurity K in solifenacin succinate tablets.
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  • 文章类型: Journal Article
    背景:信息素的准确检测对于昆虫的化学通讯和繁殖至关重要。在全代谢的苍蝇和飞蛾中,感觉神经元膜蛋白1(SNMP1)对于嗅觉神经元检测长链脂肪族信息素至关重要。然而,它在半代谢昆虫中的功能及其在检测不同化学性质的信息素方面的作用仍然难以捉摸。因此,我们调查了SNMP1在具有相当经济意义的半代谢害虫中对信息素检测的相关性,沙漠蝗虫,此外,它还使用芳香族信息素苯基乙腈(PAN)来控制生殖行为。
    结果:采用CRISPR/Cas介导的基因编辑,建立了缺乏功能SNMP1的突变蝗虫系。在触电描记术实验和单感记录中,我们发现SNMP1缺陷(SNMP1-/-)蝗虫对PAN的电反应显着降低。此外,大脑触角叶的钙成像显示,暴露于PAN后,SNMP1-/-个体的投射神经元的激活大大降低,表明突变体对PAN的触角反应性降低会影响大脑中信息素诱发的神经元活动。此外,在行为实验中,在SNMP1-/-蝗虫中,PAN对配对和配偶选择的诱导作用发生了变化。
    结论:我们的发现强调了SNMP1在半代谢昆虫害虫中化学通讯的重要性。此外,他们表明,SNMP1在信息素检测中起着至关重要的作用,它超越了长链脂肪族物质,包括控制生殖行为的芳香族化合物。
    BACKGROUND: Accurate detection of pheromones is crucial for chemical communication and reproduction in insects. In holometabolous flies and moths, the sensory neuron membrane protein 1 (SNMP1) is essential for detecting long-chain aliphatic pheromones by olfactory neurons. However, its function in hemimetabolous insects and its role for detecting pheromones of a different chemical nature remain elusive. Therefore, we investigated the relevance of SNMP1 for pheromone detection in a hemimetabolous insect pest of considerable economic importance, the desert locust Schistocerca gregaria, which moreover employs the aromatic pheromone phenylacetonitrile (PAN) to govern reproductive behaviors.
    RESULTS: Employing CRISPR/Cas-mediated gene editing, a mutant locust line lacking functional SNMP1 was established. In electroantennography experiments and single sensillum recordings, we found significantly decreased electrical responses to PAN in SNMP1-deficient (SNMP1-/-) locusts. Moreover, calcium imaging in the antennal lobe of the brain revealed a substantially reduced activation of projection neurons in SNMP1-/- individuals upon exposure to PAN, indicating that the diminished antennal responsiveness to PAN in mutants affects pheromone-evoked neuronal activity in the brain. Furthermore, in behavioral experiments, PAN-induced effects on pairing and mate choice were altered in SNMP1-/- locusts.
    CONCLUSIONS: Our findings emphasize the importance of SNMP1 for chemical communication in a hemimetabolous insect pest. Moreover, they show that SNMP1 plays a crucial role in pheromone detection that goes beyond long-chain aliphatic substances and includes aromatic compounds controlling reproductive behaviors.
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  • 文章类型: Journal Article
    利托那韦的可结晶性和多晶型选择性比较,一种治疗获得性免疫缺陷综合征的新型蛋白酶抑制剂,作为溶剂选择的功能,通过综合和自洽的实验和计算分子模型研究进行检查。发现通过在283.15K下快速冷却在高过饱和下重结晶会从丙酮中产生亚稳的“消失的”多晶型形式I,乙酸乙酯,乙腈,和与产生稳定形式II的乙醇相反的甲苯溶液。在这些条件下没有发现其它已知固体形式的伴随结晶。基于经典成核理论的浊度检测等温结晶研究表明,对于相等的感应时间,开始溶液成核所需的驱动力随着乙醇的溶解度而降低,丙酮,乙腈,乙酸乙酯,和甲苯与从计算的溶质溶剂化自由能预测的预期去溶剂化行为一致。分子和分子间化学的分子动力学模拟揭示了在溶液相内分子内和分子间相互作用之间存在构象相互作用。这些包括分子内O-H的溶剂依赖性形成。..羟基和氨基甲酸酯基团之间的氢键与羟基屏蔽苯基的不同构象偶联。这些构象偏好及其相对相互作用倾向,作为溶剂选择的函数,通过不仅抑制不同程度的成核过程,而且限制形成稳定的II型多晶型物所需的最佳分子间氢键网络的组装,可以在结晶行为中起限速作用。
    The comparative crystallizability and polymorphic selectivity of ritonavir, a novel protease inhibitor for the treatment of acquired immune-deficiency syndrome, as a function of solvent selection are examined through an integrated and self-consistent experimental and computational molecular modeling study. Recrystallization at high supersaturation by rapid cooling at 283.15 K is found to produce the metastable \"disappeared\" polymorphic form I from acetone, ethyl acetate, acetonitrile, and toluene solutions in contrast to ethanol which produces the stable form II. Concomitant crystallization of the other known solid forms is not found under these conditions. Isothermal crystallization studies using turbidometric detection based upon classical nucleation theory reveal that, for an equal induction time, the required driving force needed to initiate solution nucleation decreases with solubility in the order of ethanol, acetone, acetonitrile, ethyl acetate, and toluene consistent with the expected desolvation behavior predicted from the calculated solute solvation free energies. Molecular dynamics simulations of the molecular and intermolecular chemistry reveal the presence of conformational interplay between intramolecular and intermolecular interactions within the solution phase. These encompass the solvent-dependent formation of intramolecular O-H...O hydrogen bonding between the hydroxyl and carbamate groups coupled with differing conformations of the hydroxyl\'s shielding phenyl groups. These conformational preferences and their relative interaction propensities, as a function of solvent selection, may play a rate-limiting role in the crystallization behavior by not only inhibiting to different degrees the nucleation process but also restricting the assembly of the optimal intermolecular hydrogen bonding network needed for the formation of the stable form II polymorph.
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  • 文章类型: Journal Article
    tetra(L1)的络合亲和力的全面热力学和结构研究,五(L2),和六苯基丙氨酸(L3)线性肽对乙腈(MeCN)和N中的几种无机阴离子,进行N-二甲基甲酰胺(DMF)。此处特别讨论了链长对络合热力学和结构变化对阴离子结合的影响。络合过程通过荧光光谱表征,1HNMR,微量热,和圆二色光谱滴定。结果表明,所有三种肽与氯化物形成1:1化学计量的复合物,溴化物,硫酸氢盐,磷酸二氢盐(DHP),乙腈和DMF中的硝酸根阴离子。在硫酸氢盐和DHP的情况下,也观察到更高化学计量的阴离子复合物,即具有1:2和2:1(肽:阴离子)的复合物。通过分子动力学模拟研究了阴离子诱导的肽主链结构变化。阴离子通过氢键与主链酰胺质子和N-末端胺质子之一相互作用。由于阴离子结合,在所有1:1复合物中,所研究肽的主链将其构象从细长变为准环状。这种构象的完成对于在头对尾大环化步骤中的环肽合成尤其重要。因为它最适合环闭合。此外,所研究的肽可以作为多功能离子载体,促进跨膜阴离子运输。
    A comprehensive thermodynamic and structural study of the complexation affinities of tetra (L1), penta (L2), and hexaphenylalanine (L3) linear peptides towards several inorganic anions in acetonitrile (MeCN) and N,N-dimethylformamide (DMF) was carried out. The influence of the chain length on the complexation thermodynamics and structural changes upon anion binding are particularly addressed here. The complexation processes were characterized by means of spectrofluorimetric, 1H NMR, microcalorimetric, and circular dichroism spectroscopy titrations. The results indicate that all three peptides formed complexes of 1:1 stoichiometry with chloride, bromide, hydrogen sulfate, dihydrogen phosphate (DHP), and nitrate anions in acetonitrile and DMF. In the case of hydrogen sulfate and DHP, anion complexes of higher stoichiometries were observed as well, namely those with 1:2 and 2:1 (peptide:anion) complexes. Anion-induced peptide backbone structural changes were studied by molecular dynamic simulations. The anions interacted with backbone amide protons and one of the N-terminal amine protons through hydrogen bonding. Due to the anion binding, the main chain of the studied peptides changed its conformation from elongated to quasi-cyclic in all 1:1 complexes. The accomplishment of such a conformation is especially important for cyclopeptide synthesis in the head-to-tail macrocyclization step, since it is most suitable for ring closure. In addition, the studied peptides can act as versatile ionophores, facilitating transmembrane anion transport.
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  • 文章类型: Journal Article
    2-苯基-4,4,5,5-四甲基咪唑啉-1-氧基3-氧化物(PTIO•),持久的硝酰硝基氧自由基,用于一氧化氮的检测和捕获,作为电池的氧化还原介体,对于抗氧化剂的活性估计,等等。然而,没有关于在存在氧化还原非活性金属离子的情况下PTIO·的反应性的报道。在这项研究中,证明了三氟甲磺酸钪的加入,Sc(OTf)3(OTf=OSO2CF3),到PTIO的乙腈(MeCN)溶液中•导致电子转移歧化以产生相应的阳离子(PTIO)和阴离子(PTIO-),后者建议用Sc3+稳定形成[(PTIO)Sc]2+。由于PTIO•,在361nm处的吸收带衰减,使用停流技术进行监控,服从二阶动力学。歧化的二阶速率常数,如此确定,随着Sc(OTf)3浓度的增加达到恒定值。添加Sc(OTf)3后,还观察到含有0.10MBu4NClO4的脱气MeCN中PTIO•记录的循环伏安图发生了急剧变化,这表明PTIO•的单电子还原电势(相当于PTIO-的单电子氧化电位)在Sc(OTf)3存在下可能导致歧化。当在脱气的MeCN中的PTIO•-Sc(OTf)3系统中添加H2O时,PTIO•完全再生。这表明Sc3+与H2O的复合物形成可能会削弱PTIO-与Sc3+之间的相互作用,导致电子转移歧化再生PTIO·。PTIO的可逆歧化也通过电子顺磁共振(EPR)光谱法证实。
    2-Phenyl-4,4,5,5-tetramethylimidazoline-1-oxyl 3-oxide (PTIO•), a persistent nitronyl nitroxide radical, has been used for the detection and trapping of nitric oxide, as a redox mediator for batteries, for the activity estimation of antioxidants, and so on. However, there is no report on the reactivity of PTIO• in the presence of redox-inactive metal ions. In this study, it is demonstrated that the addition of scandium triflate, Sc(OTf)3 (OTf = OSO2CF3), to an acetonitrile (MeCN) solution of PTIO• resulted in an electron-transfer disproportionation to generate the corresponding cation (PTIO+) and anion (PTIO-), the latter of which is suggested to be stabilized by Sc3+ to form [(PTIO)Sc]2+. The decay of the absorption band at 361 nm due to PTIO•, monitored using a stopped-flow technique, obeyed second-order kinetics. The second-order rate constant for the disproportionation, thus determined, increased with increasing the Sc(OTf)3 concentration to reach a constant value. A drastic change in the cyclic voltammogram recorded for PTIO• in deaerated MeCN containing 0.10 M Bu4NClO4 was also observed upon addition of Sc(OTf)3, suggesting that the large positive shift of the one-electron reduction potential of PTIO• (equivalent to the one-electron oxidation potential of PTIO-) in the presence of Sc(OTf)3 may result in the disproportionation. When H2O was added to the PTIO•-Sc(OTf)3 system in deaerated MeCN, PTIO• was completely regenerated. It is suggested that the complex formation of Sc3+ with H2O may weaken the interaction between PTIO- and Sc3+, leading to electron-transfer comproportionation to regenerate PTIO•. The reversible disproportionation of PTIO• was also confirmed by electron paramagnetic resonance (EPR) spectroscopy.
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  • 文章类型: Journal Article
    天然化合物如黄酮类化合物通过其抗氧化剂保持肠粘膜的完整性,抗炎,和抗菌性能。此外,一些类黄酮显示出益生元能力,促进有益肠道细菌的生长和活性。本研究调查了头颅晶状体提取物(LE)的保护作用,富含类黄酮,在LPS诱导的炎症过程中肠粘膜完整性。使用Caco-2细胞作为肠屏障的模型,研究发现,在LPS存在下,LE不影响细胞活力,但发挥细胞保护作用。LE改善跨上皮电阻(TEER)和紧密连接(TJ)蛋白水平,这对屏障的完整性至关重要。它还抵消了LPS诱导的促炎基因TRPA1和TRPV1的上调,并减少了促炎标志物如TNF-α,NF-κB,IL-1β,IL-8此外,LE逆转了LPS诱导的AQP8和TLR-4表达的上调。这些发现强调了天然化合物如LE调节肠屏障和减少炎症对肠细胞的有害影响的潜力。需要更多的研究来了解它们的机制并探索治疗应用,尤其是胃肠道炎症。
    Natural compounds like flavonoids preserve intestinal mucosal integrity through their antioxidant, anti-inflammatory, and antimicrobial properties. Additionally, some flavonoids show prebiotic abilities, promoting the growth and activity of beneficial gut bacteria. This study investigates the protective impact of Lens culinaris extract (LE), which is abundant in flavonoids, on intestinal mucosal integrity during LPS-induced inflammation. Using Caco-2 cells as a model for the intestinal barrier, the study found that LE did not affect cell viability but played a cytoprotective role in the presence of LPS. LE improved transepithelial electrical resistance (TEER) and tight junction (TJ) protein levels, which are crucial for barrier integrity. It also countered the upregulation of pro-inflammatory genes TRPA1 and TRPV1 induced by LPS and reduced pro-inflammatory markers like TNF-α, NF-κB, IL-1β, and IL-8. Moreover, LE reversed the LPS-induced upregulation of AQP8 and TLR-4 expression. These findings emphasize the potential of natural compounds like LE to regulate the intestinal barrier and reduce inflammation\'s harmful effects on intestinal cells. More research is required to understand their mechanisms and explore therapeutic applications, especially for gastrointestinal inflammatory conditions.
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  • 文章类型: Journal Article
    近年来,非小细胞肺癌(NSCLC)的复杂治疗策略发生了重大变化。在围手术期治疗中注册的免疫疗法和化学疗法的无病生存率显着增加,以及EGFR突变的辅助注册免疫疗法和靶向治疗(奥希替尼)。在致癌成瘾的转移性NSCLC中,主要是腺癌,靶向治疗的范围正在扩大,预期的总体生存率显着增加,以年衡量。到2021年,FDA和EMA已经批准靶向药物来抑制EGFR激活突变。T790M抗性突变,BRAFV600E突变,ALK,ROS1、NTRK和RET融合。2022年,授权靶向治疗的范围扩大。使用抑制KRASG12C的疗法,EGFR外显子20、HER2和MET。直到现在,KRAS突变没有注册靶向治疗,影响30%的腺癌.因此,最大的期望围绕KRASG12C突变的抑制,发生在15%的非小细胞肺癌中,主要是吸烟者,其特点是预后不良。Sotorasib和adagrasib在至少一个先前的化疗和/或免疫疗法疗程后被批准为二线药物。Adagrasib与pembrolizumab免疫疗法的一线组合被证明更有益,尤其是PD-L1高表达的患者。在肺腺癌EGFR外显子20插入突变中,Amivantanab在铂类化疗后被登记为进展.肺腺癌携带EGFR外显子20,HER2插入突变2%,第一个靶向治疗是曲妥珠单抗deruxtecan,已经接受铂类药物化疗的患者。两种口服选择性c-MET抑制剂,卡马替尼和替泊替尼,在携带约3%的MET外显子14跳跃突变的腺癌中,化疗后也被批准。将反射测试与下一代测序(NGS)相结合,通过识别指南推荐的分子改变来扩展个性化治疗。
    The complex therapeutic strategy of non-small cell lung cancer (NSCLC) has changed significantly in recent years. Disease-free survival increased significantly with immunotherapy and chemotherapy registered in perioperative treatments, as well as adjuvant registered immunotherapy and targeted therapy (osimertinib) in case of EGFR mutation. In oncogenic-addictive metastatic NSCLC, primarily in adenocarcinoma, the range of targeted therapies is expanding, with which the expected overall survival increases significantly, measured in years. By 2021, the FDA and EMA have approved targeted agents to inhibit EGFR activating mutations, T790 M resistance mutation, BRAF V600E mutation, ALK, ROS1, NTRK and RET fusion. In 2022, the range of authorized target therapies was expanded. With therapies that inhibit KRASG12C, EGFR exon 20, HER2 and MET. Until now, there was no registered targeted therapy for the KRAS mutations, which affect 30% of adenocarcinomas. Thus, the greatest expectation surrounded the inhibition of the KRAS G12C mutation, which occurs in ∼15% of NSCLC, mainly in smokers and is characterized by a poor prognosis. Sotorasib and adagrasib are approved as second-line agents after at least one prior course of chemotherapy and/or immunotherapy. Adagrasib in first-line combination with pembrolizumab immunotherapy proved more beneficial, especially in patients with high expression of PD-L1. In EGFR exon 20 insertion mutation of lung adenocarcinoma, amivantanab was registered for progression after platinum-based chemotherapy. Lung adenocarcinoma carries an EGFR exon 20, HER2 insertion mutation in 2%, for which the first targeted therapy is trastuzumab deruxtecan, in patients already treated with platinum-based chemotherapy. Two orally administered selective c-MET inhibitors, capmatinib and tepotinib, were also approved after chemotherapy in adenocarcinoma carrying MET exon 14 skipping mutations of about 3%. Incorporating reflex testing with next-generation sequencing (NGS) expands personalized therapies by identifying guideline-recommended molecular alterations.
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  • 文章类型: Clinical Trial, Phase I
    Adagrasib,不可逆转的,选择性KRASG12C抑制剂,可能是KRASG12C突变的结直肠癌的有效治疗方法,特别是当与抗EGFR抗体组合时。在对KRYSTAL-1试验的分析中,之前接受过KRASG12C突变的不可切除或转移性结直肠癌治疗的患者接受了阿达格拉西布(每日2次,每次600mg)加西妥昔单抗治疗.主要终点是盲法独立中心评价的客观缓解率(ORR)。94例患者接受了阿达格拉西布联合西妥昔单抗治疗。中位随访时间为11.9个月,ORR为34.0%,疾病控制率为85.1%,中位反应持续时间为5.8个月(95%置信区间[CI],4.2-7.6)。中位无进展生存期为6.9个月(95%CI,5.7-7.4),中位总生存期为15.9个月(95%CI,11.8-18.8)。所有患者均发生治疗相关不良事件(TRAEs);27.7%为3-4级,无5级。没有TRAE导致adagrasib停药。探索性分析表明,循环肿瘤DNA可以识别反应和获得性抗性的特征。
    Adagrasib联合西妥昔单抗在严重预处理的不可切除或转移性KRASG12C突变结直肠癌患者中显示出有希望的临床活性和可耐受的安全性。这些数据支持了潜在的新护理标准,并强调了在结直肠癌患者中检测和鉴定KRASG12C突变的重要性。
    Adagrasib, an irreversible, selective KRASG12C inhibitor, may be an effective treatment in KRASG12C-mutated colorectal cancer, particularly when combined with an anti-EGFR antibody. In this analysis of the KRYSTAL-1 trial, patients with previously treated KRASG12C-mutated unresectable or metastatic colorectal cancer received adagrasib (600 mg twice daily) plus cetuximab. The primary endpoint was objective response rate (ORR) by blinded independent central review. Ninety-four patients received adagrasib plus cetuximab. With a median follow-up of 11.9 months, ORR was 34.0%, disease control rate was 85.1%, and median duration of response was 5.8 months (95% confidence interval [CI], 4.2-7.6). Median progression-free survival was 6.9 months (95% CI, 5.7-7.4) and median overall survival was 15.9 months (95% CI, 11.8-18.8). Treatment-related adverse events (TRAEs) occurred in all patients; grade 3-4 in 27.7% and no grade 5. No TRAEs led to adagrasib discontinuation. Exploratory analyses suggest circulating tumor DNA may identify features of response and acquired resistance.
    UNASSIGNED: Adagrasib plus cetuximab demonstrates promising clinical activity and tolerable safety in heavily pretreated patients with unresectable or metastatic KRASG12C-mutated colorectal cancer. These data support a potential new standard of care and highlight the significance of testing and identification of KRASG12C mutations in patients with colorectal cancer. This article is featured in Selected Articles from This Issue, p. 897.
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