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Clinical study of nimotuzumab combined with concurrent radiochemotherapy for treatment of locally advanced cervical cancer

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机构: [1]Department of Radiation Oncology,Sichuan Cancer Hospital & Institute,Chengdu, Sichuan 610041, People’sRepublic of China [2]Department ofThoracic Tumor Surgery, The FifthPeople’s Hospital of Chengdu, Chengdu611130, People’s Republic of China [3]Department of Breast and ThyroidSurgery, The Fifth People’s Hospital ofChengdu, Chengdu 611130, People’sRepublic of China [4]Department ofRadiation Oncology, Sichuan CancerHospital & Institute, Chengdu 610041,People’s Republic of China
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关键词: EGFR monoclonal antibody Nimotuzumab cervical cancer concurrent radiochemotherapy PFS

摘要:
Purpose: Nimotuzumab is a humanized monoclonal antibody that targets the epidermal growth factor receptor (EGFR) to inhibit tumor growth. Nimotuzumab has demonstrated desirable therapeutic activity in various types of tumors. However, the benefit of nimotuzumab for the treatment of cervical cancer is not entirely clear. The present study aimed to investigate the effects of nimotuzumab in the presence of CCRT in the first-line treatment of locally advanced cervical cancer (LACC). Methods: The therapeutic efficacy and side effects of nimotuzumab combined with concurrent radiochemotherapy (CCRT) were retrospectively assessed in inoperable patients with LACC (stage IIb-IIIb) who were treated using CCRT with or without nimotuzumab. Results: The complete response rate of study group was significantly better than control group (78.3% vs 50%, P=0.035). The difference in median progression-free survival (PFS) in the two groups was statistically significan (not reach vs 27 months, P=0.037). Multivariate comparisons of prognostic factors in the two groups indicated that both the Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage and combined nimotuzumab treatment affected PFS (P<0.05). Although generally tolerable, grade 3-4 toxicities including leukopenia (P=0.025) and hemoglobin (P=0.026) reduction were more frequent in the control group than those in the study group. Conclusion: These data suggest that combining nimotuzumab with CCRT for the treatment of LACC resulted in extended PFS and higher complete remission rates, without an increased incidence of adverse events.

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出版当年[2019]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学
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出版当年[2019]版:
Q3 ONCOLOGY
最新[2023]版:
Q3 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者机构: [1]Department of Radiation Oncology,Sichuan Cancer Hospital & Institute,Chengdu, Sichuan 610041, People’sRepublic of China
通讯作者:
通讯机构: [4]Department ofRadiation Oncology, Sichuan CancerHospital & Institute, Chengdu 610041,People’s Republic of China [*1]Department of Radiation Oncology, Sichuan Cancer Hospital & Institute, No. 55, Section 4, South People’s Road, Chengdu, Sichuan 610041, People’s Republic of China
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