文献詳細
特集 分子標的薬時代の耳鼻咽喉科診療―処方するとき,服用患者を診るときのポイント
≪頭頸部癌に対する分子標的薬治療≫
文献概要
POINT
●頭頸部癌の治療において分子標的薬セツキシマブは,生命予後の改善だけでなく,毒性の軽減にも配慮した使用も期待されている。
●実際の使用に関しては,放射線療法との併用やほかの化学療法(殺細胞薬)との併用などさまざまな使用方法が確立されつつある。また現在も多くの臨床試験によりその有効性が検証されている。
●治療に伴う毒性が従来の殺細胞薬とは異なるため,セツキシマブによる治療効果を最大限に享受できるよう,これらの毒性への適切な対応が求められている。
●頭頸部癌の治療において分子標的薬セツキシマブは,生命予後の改善だけでなく,毒性の軽減にも配慮した使用も期待されている。
●実際の使用に関しては,放射線療法との併用やほかの化学療法(殺細胞薬)との併用などさまざまな使用方法が確立されつつある。また現在も多くの臨床試験によりその有効性が検証されている。
●治療に伴う毒性が従来の殺細胞薬とは異なるため,セツキシマブによる治療効果を最大限に享受できるよう,これらの毒性への適切な対応が求められている。
参考文献
1)財団法人がん研究振興財団.「がんの統計」編集委員会/編:がんの統計'09.2010
2)Ang KK, et al:Impact of epidermal growth factor receptor expression on survival and pattern of relapse in patients with advanced head and neck carcinoma. Cancer Research 62:7350-7356, 2002
3)Pignon JP, et al:Chemotherapy added to locoregional treatment for head and neck squamous-cell carcinoma:three meta-analyses of updated individual data. MACH-NC Collaborative Group. Meta-Analysis of Chemotherapy on Head and Neck Cancer. Lancet 355:949-955, 2000
4)Browman GP, et al:Choosing a concomitant chemotherapy and radiotherapy regimen for squamous cell head and neck cancer:a systematic review of the published literature with subgroup analysis. Head Neck 23:579-589, 2001
5)Bonner JA, et al:Radiotherapy plus cetuximab for locoregionally advanced head and neck cancer:5-year survival data from a phase 3 randomised trial, and relation between cetuximab-induced rash and survival. Lancet Oncology 11:21-28, 2010
6)Bonner JA, et al:Radiotherapy plus cetuximab for squamous-cell carcinoma of the head and neck. New Engl J Med 354:567-578, 2006
7)Okano S, et al:Phase Ⅱ study of cetuximab plus concomitant boost radiotherapy in Japanese patients with locally advanced squamous cell carcinoma of the head and neck. Jap J Clin Oncol 43:476-482, 2013
8)Ang KZ, QE;Rosenthal, DI:A randomized phase Ⅲ trial(RTOG 0522)of concurrent accelerated radiation plus cisplatin with or without cetuximab for stage Ⅲ-Ⅳ head and neck squamous cell carcinomas(HNC). J Clin Oncol 2011;29.
9)Radiation Therapy With Cisplatin or Cetuximab in Treating Patients With Oropharyngeal Cancer. http://clinicaltrialsgov/show/NCT01302834.
10)Lefebvre JL, et al:Induction chemotherapy followed by either chemoradiotherapy or bioradiotherapy for larynx preservation:the TREMPLIN randomized phase Ⅱ study. J Clin Oncol 31:853-859, 2013
11)Bernier J, et al:Defining risk levels in locally advanced head and neck cancers:a comparative analysis of concurrent postoperative radiation plus chemotherapy trials of the EORTC(#22931)and RTOG(#9501). Head Neck 27:843-850, 2005
Physics 69:S13, 2007
13)RTOG 0920:A Study of Postoperative Radiation Therapy(IMRT)+/- Cetuximab for Locally-advanced Resected Head and Neck Cancer. http://clinicaltrialsgov/ct2/show/NCT01311063.
14)Vermorken JB, et al:Platinum-based chemotherapy plus cetuximab in head and neck cancer. New Engl J Med 359:1116-1127, 2008
15)Yoshino T, et al:Platinum-based Chemotherapy Plus Cetuximab for the First-line Treatment of Japanese Patients with Recurrent and/or Metastatic Squamous Cell Carcinoma of the Head and Neck:Results of a Phase Ⅱ Trial. Jap J Clin Oncol 2013
16)Peron J, et al:Paclitaxel and cetuximab combination efficiency after the failure of a platinum-based chemotherapy in recurrent/metastatic head and neck squamous cell carcinoma. Anti-cancer Drugs 23:996-1001, 2012
17)Vermorken JB, et al:Open-label, uncontrolled, multicenter phase Ⅱ study to evaluate the efficacy and toxicity of cetuximab as a single agent in patients with recurrent and/or metastatic squamous cell carcinoma of the head and neck who failed to respond to platinum-based therapy. J Clin Oncol 25:2171-2177, 2007
18)Argiris A, et al:Cetuximab and bevacizumab:preclinical data and phase Ⅱ trial in recurrent or metastatic squamous cell carcinoma of the head and neck. Annals of oncology:official journal of the European Society for Medical Oncology/ESMO 24:220-255, 2013
19)Study of Sorafenib/Cetuximab in Head and Neck Cancer. http://clinicaltrialsgov/ct2/show/NCT00815295?term=NCT00815295&rank=1.
20)Temsirolimus With or Without Cetuximab in Patients With Recurrent and/or Metastatic Head and Neck Cancer Who Did Not Respond to Previous Therapy. http://clinicaltrialsgov/ct2/show/NCT01256385?term=NCT01256385&rank=1.
21)Zwicker F, et al:IMRT reirradiation with concurrent cetuximab immunotherapy in recurrent head and neck cancer. Strahlenther Onkol 187:32-38, 2011
22)Balermpas P, et al:Reirradiation with cetuximab in locoregional recurrent and inoperable squamous cell carcinoma of the head and neck:feasibility and first efficacy results. Inter J Radiat Oncol Phys 83:e377-383, 2012
23)Lacouture ME, et al:Skin toxicity evaluation protocol with panitumumab(STEPP), a phase Ⅱ, open-label, randomized trial evaluating the impact of a pre-Emptive Skin treatment regimen on skin toxicities and quality of life in patients with metastatic colorectal cancer. J Clin Oncol 28:1351-1357, 2010
24)Izzedine H, et al:Electrolyte disorders related to EGFR-targeting drugs. Crit Rev Oncol Hematol 73:213-219, 2010
25)Lajer H, et al:Magnesium depletion enhances cisplatin-induced nephrotoxicity. Cancer Chemother Pharmacol 56:535-542, 2005
掲載誌情報