Page 97 - 《中国药房》2023年5期
P. 97
强对患者呼吸道的护理,积极的对症治疗对改善患者IP lung cancer therapy[J]. Respirology,2020,25(Suppl 2):
的预后有重要的意义。 72-79.
而患者是否使用其他的EGFR-TKI作为后续治疗方 [11] XIE X H,WANG X W,WU S M,et al. Fatal toxic effects
案,需评价先前使用EGFR-TKI的疗效,同时确认患者是 related to EGFR tyrosine kinase inhibitors based on 53 co‐
horts with 9 569 participants[J]. J Thorac Dis,2020,12
否存在EGFR-TKI 过敏史、吸烟史、肺功能情况、前期接
(8):4057-4069.
受过放疗或合并有放射性肺炎等的危险因素,严格评估
[12] OHMORI T,YAMAOKA T,ANDO K,et al. Molecular
其用药的获益与风险。如继续接受EGFR-TKI进行靶向
and clinical features of EGFR-TKI-associated lung injury
治疗,在患者 IP 症状改善后,可考虑更换为其他 EGFR-
[J]. Int J Mol Sci,2021,22(2):792.
TKI 治疗、减少 EGFR-TKI 剂量、使用 EGFR-TKI 的同时
[13] KASHIWABARA K,SEMBA H,FUJII S,et al. Re-
联合使用糖皮质激素等的方式重新使用 EGFR-TKI,而 administration of chemotherapy in patients with advanced
在用药期间亦需密切监测疗效及ADR,若患者再次出现 non-small cell lung cancer who recovered from
EGFR-TKI 致 IP 或病情进展,应马上停用 EGFG-TKI 并 chemotherapy-induced interstitial lung disease[J]. In Vivo,
调整患者后续的治疗方案。 2018,32(4):851-857.
参考文献 [14] WU L Q,ZHONG W J,LI A,et al. Successful treatment
[ 1 ] 中华医学会呼吸病学分会间质性肺疾病学组. 特发性肺 of EGFR T790M-mutant non-small cell lung cancer with
纤维化诊断和治疗中国专家共识[J]. 中华结核和呼吸杂 almonertinib after osimertinib-induced interstitial lung
志,2016,39(6):427-432. disease:a case report and literature review[J]. Ann Transl
[ 2 ] KASHIWABARA K,SEMBA H,FUJII S,et al. Outcome Med,2021,9(11):950.
in advanced non-small cell lung cancer patients with suc‐ [15] NISHIMA S,MIYANAGA A,SAITO S,et al. Successful
cessful rechallenge after recovery from epidermal growth treatment with afatinib after osimertinib-induced intersti‐
factor receptor tyrosine kinase inhibitor-induced intersti‐ tial lung disease in a patient with EGFR-mutant non-small-
tial lung disease[J]. Cancer Chemother Pharmacol,2017, cell lung cancer[J]. Intern Med,2021,60(4):591-594.
79(4):705-710. [16] TANI T,NAOKI K,ASAKURA T,et al. Successful treat‐
[ 3 ] 胡洁,林丽珠,骆肖群,等 . EGFR-TKI 不良反应管理专 ment of non-small-cell lung cancer with afatinib and a glu‐
家共识[J]. 中国肺癌杂志,2019,22(2):57-81. cocorticoid following gefitinib- and erlotinib-induced in‐
[ 4 ] MASUDA K,HORINOUCHI H,TANAKA M,et al. Effi‐ terstitial lung disease:a case report[J]. Mol Clin Oncol,
cacy of anti-PD-1 antibodies in NSCLC patients with an 2016,5(4):488-490.
EGFR mutation and high PD-L1 expression[J]. J Cancer [17] BICKERT C,KAHNERT K,KAUFFMANN-GUERRERO
Res Clin Oncol,2021,147(1):245-251. D,et al. Osimertinib rechallenge under steroid protection
[ 5 ] 娄安琦,杜琪,余俊先 . 奥希替尼与第一、二代 EGFR- following osimertinib-induced pneumonitis:three case
TKIs 治疗 EGFR 突变晚期非小细胞肺癌疗效及安全性 studies[J]. Ther Adv Med Oncol,2021,13:1758835921-
的 Meta 分 析 [J]. 中 国 临 床 药 学 杂 志 ,2020,29(4): 1018028.
285-289. [18] BUGÉS C,CARCERENY E,MORAN T,et al. Interstitial
[ 6 ] 张丛惠,崔小康,彭婷婷,等 . 奥希替尼治疗 EGFR 突变 lung disease arising from erlotinib treatment in a Caucasian
的晚期非小细胞肺癌疗效与安全性的 Meta 分析[J]. 中 patient[J]. Clin Lung Cancer,2015,16(2):e1-e3.
国药物警戒,2021,18(2):178-183. [19] LU S,WANG Q M,ZHANG G J,et al. Abstract CT190:a
[ 7 ] SAKURADA T,KAKIUCHI S,TAJIMA S,et al. Charac‐ multicenter,open-label,single-arm,phase Ⅱ study:the
teristics of and risk factors for interstitial lung disease in‐ third generation EGFR tyrosine kinase inhibitor almoner‐
duced by chemotherapy for lung cancer[J]. Ann Pharmaco‐ tinib for pretreated EGFR T790M-positive locally ad‐
ther,2015,49(4):398-404. vanced or metastatic non-small cell lung cancer
[ 8 ] MAMESAYA N,KENMOTSU H,KATSUMATA M,et (APOLLO)[J]. Cancer Res,2020,80(16_Supplement):
al. Osimertinib-induced interstitial lung disease after treat‐ CT190.
ment with anti-PD1 antibody[J]. Invest New Drugs,2017, [20] YANG J C,CAMIDGE D R,YANG C T,et al. Safety,ef‐
35(1):105-107. ficacy,and pharmacokinetics of almonertinib (HS-10296)
[ 9 ] SHAH R R. Tyrosine kinase inhibitor-induced interstitial in pretreated patients with EGFR-mutated advanced
lung disease:clinical features,diagnostic challenges,and NSCLC:a multicenter,open-label,phase 1 trial[J]. J Tho‐
therapeutic dilemmas[J]. Drug Saf,2016,39(11):1073- rac Oncol,2020,15(12):1907-1918.
1091. (收稿日期:2022-08-18 修回日期:2023-01-20)
[10] LONG K,SURESH K. Pulmonary toxicity of systemic (编辑:刘明伟)
中国药房 2023年第34卷第5期 China Pharmacy 2023 Vol. 34 No. 5 · 599 ·