PRECISION V c-TACE vs d-TACE
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药物洗脱微球PRECISION V 随机对照研究(2)

时间:2023-09-03 21:11来源:www.ynjr.net 作者:杨宁介入医学网
DC Bead showed significant advantage in patients with negative prognostic factors for objective response (p=0.038) and disease control(p=0.026) TACE with DC Bead vs conventional TACE: median doxorubi


DC Bead showed significant advantage in patients with negative prognostic factors for objective response (p=0.038) and disease control (p=0.026)

TACE with DC Bead vs conventional TACE: median doxorubicin dose per procedure





结论:

  • DC Bead brings level or consistency and repeatability not available with conventional TACE 【1】
  • DC Bead guarantees increased and prolonged drug delivery to the tumor with minimal systemic exposure【1】 
  • PRECISION V shows that DC Bead is safer that conventional TACE, in particular in relation to a highly significant reduction in liver toxicity and doxorubicin related toxicity
  • In PRECISION V, DC Bead - unlike conventional TACE - enabled consistent administration of high-dose doxorubicin treatment
  • In the short term of study duration (6 months), the resulting significant improvement in response was captured by “stress-test” analyses restricted to more vulnerable or advanced patients
D-TACE与C-TACE有相同的效果和安全性,而D-TACE术后腹部疼痛较少【Golfieri 2014




dTACEvs cTACE 在整体生存率(OS)p=0.4,,无进展生存期(PFS)p=0.45;和移植生存率(transplantation fs)p=0.9 上也没有不同

未经调整的无进展生存期 使用倾向评分调整的无进展生存期。


  • 随机对照试验:DC Bead 93,   vs  c TACE 108
  • 300-500 μ、500-700 μ、150 mg 表阿霉素载药微球
  • 载药微球的CR、OR和DC发生率较高(p=0.11)
  • C-P B、ECOG 1、双叶病、复发性疾病的OR更好 (p0.038)
  • 改善DC - Bead dox(表阿霉素)
  • 相关副作用的耐受性(p=0.0001)
  • 严重肝毒性(p <0.001)
 
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