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发表于 2007-2-25 11:03:07
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来自: 亚太地区
<p><font face="仿宋_GB2312" size="3">补充一些网上转录信息,多谢以马和留言的同志</font></p><p><span style="FONT-SIZE: 8pt; COLOR: #666666; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><font face="仿宋_GB2312" size="3">全球首个肺癌放免新药唯美生在我国上市</font><span lang="EN-US"><br/></span><font face="仿宋_GB2312" size="3">全球首个肺癌放射免疫治疗新药唯美生(碘【<span lang="EN-US">131I</span>】肿瘤细胞核人鼠嵌合单抗注射液)<span lang="EN-US">1</span>月<span lang="EN-US">14</span>日在我国上市。 放射免疫治疗是继肿瘤化疗和放射治疗后又一全新的治疗方法,它结合了单克隆抗体的靶向作用与放射性核素内照射的强杀伤作用,具有疗效好、副作用低的特点。此前,全球仅有两个放射免疫治疗药物,分别为美国<span lang="EN-US">Biogen</span>-<span lang="EN-US">IDEC</span>公司的<span lang="EN-US">Zevalin</span>和英国葛兰素公司的<span lang="EN-US">Bexxar</span>,这两个药物在淋巴瘤的治疗中取得了成功。 唯美生是上海美恩生物技术有限公司利用美国专利技术,历经<span lang="EN-US">12</span>年研究开发成功的。全国多家医院近<span lang="EN-US">8</span>年的临床研究表明,对放化疗失败的晚期肺癌患者有明显的疗效。唯美生是与肿瘤坏死部位靶抗原结合,单抗<span lang="EN-US">chTNT</span>上标记的放射性核素<span lang="EN-US">131I</span>杀伤坏死区周围有活力的细胞,造成新的坏死,唯美生扩展到新的坏死区,周而复始使肿瘤坏死区不断扩大,由内向外摧毁肿瘤,达到治疗目的。 亚洲临床肿瘤学会主席、中国工程院院士孙燕教授在唯美生上市会上指出,唯美生是肺癌治疗上的一个新亮点,其特点是在单克隆抗体上加入了放射治疗,应用得当会提高疗效,因为对付肿瘤越来越强调综合治疗。他说唯美生也是中美两国肿瘤学家合作的成果,希望这样的合作继续下去。 上海美恩生物技术有限公司是唯美生专利的持有者、美国南加州大学的<span lang="EN-US">AlanL.Epstein</span>教授投资的公司,主要从事具有南加州大学专利技术的肿瘤抗体药物及基因工程药物的研发和生产。据介绍,目前唯美生治疗肝癌与恶性脑胶质瘤的最后一期临床试验也在进行中。</font></span></p><p><span style="FONT-SIZE: 8pt; COLOR: #666666; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><span style="FONT-SIZE: 8pt; COLOR: #666666; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><font face="仿宋_GB2312" size="3">使用唯美生治疗期间有哪些注意事项</font><font face="仿宋_GB2312"><font size="3"><span lang="EN-US">
<br/><br/></span>文章来源:上海美恩生物 更新时间:</font></font><font face="仿宋_GB2312"><font size="3"><span lang="EN-US">2007-1-23 18:18:29 <br/><br/>1</span>、坚持口服碘溶液,保护甲状腺治疗前<span lang="EN-US">3</span>天至治疗结束后<span lang="EN-US">7</span>天,可将复方碘溶液加在饼干、面包上食用。每次<span lang="EN-US">6-10</span>滴,每天<span lang="EN-US">3</span>次。</font></font><span lang="EN-US"><br/><font face="仿宋_GB2312" size="3">2</font></span><font face="仿宋_GB2312" size="3">、用药后应多喝水,勤小便,保证大便通畅,减少药物在直肠和膀胱的蓄积。</font><span lang="EN-US"><br/><font face="仿宋_GB2312" size="3">3</font></span><font face="仿宋_GB2312" size="3">、患者静脉滴注唯美生后在核医学病房(或单独房间)隔离两天。</font><span lang="EN-US"><br/><font face="仿宋_GB2312" size="3">4</font></span><font face="仿宋_GB2312" size="3">、用药一周内在家尽量安排和患者分床分房居住</font><span lang="EN-US"><br/><font face="仿宋_GB2312" size="3">5</font></span><font face="仿宋_GB2312" size="3">、用药一周与他人接触的距离保持<span lang="EN-US">1.5</span>米,接触时间应尽量缩短。</font><span lang="EN-US"><br/><font face="仿宋_GB2312" size="3">6</font></span><font face="仿宋_GB2312" size="3">、不要随意<span lang="EN-US">“</span>串门<span lang="EN-US">”</span>,尽量少去公共场所。</font><span lang="EN-US"><br/><font face="仿宋_GB2312" size="3">7</font></span><font face="仿宋_GB2312" size="3">、禁止孕妇和儿童与患者近距离接触</font><span lang="EN-US"><br/><font face="仿宋_GB2312" size="3">8</font></span><font face="仿宋_GB2312" size="3">、患者接触过的物品或体液沾染的器具,应用肥皂洗涤剂擦洗。</font><span lang="EN-US"><br/><font face="仿宋_GB2312" size="3">9</font></span><font face="仿宋_GB2312" size="3">、家属接触患者衣物及相关物品后用肥皂认真洗手。</font><span lang="EN-US"><br/><font face="仿宋_GB2312" size="3">10</font></span><font face="仿宋_GB2312" size="3">、用药后可能会出现血细胞减少,应严格遵守医嘱进行血常规检查。</font></span></span></p><span style="FONT-SIZE: 8pt; COLOR: #666666; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><span style="FONT-SIZE: 8pt; COLOR: #666666; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><div align="center"><table class="MsoNormalTable" cellspacing="0" cellpadding="0" width="476" border="0" style="WIDTH: 356.7pt; mso-cellspacing: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm;"><tbody><tr style="mso-yfti-irow: 0; mso-yfti-firstrow: yes; mso-yfti-lastrow: yes;"><td style="BORDER-RIGHT: #d4d0c8; PADDING-RIGHT: 0cm; BORDER-TOP: #d4d0c8; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; BORDER-LEFT: #d4d0c8; PADDING-TOP: 0cm; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent;"><div align="center"><table class="MsoNormalTable" cellspacing="0" cellpadding="0" width="476" border="0" style="WIDTH: 356.7pt; mso-cellspacing: 0cm; mso-padding-alt: 0cm 13.85pt 0cm 13.85pt;"><tbody><tr style="mso-yfti-irow: 0; mso-yfti-firstrow: yes;"><td style="BORDER-RIGHT: #d4d0c8; PADDING-RIGHT: 13.85pt; BORDER-TOP: #d4d0c8; PADDING-LEFT: 13.85pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #d4d0c8; PADDING-TOP: 0cm; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent;"><p class="MsoNormal" align="right" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%; TEXT-ALIGN: right; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto;"><span lang="EN-US" style="FONT-SIZE: 7.5pt; COLOR: #666666; LINE-HEIGHT: 150%; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体;"><font face="仿宋_GB2312"><font size="3">2007-01-27 16:33:54<p></p></font></font></span></p></td></tr><tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;"><td width="440" style="BORDER-RIGHT: #d4d0c8; PADDING-RIGHT: 13.85pt; BORDER-TOP: #d4d0c8; PADDING-LEFT: 13.85pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #d4d0c8; WIDTH: 330.3pt; PADDING-TOP: 0cm; BORDER-BOTTOM: #d4d0c8; BACKGROUND-COLOR: transparent;"><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; LINE-HEIGHT: 150%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto;"><span style="FONT-SIZE: 8pt; COLOR: #666666; LINE-HEIGHT: 150%; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体;"><font face="仿宋_GB2312" size="3">唯美生对晚期肺癌的治疗效果怎么样?</font><span lang="EN-US"><br/><br/></span><font face="仿宋_GB2312" size="3"> 传统化疗对放化疗不能控制<span lang="EN-US">/</span>复发的晚期肺癌的疗效较差,一般有效率在<span lang="EN-US">10%</span>左右,中位生存期在<span lang="EN-US">7-8</span>个月左右。唯美生的临床试验表明它对各种不同病理类型的肺癌患者的有效率都远远超过这一平均治疗水平。小细胞肺癌的有效率为<span lang="EN-US">50%</span>,非小细胞肺癌的总有效率为<span lang="EN-US">33%</span>,鳞癌的有效率为<span lang="EN-US">46.2%</span>,腺癌的有效率为<span lang="EN-US">24%</span>,中位生存期可达到<span lang="EN-US">11.7</span>个月。</font><span lang="EN-US"><br/><br/></span><font face="仿宋_GB2312"><font size="3">唯美生作用于肿瘤细胞非特异性核蛋白,其靶点为肿瘤共同抗原,只有在膜通透性异常增高的肿瘤变性坏死细胞,大分子的唯美生才能顺利到达细胞核,与由于<span lang="EN-US">DNA</span>结构遭到破坏而充分暴露的靶抗原结合,从而稳定的结合在肿瘤的坏死区。唯美生的作用靶点不受肿瘤的生长部位和病理类型的限制,更适用于吸烟、男性、非腺癌的肺癌患者的治疗。</font></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; LINE-HEIGHT: 150%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto;"><span style="FONT-SIZE: 8pt; COLOR: #666666; LINE-HEIGHT: 150%; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体;"><font face="仿宋_GB2312"><font size="3"><span lang="EN-US"><p></p></span></font></font></span></p></td></tr></tbody></table></div><span lang="EN-US" style="FONT-SIZE: 8pt; COLOR: #333333; LINE-HEIGHT: 150%; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体;"><p><font face="仿宋_GB2312"><font size="3"><span style="FONT-SIZE: 8.5pt; COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";"><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span style="COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">之之你好,这是我了解到的信息:唯美生有两种用药方法,一是全身给药,可以直接推注,或用生理盐水建立静脉通道后推注或滴注。二是局部给药在影像学引导下</span><span lang="EN-US" style="COLOR: #666666;"><font face="Times New Roman">(CT</font></span><span style="COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">、</span><span lang="EN-US" style="COLOR: #666666;"><font face="Times New Roman">X</font></span><span style="COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">线透视或</span><span lang="EN-US" style="COLOR: #666666;"><font face="Times New Roman">DSA)</font></span><span style="COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">经肺穿刺将药物注入瘤体。每次用唯美生前</span><span lang="EN-US" style="COLOR: #666666;"><font face="Times New Roman">3</font></span><span style="COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">天开始口服复方碘液,</span><span lang="EN-US" style="COLOR: #666666;"><font face="Times New Roman">10</font></span><span style="COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">滴</span><span lang="EN-US" style="COLOR: #666666;"><font face="Times New Roman">/</font></span><span style="COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">次,</span><span lang="EN-US" style="COLOR: #666666;"><font face="Times New Roman">3</font></span><span style="COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">次</span><span lang="EN-US" style="COLOR: #666666;"><font face="Times New Roman">/</font></span><span style="COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">日,直到治疗结束后</span><span lang="EN-US" style="COLOR: #666666;"><font face="Times New Roman">7</font></span><span style="COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">天,以封闭甲状腺,减少放射性对甲状腺的损伤。为防止过敏反应发生,可在治疗前半小时肌注地塞米松</span><span lang="EN-US" style="COLOR: #666666;"><font face="Times New Roman">5mg</font></span><span style="COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">,非那根</span><span lang="EN-US" style="COLOR: #666666;"><font face="Times New Roman">25mg</font></span><span style="COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">。</span></font><font size="3"><span lang="EN-US" style="COLOR: #666666;"><font face="Times New Roman">
<br/></font></span><span style="COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">用量是每疗程用药二次,之间间隔</span><span lang="EN-US" style="COLOR: #666666;"><font face="Times New Roman">2-4</font></span><span style="COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">周。具体用量为全身静脉注射:剂量为</span><span lang="EN-US" style="COLOR: #666666;"><font face="Times New Roman">29.6 MBq(0.8 mCi)/kg</font></span><span style="COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">;局部给药:每次剂量为</span><span lang="EN-US" style="COLOR: #666666;"><font face="Times New Roman">18.5-37.0 MBq(0.5-1 mCi)/cm3</font></span><span style="COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">瘤体</span><span lang="EN-US" style="COLOR: #666666;"><font face="Times New Roman">, </font></span><span style="COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">最大给药量为</span><span lang="EN-US" style="COLOR: #666666;"><font face="Times New Roman">1850 MBq(50 mCi)</font></span><span style="COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">。</span></font><span lang="EN-US" style="COLOR: #666666;"><br/></span><span style="COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";"><font size="3">关于这个药并没有实际用药经验,所以还在继续了解中。</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-SIZE: 8.5pt; COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";"><font face="仿宋_GB2312" size="3"></font></span></p></span></font></font><span style="FONT-SIZE: 8.5pt; COLOR: #666666; FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";"><font face="仿宋_GB2312" size="3"></font></span></p></span></td></tr></tbody></table></div><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><span lang="EN-US" style="FONT-SIZE: 8pt; COLOR: #333333; LINE-HEIGHT: 150%; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体;"><a href="http://blog.sina.com.cn/main/html/showpic.html#url=http://album.sina.com.cn/pic/493bf4b102000lc6" target="_blank"><span style="COLOR: #333333; TEXT-DECORATION: none; text-underline: none;"><shapetype id="_x0000_t75" stroked="f" filled="f" path="m@4@5l@4@11@9@11@9@5xe" opreferrelative="t" ospt="75" coordsize="21600,21600"><stroke joinstyle="miter"></stroke><formulas><f eqn="if lineDrawn pixelLineWidth 0"></f><f eqn="sum @0 1 0"></f><f eqn="sum 0 0 @1"></f><f eqn="prod @2 1 2"></f><f eqn="prod @3 21600 pixelWidth"></f><f eqn="prod @3 21600 pixelHeight"></f><f eqn="sum @0 0 1"></f><f eqn="prod @6 1 2"></f><f eqn="prod @7 21600 pixelWidth"></f><f eqn="sum @8 21600 0"></f><f eqn="prod @7 21600 pixelHeight"></f><f eqn="sum @10 21600 0"></f></formulas><path oconnecttype="rect" gradientshapeok="t" oextrusionok="f"></path><lock aspectratio="t" vext="edit"></lock></shapetype><shape id="_x0000_i1025" obutton="t" alt="" type="#_x0000_t75" style="WIDTH: 363.75pt; HEIGHT: 93.75pt;"><imagedata ohref="http://album.sina.com.cn/pic/493bf4b102000lc6" src="file:///C:\DOCUME~1\xpe001\LOCALS~1\Temp\msohtml1\01\clip_image001.jpg"></imagedata></shape></span></a><p></p></span></p></span></span> |
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