中国实用外科杂志

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甲磺酸伊马替尼血药浓度监测对指导胃肠间质瘤治疗及评估预后临床意义

徐泽宽,徐    皓   

  1. 南京医科大学第一附属医院普外科,江苏南京210029
  • 出版日期:2015-04-01 发布日期:2015-03-31

  • Online:2015-04-01 Published:2015-03-31

摘要:

甲磺酸伊马替尼是一种酪氨酸激酶抑制剂,用于不可切除、转移、复发、原发可切除并有中-高危复发风险胃肠间质瘤(GIST)的治疗。甲磺酸伊马替尼的血药浓度(谷浓度)>1100μg/L时,GIST病人的临床获益明显增加。甲磺酸伊马替尼血药浓度监测有可能成为辅助治疗GIST的重要方面之一。

关键词: 胃肠间质瘤, 甲磺酸伊马替尼, 血药浓度

Abstract:

Therapeutic drug monitoring of plasma imatinib mesylate for the treatment of gastrointestinal stromal tumor and prognosis        XU Ze-kuan, XU Hao. Department of General Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
Corresponding author: XU Ze-kuan, E-mail:xuzekuan@njmu.edu.cn
Abstract    Imatinib mesylate is a tyrosine kinase inhibitor recommended for treatment in patients with unresectable,metastastic and relapsing GIST as well as patients who have been identified with moderate or high risk of recurrence after receiving complete tumor resection. Imatinib plasma trough concentration(Cmin) is significantly correlated with better clinical benefit when Cmin >1100μg/L. Therapeutic drug monitoring (TDM) for plasma imatinib is becoming a potential adjuvant therapy for GIST.

Key words: gastrointestinal stromal tumor, imatinib mesylate, plasma concentration