Trop2-ADC药物安全性及疗效分析:2025年最新研究综述

2025-06-08 MedSci xAi 发表于广东省
本文综述2025年最新Trop2-ADC药物安全性及疗效分析,基于16项临床试验的Meta分析数据,详解Dato-DXd、SKB264及SG在HR+/HER2-乳腺癌和晚期TNBC中的表现,提供安全性排名及疗效对比。

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Summary of the study results: This meta-analysis pooled safety data from 16 clinical trials (including single-arm and RCTs) to analyze the toxicity profiles of different Trop2-ADC drugs. Additionally, a network meta-analysis was conducted based on RCT data. The results showed that Dato-DXd ranked high in terms of overall safety among Trop2-ADC drugs (including grade 3 or higher TRAEs, TRAEs leading to death, and grade 3 or higher hematological toxicities). In non-hematological toxicities of concern for Trop2-ADCs, the incidence of grade 3 or higher stomatitis with Dato-DXd was lower than that of SKB264, but it performed worse than SG in gastrointestinal adverse events (such as nausea and vomiting). SKB264 ranked lower than SG in terms of safety regarding elevated transaminases. In efficacy analysis, Dato-DXd had better ORR and PFS rankings for treating HR+/HER2- advanced breast cancer compared to SG, although its ranking in OS analysis was lower due to data maturity issues. In advanced TNBC, SG's overall ranking was better than SKB264.

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