实用医学杂志 ›› 2022, Vol. 38 ›› Issue (15): 1860-1864.doi: 10.3969/j.issn.1006⁃5725.2022.15.003

• 专家笔谈 • 上一篇    下一篇

Tisotumab vedotin 治疗宫颈癌的研究进展

张清伟 付秀虹 吕净上    

  1. 漯河市中心医院妇产科,河南省生育力保护和优生重点实验室(河南漯河462000)

  • 出版日期:2022-08-10 发布日期:2022-08-10
  • 基金资助:
    河南省重点研发与推广专项(科技攻关)项目(编号:202102310387,222102310167);河南省高等学校重点科研项目(编号:21B310004,22B320002);河南省医学科技攻关计划项目(编号:2018021026,LHGJ20191430)

Research progress of Tisotumab vedotinin the treatment of cervical cancer

ZHANG Qingwei,FU Xiuhong, LÜ Jingshang.   

  1. Department of Obstetricsand and Gynecology,Luohe Central Hospital,Henan Key Laboratory of Fer⁃ tility Protection and Aristogenesis,Luohe 462000,China

  • Online:2022-08-10 Published:2022-08-10

摘要:

复发和转移性宫颈癌进展迅速、预后差,是宫颈癌主要死亡原因,现阶段化疗、免疫治疗和 靶向治疗药物难以满足临床需要。Tisotumab vedotin 是首个针对组织因子的抗体药物偶联物,由人抗 TF IgG1⁃kappa 抗体、缬氨酸⁃瓜氨酸二肽连接子和甲基澳瑞他汀 E 组成,现已被美国食品药品监督管理局加 速批准用于成人复发性或转移性宫颈癌的二线治疗。本文结合国内外相关研究,对Tisotumab vedotin 的结 构、作用机制、相关临床试验、常见副作用及注意事项展开述评,以期提高读者对该药的认识,为临床医师 在实践中做出合理决策提供参考。

关键词:

抗体药物偶联物, Tisotumab vedotin, 宫颈癌, 复发, 转移, 治疗

Abstract:

Recurrent or metastatic cervical cancer characterized by rapid progression and extremely poor prognosis is a principal cause of death in patients. Medicines are available to treat recurrent or metastatic cervical cancer still represents an urgent unmet clinical need,with few effective chemotherapy agents,immunotherapy and molecular targeted therapyavailable. Tisotumab vedotin is an antibody ⁃ drug conjugate comprising a fully human monoclonal antibody specific for tissue factor conjugated to monomethyl auristatin E that has been engineered to target tissue factor expressing tumours. Tisotumab vedotin has been granted accelerated approval in the USA for the treatment of adult patients with recurrent or metastatic cervical cancer with disease progression on or after chemotherapy. This paper,based on relevant domestic and foreign researches,summarizes and reviews the structure and mechanism of action,relevant clinical trials,common side effects and precautions of Tisotumab vedotin in order to improve the readers understanding of this drug and to provide reference for clinicians to make rational decisions in practice.

Key words:

antibody drug conjugate, Tisotumab vedotin, cervical cancer, recurrent, metastatic, treat