基础医学与临床 ›› 2025, Vol. 45 ›› Issue (10): 1270-1276.doi: 10.16352/j.issn.1001-6325.2025.10.1270

• 特邀专题:老年肿瘤患者的治疗 • 上一篇    下一篇

抗体药物偶联物在老年肿瘤患者中的治疗

刘丰硕, 管梅*   

  1. 中国医学科学院 北京协和医学院 北京协和医院 肿瘤内科,北京 100730
  • 收稿日期:2025-01-02 修回日期:2025-06-30 出版日期:2025-10-05 发布日期:2025-09-22
  • 通讯作者: *guanmei@pumch.cn
  • 基金资助:
    中央高水平医院临床科研专项专科提升项目(2022-PUMCH-B-049)

Treatment of antibody-drug conjugates in elderly patients

LIU Fengshuo, GUAN Mei*   

  1. Department of Medical Oncology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • Received:2025-01-02 Revised:2025-06-30 Online:2025-10-05 Published:2025-09-22
  • Contact: *guanmei@pumch.cn

摘要: 抗体药物偶联物(ADCs)是一类新兴的抗肿瘤药物,已经在血液肿瘤、实体肿瘤的治疗中广泛应用。ADCs通过抗体靶向,将细胞毒性药物精准输送至肿瘤细胞,提高疗效的同时减少了不良反应。老年肿瘤患者因药物代谢、多重合并症、身体机能下降等因素面临治疗挑战,但ADCs药物在老年患者中存在治疗优势。本文讨论了ADCs在老年患者中的疗效、安全性、给药策略和不良反应管理,旨在为老年肿瘤患者提供更有效、安全的治疗选择。

关键词: 抗体药物偶联物, 老年患者, 肿瘤治疗, 靶向治疗

Abstract: Antibody-drug conjugates(ADCs) are emerging anti-cancer drugs that have been widely applied in the treatment of hematological and solid tumors. ADCs deliver cytotoxic drugs to tumor cells with precision through antibody targeting, enhancing efficacy while reducing side effects. Elderly cancer patients face treatment challenges due to factors such as drug metabolism, multiple comorbidities and decreased physical function. However, ADCs have therapeutic advantages in elderly patients. The article discusses the efficacy, safety, dosing strategies, and adverse reaction management of ADCs in elderly patients, in order to provide effective and safe treatment options for elderly cancer patients.

Key words: antibody-drug conjugates, elder patients, cancer treatment, targeted therapy

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