Tus Sau: William Ramirez
Hnub Kev Tsim: 24 Lub Cuaj Hli Ntuj 2021
Hloov Hnub: 13 Lub Kaum Ib Hli Ntuj 2024
Anonim
Updated overall efficacy and safety of selpercatinib in patients with RET fusion+ NSCLC
Daim Duab: Updated overall efficacy and safety of selpercatinib in patients with RET fusion+ NSCLC

Zoo Siab

Selpercatinib yog siv los kho qee yam mob uas tsis yog mob ntsws hauv hlwb (NSCLC) hauv cov neeg laus uas tau kis mus rau lwm qhov ntawm lub cev hauv cov neeg laus. Nws kuj tseem siv los kho qee yam mob qog ua cancer rau cov laus thiab menyuam yaus hnub nyoog 12 xyoos thiab laus dua uas tau kis mus rau lwm qhov ntawm lub cev. Selpercatinib tseem tseem siv coj los kho lwm hom qog mob qog noj ntshav uas tau kis mus rau lwm qhov ntawm lub cev hauv cov neeg laus thiab cov menyuam hnub nyoog 12 xyoos thiab laus dua uas tau raug kho tsis zoo nrog cov tshuaj radioactive iodine. Selpercatinib nyob hauv chav kawm ntawm cov tshuaj hu ua kinase inhibitors. Nws ua haujlwm los ntawm kev thaiv qhov kev txiav txim ntawm cov protein tsis txaus uas ua rau muaj hlwb hlav hlav. Qhov no yuav pab kom qeeb los yog txwv tsis pub kis mob hlwb.

Selpercatinib los ua tshuaj ntsiav los noj ntawm qhov ncauj. Nws feem ntau yog noj ob zaug ib hnub (txhua 12 teev) nrog lossis tsis muaj zaub mov. Noj selpercatinib nyob ib ncig ntawm tib lub sijhawm txhua hnub. Ua raws li cov lus qhia ntawm koj daim ntawv sau tshuaj noj kom zoo, thiab nug koj tus kws kho mob lossis kws muag tshuaj kom piav qhia ib feem uas koj tsis nkag siab. Noj selpercatinib raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.


Nqos cov tsiav tshuaj tag nrho; tsis txhob qhib, chew, lossis zuaj lawv.

Yog tias koj ntuav tom qab noj selpercatinib, tsis txhob noj ib qho tshuaj ntxiv. Ua koj cov tshuaj noj tas li.

Koj tus kws kho mob tuaj yeem txo koj cov koob tshuaj, lossis cuam tshuam lossis ncua kev kho mob. Qhov no nws nyob ntawm seb cov tshuaj ua hauj lwm zoo npaum li cas rau koj thiab kev phiv uas koj ntsib. Tham nrog koj tus kws kho mob txog saib koj xav li cas thaum kho koj tus mob. Txuas ntxiv rau noj cov tshuaj selpercatinib txawm hais tias koj tus kheej yuav zoo siab. Tsis txhob tsum noj selpercatinib yam tsis tham nrog koj tus kws kho mob.

Nug koj tus kws muag tshuaj lossis tus kws kho mob txog cov ntawv luam ntawm cov ntaub ntawv tsim tawm rau tus neeg mob.

Cov tshuaj no tuaj yeem tsim tawm rau lwm txoj kev siv; nug koj tus kws kho mob lossis kws muag tshuaj kom paub ntaub ntawv ntau ntxiv.

Ua ntej noj cov tshuaj selpercatinib,

  • qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau selpercatinib, lwm yam tshuaj noj, lossis lwm yam tshuaj hauv selpercatinib tsiav tshuaj. Nug koj tus kws muag tshuaj rau cov npe ntawm cov khoom xyaw.
  • qhia rau koj tus kws kho mob thiab kws muag tshuaj tias lwm yam tshuaj uas tsis yog kws kho mob thiab cov tshuaj uas tsis yog kws kho mob sau, tshuaj vitamins, khoom noj khoom haus zoo, thiab tshuaj ntsuab koj tau noj lossis npaj yuav noj. Nco ntsoov hais txog ib qho ntawm cov hauv qab no: cov tshuaj tua kab mob xws li fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole, thiab voriconazole (Vfend); aprepitant (Hloov Kho); carbamazepine (Carbatrol, Tegretol, Equetro, lwm tus); clarithromycin (Biaxin, hauv Prevpac); diltiazem (Cardizem, Cartia, Tiazac, lwm tus); erythromycin (E.E.S., E-Mycin, Erythrocin); qee cov tshuaj rau tib neeg cov tshuaj tiv thaiv kab mob (HIV) lossis tau txais tshuaj tiv thaiv kab mob (AIDS) suav nrog efavirenz (Sustiva), indinavir (Crixivan), nelfinavir (Viracept), nevirapine (Viramune), ritonavir (Norvir, hauv Kaletra), thiab saquinavir (Invi) ; nefazodone; phenobarbital; phenytoin (Dilantin, Phenytek); pioglitazone (Actos); quinidine (hauv Nuedexta); repaglinide (Prandin); rifabutin (Mycobutin); phom phom (Rifadin, Rimactane, hauv Rifamate, hauv Rifater); thiab verapamil (Calan, Verelan, lwm tus). Koj tus kws kho mob tej zaum yuav tau hloov qhov tshuaj ntawm koj cov tshuaj lossis saib xyuas koj kom zoo rau kev phiv. Ntau lwm yam tshuaj yuav tuaj yeem cuam tshuam nrog selpercatinib, yog li nco ntsoov qhia koj tus kws kho mob txog txhua yam tshuaj uas koj siv, txawm tias tsis tshwm nyob rau hauv daim ntawv no.
  • yog koj noj tshuaj H2 blocker tshuaj rau kem plab, kub siab, lossis mob rau sab hauv xws li cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Axid), lossis ranitidine (Zantac), noj selpercatinib tsawg kawg 2 teev ua ntej lossis 10 teev tom qab noj ib qho ntawm cov tshuaj no.
  • yog tias koj noj tshuaj antacid uas muaj aluminium, magnesium, calcium, lossis simethicone; lossis cov tshuaj noj kom tsawg xws li noj muaj tshuaj aspirin, noj selpercatinib tsawg kawg 2 teev ua ntej lossis tsawg kawg 2 teev tom qab koj noj ib qho ntawm cov tshuaj no.
  • yog tias koj noj cov tshuaj tiv thaiv proton-twj tso kua mis xws li esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), thiab rabeprazole (AcipHex), noj txhua lub koob tshuaj selpercatinib nrog rau zaub mov.
  • qhia koj tus kws kho mob tias yam tshuaj ntsuab koj noj, tshwj xeeb tshaj yog St. John wort.
  • qhia rau koj tus kws kho mob yog tias koj tau lossis muaj lub plawv dhia qeeb, nrawm, lossis lub cev tsis xwm yeem; lub sijhawm QT ntu ntev (qhov teeb meem tsis tshua muaj lub siab uas yuav ua rau lub plawv dhia tsis xwm yeem, tsaus muag, lossis cia li tuag tam sim ntawd); ntshav siab; los ntshav teeb meem; lossis lub raum lossis mob rau daim siab.
  • qhia rau koj tus kws kho mob yog tias koj cev xeeb tub, npaj yuav cev xeeb tub, lossis yog koj npaj yuav leej txiv. Koj yuav tsum tsis txhob xeeb tub thaum koj tab tom noj cov tshuaj selpercatinib. Yog tias koj yog poj niam, koj yuav tsum tau mus kuaj cev xeeb tub ua ntej koj pib kho thiab siv tshuaj tiv thaiv kom tsis txhob muaj menyuam hauv plab thaum koj kho nrog selpercatinib thiab rau 1 lub lis piam tom qab koj cov tshuaj zaum kawg. Yog tias koj yog txiv neej, koj thiab koj tus poj niam tus khub yuav tsum siv tshuaj tswj kom tsis txhob muaj menyuam thaum lub sijhawm kho nrog selpercatinib thiab rau 1 lub lis piam tom qab koj qhov tshuaj kawg. Yog tias koj lossis koj tus khub xeeb tub thaum tab tom noj selpercatinib, hu rau koj tus kws kho mob tam sim ntawd. Selpercatinib tuaj yeem ua rau me nyuam muaj mob.
  • qhia rau koj tus kws kho mob yog tias koj pub mis niam rau menyuam. Koj yuav tsum tsis txhob pub niam mis thaum koj tab tom noj selpercatinib thiab rau 1 lub lis piam tom qab koj zaum kawg.
  • koj yuav tsum paub tias cov tshuaj no tuaj yeem txo qis kev muaj menyuam hauv txivneej thiab pojniam. Tham nrog koj tus kws kho mob txog cov kev pheej hmoo ntawm kev noj cov tshuaj selpercatinib.
  • yog tias koj muaj kev phais, suav nrog kev phais hniav, qhia tus kws kho mob lossis kws kho hniav tias koj noj cov tshuaj selpercatinib. Koj tus kws kho mob yuav qhia koj kom tsis txhob noj selpercatinib 7 hnub ua ntej kev phais mob lossis cov txheej txheem thiab yuav qhia koj tias thaum twg koj yuav tsum pib noj cov tshuaj.

Tsis txhob noj txiv kab ntxwv qaub lossis haus cov txiv kab ntxwv kua txiv thaum noj cov tshuaj no.


Noj cov koob tshuaj uas ploj lawm sai li sai tau thaum koj nco qab nws. Txawm li cas los xij, yog tias nws nyob hauv 6 teev tom qab koj txoj kev noj tshuaj txuas ntxiv, hla ncua lub koob tshuaj uas tsis nco qab noj thiab txuas ntxiv koj lub sijhawm noj tshuaj. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug.

Selpercatinib tuaj yeem tshwm sim phiv. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:

  • qhov ncauj qhuav
  • zawv plab
  • cem quav
  • xeev siab
  • ntuav
  • mob plab
  • mob taub hau
  • nkees nkees
  • hnoos
  • txog siav
  • o ntawm koj txhais caj npab, ceg, tes, thiab taw

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob no, hu rau koj tus kws kho mob sai lossis tau txais kev kho mob kub ceev:

  • mob hauv sab xis sab xis ntawm lub plab; doog ntshav los ntshav; tsaus nti zis; lossis yellowing ntawm daim tawv nqaij thiab qhov muag
  • lub plawv dhia
  • kiv taub hau lossis tsaus ntais
  • tsaus muag
  • hnoos lossis ntuav ntshav lossis cov khoom uas zoo li thaj chaw kas fes; los ntshav txawv lossis doog ntshav, liab dawb; zis liab, lossis tso zis tsaus nti; lossis liab lossis tarry cov quav txawv txav
  • xeev siab; ntuav; txog siav; mob leeg; tsis muaj zog; qaug dab peg; lossis o ntawm caj npab thiab txhais ceg
  • kub taub hau, tawm pob, txha lossis mob txha lossis mob leeg

Selpercatinib tuaj yeem ua rau cov pob txha lag luam kom tsis txhob loj hlob sai rau cov tub ntxhais hluas uas tseem tab tom hlob. Tham nrog koj tus menyuam tus kws khomob txog cov kev pheej hmoo ntawm kev muab cov tshuaj no rau koj tus menyuam.


Selpercatinib tuaj yeem ua lwm cov kev phiv. Hu rau koj tus kws kho mob yog tias koj muaj teeb meem txawv txawv thaum noj cov tshuaj no.

Yog tias koj muaj kev mob tshwm sim loj, koj lossis koj tus kws kho mob tuaj yeem xa ntawv ceeb toom rau Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) lossis hauv xov tooj ( 1-800-332-1088).

Khaws cov tshuaj no rau hauv lub khob uas nws nkag los, kaw kom nruj, thiab ncav tsis cuag ntawm cov menyuam. Khaws nws ntawm chav sov thiab deb ntawm qhov kub thiab noo noo (tsis nyob hauv chav dej).

Nws yog ib qho tseem ceeb kom tsis txhob muaj txhua yam tshuaj rau qhov tsis pom thiab ncav cuag ntawm cov menyuam yaus ntau li ntau ntim (xws li tshuaj ntsiav tshuaj txhua lub limtiam thiab cov tshuaj rau qhov muag, tshuaj pleev, pleev xim, thiab nqus tshuaj) tsis tiv thaiv menyuam yaus thiab cov menyuam yaus tuaj yeem qhib lawv tau yooj yim. Txhawm rau tiv thaiv cov menyuam yaus me los ntawm kev lom, ib txwm kaw lub kaus mom kev nyab xeeb thiab muab cov tshuaj tso rau qhov chaw nyab xeeb - ib qho chaw nyob thiab deb thiab tawm ntawm lawv pom thiab ncav cuag. http://www.upandaway.org

Cov tshuaj tsis siv tshuaj yuav tsum tau muab pov tseg hauv txoj kev tshwj xeeb kom ntseeg tau tias cov tsiaj, menyuam yaus, thiab lwm tus neeg tsis tuaj yeem haus lawv. Txawm li cas los xij, koj yuav tsum tsis txhob yaug cov tshuaj no hauv lub qhov viv. Hloov chaw, txoj hauv kev zoo tshaj plaws hauv kev muab koj cov tshuaj tshem tawm yog los ntawm kev siv tshuaj rov qab. Tham nrog koj tus kws muag tshuaj lossis tiv tauj koj lub chaw khaws khib nyiab / chaw khaws khoom ubno hauv ib cheeb tsam kom paub txog cov haujlwm thim rov qab hauv koj lub zej zog. Saib ntawm FDA's Kev Nyab Xeeb Kev Nyab Xeeb Kev Siv Tshuaj lub vev xaib (http://goo.gl/c4Rm4p) kom paub cov ntaub ntawv ntau ntxiv yog tias koj tsis muaj kev nkag mus saib rov qab.

Yog hais tias noj ntau dhau, hu rau kem tus xov tooj kev pab tswj kev lom ntawm 1-800-222-1222. Cov ntaub ntawv tseem muaj nyob online ntawm https://www.poisonhelp.org/help. Yog tus neeg raug tsim txom, tsaus muag, ua tsis taus pa, lossis sawv tsis taus, hu rau 911 tus neeg pab thaum muaj xwm ceev.

Khaws tag nrho cov kev teem caij mus ntsib koj tus kws kho mob thiab chav kuaj mob. Koj tus kws kho mob yuav kuaj koj cov ntshav siab ua ntu zus thiab xaj qee yam kev kuaj sim ua ntej thiab thaum kho koj lub cev kom ntsuas koj cov lus teb rau selpercatinib.

Tsis txhob cia lwm tus noj koj cov tshuaj. Nug koj tus kws muag tshuaj cov lus nug uas koj muaj txog kev rov ntxiv tshuaj rau koj.

Nws yog ib qho tseem ceeb rau koj kom koj muaj ib daim ntawv sau tag nrho cov tshuaj noj thiab cov tshuaj uas tsis yog kws kho mob sau ntawv (tsis yuav khoom) uas koj tab tom noj, nrog rau txhua yam khoom xws li cov vitamins, minerals, lossis lwm yam tshuaj noj rau lub cev. Koj yuav tsum nqa cov ntawv no nrog koj txhua zaus koj mus ntsib kws kho mob lossis yog tias koj tuaj nyob hauv tsev kho mob. Nws tseem yog cov ntaub ntawv tseem ceeb los nqa nrog koj thaum muaj xwm txheej ceev.

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