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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Journal of Modern Oncology</journal-id><journal-title-group><journal-title xml:lang="en">Journal of Modern Oncology</journal-title><trans-title-group xml:lang="ru"><trans-title>Современная онкология</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1815-1434</issn><issn publication-format="electronic">1815-1442</issn><publisher><publisher-name xml:lang="en">LLC Obyedinennaya Redaktsiya</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">26897</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Articles</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Статьи</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Bevatsizumab v kombinatsii s khimioluchevoy terapiey u bol'nykh glioblastomoy</article-title><trans-title-group xml:lang="ru"><trans-title>Бевацизумаб в комбинации с химиолучевой терапией у больных глиобластомой</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Smolin</surname><given-names>Aleksey Vladimirovich</given-names></name><name xml:lang="ru"><surname>Смолин</surname><given-names>Алексей Владимирович</given-names></name></name-alternatives><bio xml:lang="ru"><p>нач. Радиологического центра</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Konev</surname><given-names>Andrey Vladimirovich</given-names></name><name xml:lang="ru"><surname>Конев</surname><given-names>Андрей Владимирович</given-names></name></name-alternatives><bio xml:lang="ru"><p>зав. 31-м радиологическим (терапевтическим) отд-нием</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kobyakov</surname><given-names>Grigoriy L'vovich</given-names></name><name xml:lang="ru"><surname>Кобяков</surname><given-names>Григорий Львович</given-names></name></name-alternatives><bio xml:lang="ru"><p>рук. группы химиотерапии опухолей ЦНС 7-го отд-ния</p></bio><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Nikolaeva</surname><given-names>Svetlana Nikolaevna</given-names></name><name xml:lang="ru"><surname>Николаева</surname><given-names>Светлана Николаевна</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач-радиолог 31-го радиологического (терапевтического) отд-ния</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Shamanskaya</surname><given-names>Yuliya Evgen'evna</given-names></name><name xml:lang="ru"><surname>Шаманская</surname><given-names>Юлия Евгеньевна</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач-радиолог 31-го радиологического (терапевтического) отд-ния</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Gorbunov</surname><given-names>Aleksey Valer'evich</given-names></name><name xml:lang="ru"><surname>Горбунов</surname><given-names>Алексей Валерьевич</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач отд-ния МРТ</p></bio><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en"></institution></aff><aff><institution xml:lang="ru">ФГКУ Главный военный клинический госпиталь им. акад. Н.Н.Бурденко Минобороны России</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en"></institution></aff><aff><institution xml:lang="ru">НИИ нейрохирургии им. Н.Н.Бурденко РАМН</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2013-09-15" publication-format="electronic"><day>15</day><month>09</month><year>2013</year></pub-date><volume>15</volume><issue>3</issue><issue-title xml:lang="en">VOL 15, NO3 (2013)</issue-title><issue-title xml:lang="ru">ТОМ 15, №3 (2013)</issue-title><fpage>16</fpage><lpage>23</lpage><history><date date-type="received" iso-8601-date="2020-04-09"><day>09</day><month>04</month><year>2020</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2013, Consilium Medicum</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2013, ООО "Консилиум Медикум"</copyright-statement><copyright-year>2013</copyright-year><copyright-holder xml:lang="en">Consilium Medicum</copyright-holder><copyright-holder xml:lang="ru">ООО "Консилиум Медикум"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://modernonco.orscience.ru/1815-1434/article/view/26897">https://modernonco.orscience.ru/1815-1434/article/view/26897</self-uri><abstract xml:lang="ru"><p>Представлен обзор литературы по клиническим исследованиям II и III фазы, изучавшим эффективность и безопасность использования бевацизумаба в комбинации с химиолучевой терапией у больных с впервые диагностированной глиобластомой головного мозга. Приведены данные о статистически значимом увеличении выживаемости без прогрессирования у больных глиобластомой на 4,4 мес и снижении относительного риска прогрессирования или смерти на 36% при применении бевацизумаба в комбинации со стандартной химиолучевой терапией у больных с вновь диагностированной глиобластомой. Показано, что добавление бевацизумаба достоверно увеличивает время до ухудшения статуса Карновского, статуса общего здоровья, физического, социального функционирования, моторного и коммуникационного дефицита. Оценена безопасность применения бевацизумаба в комбинации с химиолучевой терапией. Освещены возможные показания к применению бевацизумаба в 1-й линии терапии, приведены данные собственного опыта применения бевацизумаба по этим показаниям.</p></abstract><kwd-group xml:lang="ru"><kwd>мультиформная глиобластома</kwd><kwd>опухоль мозга</kwd><kwd>химиолучевая терапия</kwd><kwd>таргетная терапия</kwd><kwd>антиангиогенная терапия</kwd><kwd>бевацизумаб</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>American Cancer Society: Cancer Facts and Figures 2013. Atlanta, GA: Am Cancer Society 2013.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Kristiansen K, Hagen S, Kollevold T et al. Combined modality therapy of operated astrocytomas grade III and IV. Confirmation of the value of postoperative irradiation and lack of potentiation of bleomycin on survival time: a prospective multicenter trial of the Scandinavian Glioblastoma Study Group Cancer 1981; 47 (4): 649–52.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Stupp R, Mason W.P, van den Bent M.J et al. Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma. N Engl J Med 2005; 352 (10): 987–96.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Stupp R, Hegi M.E, Mason W.P et al. Effects of radiotherapy with concomitant and adjuvant temozolomide versus radiotherapy alone on survival in glioblastoma in a randomised phase III study: 5-year analysis of the EORTC-NCIC trial. Lancet Oncol 2009; 10 (5): 459–66.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Lacroix M, Abi-Said D, Fourney D.R et al. A multivariate analysis of 416 patients with glioblastoma multiforme: prognosis, extent of resection, and survival. J Neurosurg 2001; 95: 190–8.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Nieder C, Adam M, Molls M, Grosu A.L. Therapeutic options for recurrent high - grade glioma in adult patients: recent advances. Crit Rev Oncol Hematol 2006; 60: 181–93.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Brandes A.A, Fiorentino M.V. The role of chemotherapy in recurrent malignant gliomas: an overview. Cancer Invest 1996; 14: 551–9.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Wick W, Steinbach J.P, Küker W.M et al. One week on/one week off: A novel active regimen of temozolomide for recurrent glioblastoma. Neurology 2004; 62 (11): 2113–5.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Perry J, Mason W, Belanger K et al. The Temozolomide RESCUE study: a Phase II trial of continuous (28/28) dose - intense temozolomide (TMZ) after progression on conventional 5/28 day TMZ in patients with recurrent malignant glioma. Clin Oncol 2008; 26 (Suppl. 15). Abstr. 2010.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Plate K.H, Breier G, Weich H.A et al. Vascular endothelial growth factor is a potential tumour angiogenesis factor in human gliomas in vivo. Nature 1992; 359: 845–8.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Shweiki D, Itin A, Soffer D et al. Vascular endothelial growth factor induced by hypoxia may mediate hypoxia - initiated angiogenesis. Nature 1992; 359: 843–5.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Zagzag D, Zhong H, Scalzitti J.M et al. Expression of hypoxia - inducible factor 1a in brain tumors: association with angiogenesis, invasion, and progression. Cancer 2000; 88 (11): 2606–18.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Louis D.N. Molecular pathology of malignant gliomas. Annu Rev Pathol 2006; 1: 97–117.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Jain R.K, di Tomaso E, Duda D.G et al. Angiogenesis in brain tumours. Nat Rev Neurosci 2007; 8: 610–22.</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Stark-Vance V: Bevacizumab and CPT-11 in the treatment of relapsed malignant glioma. Neuro Oncology 2005; 7: 369. Аbstr. 342.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Stark-Vance V. Bevacizumab and CPT-11 in the treatment of relapsed malignant glioma. Neuro Oncol 2005; 7: 369.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Pope W.B, Lai A, Nghiemphu P et al. MRI in patients with high - grade gliomas treated with bevacizumab and chemotherapy. Neurol 2006; 66: 1258–60.</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Vredenburgh J.J, Wefel J, Coughesy T et al. Clinical assessment of corticosteroid use and neurocognitive function in patients with glioblastoma at first or second relapse treated with bevacizumab in the BRAIN study. Eur J Cancer 2009; 7 (Suppl.): 495. Abstr O-8701.</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Friedman H.S, Prados M.D, Wen P.Y et al. Bevacizumab alone and in combination with irinotecan in recurrent glioblastoma. J Clin Oncol 2009; Epub ahead of print.</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Jain R.K. Normalization of tumor vasculature: An emerging concept in antiangiogenic therapy. Science 2005; 307: 58–62.</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Duda D.G, Jain R.K, Willett C.G. Antiangiogenics: The potential role of integrating this novel treatment modality with chemoradiation for solid cancers. J Clin Oncol 2007; 25: 4033–42.</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Lai A, Tran A, Nghiemphu P.L et al. Phase II trial of bevacizumab plus temozolomide during and after radiation therapy for patients with newly diagnosed glioblastoma multiforme. J Clin Oncol 2011; 29: 142–8.</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Gruber M.L, Raza S, Gruber D, Narayana A. Bevacizumab in combination with radiotherapy plus concomitant and adjuvant temozolomide for newly diagnosed glioblastoma: update progression free survival, overall survival, and toxicity. J Clin Oncol 2009; 27 (Suppl.): 15s. Abstr. 2017.</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Gilbert M.R, Dignam J, Won M. RTOG 0825: Phase III double - blind placebo - controlled trial evaluating bevacizumab (Bev) in patients (Pts) with newly diagnosed glioblastoma (GBM). J Clin Oncol 2013; 31 (Suppl.). Abstr. 1.</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Chinot O, Wick W, Mason W et al. Phase III trial of bevacizumab added to standard radiotherapy and temozolomide for newly - diagnosed glioblastoma: Mature progression - free survival and preliminary overall survival results in AVAglio. Neuro Oncol 2012; 14 (Suppl.). Abstr. OT-03.</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Wick W, Cloughesy T.F, Nishikawa R et al. Tumor response based on adapted Macdonald criteria and assessment of pseudoprogression (PsPD) in the phase III AVAglio trial of bevacizumab (Bv) plus temozolomide (T) plus radiotherapy (RT) in newly diagnosed glioblastoma (GBM). 2013 ASCO Annual Meeting Presented 2013; Abstr. 2002.</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Henriksson R, Bottomley A, Mason W et al. Progression - free survival (PFS) and health - related quality of life (HRQoL) in AVAglio, a phase III study of bevacizumab (Bv), temozolomide (T), and radiotherapy (RT) in newly diagnosed glioblastoma (GBM). 2013 ASCO Annual Meeting Presented 2013; Abstr. 2005.</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Aldape K.D, Jones G, Wang M et al. MGMT methylation testing in RTOG 0525: A phase III trial of newly diagnosed glioblastoma. ASCO Annual Meeting Proceedings (Post-Meeting Edition). J Clin Oncol 2009; 27 (15S): 2051. Suppl.</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>Sulman E.P, Won M, Blumenthal D.T et al. Molecular predictors of outcome and response to bevacizumab (BEV) based on analysis of RTOG 0825, a phase III trial comparing chemoradiation (CRT) with and without BEV in patients with newly diagnosed glioblastoma (GBM). J Clin Oncol 2013; 31 (Suppl.). Аbstr. LBA2010.</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Herrlinger U, Schaefer N, Steinbach J.P et al. Bevacizumab, irinotecan, and radiotherapy versus standard temozolomide and radiotherapy in newly diagnosed, MGMT-nonmethylated glioblastoma patients: First results from the randomized multicenter GLARIUS trial. J Clin Oncol 2013; 31 (Suppl.). Аbstr. LBA2000.</mixed-citation></ref></ref-list></back></article>
