抗肿瘤药物联用方案

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2025年医保目录调整在即,专家呼吁加强抗肿瘤创新药物联用方案支持力度
Xin Hua Ri Bao· 2025-08-12 21:37
Core Insights - The National Healthcare Security Administration has initiated the adjustment application for the 2025 National Basic Medical Insurance, Maternity Insurance, and Work Injury Insurance drug catalog, with a stronger support for "true innovation" in domestic innovative drugs, particularly in the oncology field [1] - The combination therapy of domestic innovative drugs has gained significant attention and recognition in international academic circles, highlighting the need for enhanced support from medical insurance for these therapies [1] Group 1: Patient Cases and Treatment Outcomes - A 73-year-old patient diagnosed with renal clear cell carcinoma showed significant tumor reduction after using a combination of Anlotinib and Bemarituzumab in a clinical trial, with lung lesions shrinking by nearly half after 21 days of treatment [2] - Another patient, diagnosed with a rare malignant peripheral nerve sheath tumor, experienced effective disease control and manageable side effects after participating in a multi-center clinical study combining targeted therapy with chemotherapy, achieving stable condition for over four years [3] Group 2: Mechanism and Efficacy of Combination Therapies - The use of combination therapies is increasingly emphasized in oncology research, as they can target multiple pathways and mechanisms of tumor growth, leading to enhanced efficacy beyond what single agents can achieve [4] - Combination therapies, such as anti-angiogenic agents with immune checkpoint inhibitors, have shown promising results in treating various advanced malignancies, with domestic innovative drug combinations gaining recognition in international academic settings [5] Group 3: Challenges and Future Directions - Despite the potential of multi-target combination therapies, challenges remain, including complex drug interactions and the need for extensive clinical trials to determine optimal combinations and dosages [6][7] - There is a call for increased support from medical insurance for domestic innovative drugs to alleviate patient financial burdens and encourage further development of effective therapies, which is crucial for improving public health and sustainable growth in the pharmaceutical industry [7]