{"id":4274,"date":"2017-08-12T11:12:57","date_gmt":"2017-08-12T11:12:57","guid":{"rendered":"https:\/\/andromedichyperthermia.com\/2017\/08\/12\/quasi-feasibility-studycase-control-associating-deep-local-hyperthermia-treatment-with-standard-cancer-treatments-and-describing-patterns-of-response-esho-poster\/"},"modified":"2025-09-05T07:32:19","modified_gmt":"2025-09-05T07:32:19","slug":"klinikinis-tyrimas-hipertermija","status":"publish","type":"post","link":"https:\/\/andromedichyperthermia.com\/lt\/klinikinis-tyrimas-hipertermija\/","title":{"rendered":"Kvazi-\u012fmanomumo klinikinis tyrimas, siejantis gilios lokalios hipertermijos gydym\u0105 su standartiniais v\u0117\u017eio gydymo b\u016bdais ir apib\u016bdinantis atsako modelius"},"content":{"rendered":"<h1 style=\"text-align: center;\"><a href=\"https:\/\/andromedichyperthermia.com\/wp-content\/uploads\/2025\/02\/cartleESHOfinal.pdf\"><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Kvazi-\u012fmanomumo klinikinis tyrimas, siejantis gilios lokalios hipertermijos gydym\u0105 su standartiniais v\u0117\u017eio gydymo b\u016bdais ir apib\u016bdinantis atsako modelius<\/span><\/span><\/a><\/h1>\n<h2 style=\"text-align: center;\"><a href=\"https:\/\/www.esho.info\/\" target=\"_blank\" rel=\"noopener\"><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Andromedic hipertermijos klinikinis tyrimas &#8211; Europos hipertermin\u0117s onkologijos draugijos kongresas 2014 m.\u00a0<\/span><\/span><\/a><\/h2>\n<figure id=\"attachment_111\" aria-describedby=\"caption-attachment-111\" style=\"width: 568px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-111 size-full\" src=\"https:\/\/andromedichyperthermia.com\/wp-content\/uploads\/2025\/02\/Quasi-feasibility-studycase-control-asscoaiting-deep-local-hyperthermia-treatment-with-standard-cancer-treatments-and-describing-patterns-of-response.jpg\" alt=\"Klinikinis hipertermijos Andromedic tyrimas: kvazi-galimybi\u0173 tyrimas (atvejo kontrol\u0117), lyginantis giliosios lokalios hipertermijos HyDeep 600WM gydym\u0105 su standartiniais v\u0117\u017eio gydymo b\u016bdais ir apib\u016bdinantis atsako modelius.\" width=\"568\" height=\"826\" title=\"\" srcset=\"https:\/\/andromedichyperthermia.com\/wp-content\/uploads\/2025\/02\/Quasi-feasibility-studycase-control-asscoaiting-deep-local-hyperthermia-treatment-with-standard-cancer-treatments-and-describing-patterns-of-response.jpg 568w, https:\/\/andromedichyperthermia.com\/wp-content\/uploads\/2025\/02\/Quasi-feasibility-studycase-control-asscoaiting-deep-local-hyperthermia-treatment-with-standard-cancer-treatments-and-describing-patterns-of-response-206x300.jpg 206w\" sizes=\"auto, (max-width: 568px) 100vw, 568px\" \/><figcaption id=\"caption-attachment-111\" class=\"wp-caption-text\"><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Kvazi-galimybi\u0173 studija (atvejo kontrol\u0117), siejanti gilios lokalios hipertermijos gydym\u0105 HyDeep 600WM su standartiniais v\u0117\u017eio gydymo b\u016bdais ir apra\u0161ant atsako modelius.<\/span><\/span><\/figcaption><\/figure>\n<p><strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">\u012evadas:<\/span><\/span><\/strong><\/p>\n<p><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Tai pirmasis klinikinis tyrimas, kuriame gilioji vietin\u0117 hipertermija derinama su standartiniais v\u0117\u017eio gydymo metodais Ispanijoje ir Andal\u016bzijoje.<\/span><\/span><\/p>\n<p><strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Med\u017eiagos ir metodai:<\/span><\/span><\/strong><\/p>\n<p><strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Tikslai:<\/span><\/span><\/strong><\/p>\n<p><strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Pirma:<\/span><\/span><\/strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\"> i\u0161analizuoti hipertermijos ir standartinio v\u0117\u017eio gydymo visuomen\u0117s sveikatos sistemoje klinikin\u0119 naud\u0105, gydymo atsak\u0105, gydymo \u012fgyvendinamum\u0105 ir komfort\u0105. <\/span><\/span><br \/>\n<strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Antra:<\/span><\/span><\/strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\"> i\u0161analizuoti i\u0161gyvenamum\u0105, gyvenimo kokyb\u0119 ir toksi\u0161kum\u0105 (bendr\u0105 ir specifin\u0119 v\u0117\u017eio hipertermij\u0105).<\/span><\/span><\/p>\n<p><strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Dizainas:<\/span><\/span><\/strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\"> perspektyvus, kvazieksperimentinis, atvejo-kontrol\u0117s tyrimas, kurio metu hipertermijos gydymas (6\u201310 seans\u0173, 2\u20133 kartus per savait\u0119) buvo taikomas kartu su standartine radioterapija (RT), chemoterapija (KT) arba abiej\u0173 deriniu. Pacientai, kuriems buvo nustatyti pirminiai navikai 9 vietose arba metastazavusi\u0173 navik\u0173, gydyti radikaliu arba kombinuotu gydymu, buvo retrospektyviai palyginti su dviem kontrolin\u0117s grup\u0117s pacientais, gydytais per pra\u0117jusius metus.<\/span><\/span><\/p>\n<p><strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Du etapai:<\/span><\/span><\/strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\"> pirmasis mokymosi etapas (20 pacient\u0173). Antrasis aktyvaus gydymo etapas, kuriame dalyvavo 97 pacientai, palyginti su 196 kontrolin\u0117s grup\u0117s pacientais, kurie 2012 m. abiejose ligonin\u0117se buvo gydyti radioterapija arba QT intervalo terapija be hipertermijos (i\u0161 viso 293 pacientai).<\/span><\/span><\/p>\n<p><strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Devynios naviko vietos:<\/span><\/span><\/strong><\/p>\n<blockquote>\n<ul>\n<li><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Gimdos kaklelis, prostata, \u0161lapimo p\u016bsl\u0117<\/span><\/span><\/li>\n<li><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Kasa, neoperuojama galva ir kaklas<\/span><\/span><\/li>\n<li><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Smegen\u0173 navikai, prie\u0161operacin\u0117 tiesioji \u017earna<\/span><\/span><\/li>\n<li><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Neoperuojamas neoadjuvantinis i\u0161plitusio kr\u016bties v\u0117\u017eio gydymas<\/span><\/span><\/li>\n<li><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Nesmulkial\u0105stelinis plau\u010di\u0173 v\u0117\u017eys (NSCLC)<\/span><\/span><\/li>\n<li><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Paliatyvus gydymas skirtingose \u200b\u200bvietose<\/span><\/span><\/li>\n<\/ul>\n<\/blockquote>\n<p><strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Rezultatai:<\/span><\/span><\/strong><\/p>\n<p><strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Preliminar\u016bs s\u0105ra\u0161o duomenys:<\/span><\/span><\/strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\"> 22 pacientai (9 Juan Roman Jimenez ligonin\u0117je ir 13 Carlos Haya ligonin\u0117je).<\/span><\/span><\/p>\n<p><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Lytis: 13 vyr\u0173 ir 9 moterys.<\/span><\/span><\/p>\n<p><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Vidutinis am\u017eius: 55 metai (34\u201376 metai).<\/span><\/span><\/p>\n<p><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Naviko vieta: glioblastoma (2c), galva ir kaklas (7c), prie\u0161operacin\u0117 tiesioji \u017earna (3c), kr\u016btis (3c1), plau\u010diai (11c), prostata (4c), gimdos kaklelis (lc), kry\u017ekaulio ir klubikaulio kaulo metastaz\u0117s.<\/span><\/span><\/p>\n<p><strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Gydymas:<\/span><\/span><\/strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\"> \u201eHyDeep 600WM\u201c hipertermijos prietaisas (\u201eAndromedic\u201c), atliekantis 10 seans\u0173 2\u20133 kartus per savait\u0119, trukm\u0117 \u2013 1 valanda, naudojant nuo 150 W iki 400 W gali\u0105, priklausomai nuo standartinio onkologinio gydymo vietos.<\/span><\/span><\/p>\n<p><strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Gydymo nutraukimo prie\u017eastys:<\/span><\/span><\/strong><\/p>\n<p><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Juan R Jim\u00e9nez ligonin\u0117 Huelvoje: 3 atvejai, infekcija vietoj gydymo (celiulitas tiesiosios \u017earnos v\u0117\u017eyje), kraujavimas i\u0161 gimdos (gimdos kaklelio v\u0117\u017eys) ir savanori\u0161kas gydymo nutraukimas.<\/span><\/span><\/p>\n<p><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">C Haya de Melaga ligonin\u0117: 2 pacientai, 1 6-ojo seanso metu, gerai toleravo proced\u016br\u0105, o kitas 6-ojo seanso metu, nes pager\u0117jo gydymas.<\/span><\/span><\/p>\n<p><strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Pacient\u0173 baigtis:<\/span><\/span><\/strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\"> 19 pacient\u0173 yra gyvi ir laukia atsako \u012fvertinimo, o 3 pacientai mir\u0117 d\u0117l ligos progresavimo (2 gavo i\u0161skirtin\u0119 chemoterapij\u0105 ir HT d\u0117l naviko atkry\u010dio anks\u010diau ap\u0161vitintoje galvos ir kaklo srityje, o dar vienas pacientas, kuriam atsinaujino rykl\u0117s navikas, gavo paliatyvi\u0105j\u0105 radioterapij\u0105 ir HT).<\/span><\/span><\/p>\n<p><strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Tolerancija: 81,2 % pacient\u0173 (18 p.) nurod\u0117, kad yra patenkinti arba labai patenkinti, o 18,8 % (4 p.) nurod\u0117, kad jie yra priimtini.<\/span><\/span><\/strong><\/p>\n<p><strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">Toksi\u0161kumas: 1 laipsnio deginimo poj\u016bt\u012f primenantis toksi\u0161kumas pasirei\u0161k\u0117 8 i\u0161 22 pacient\u0173 (36,3 %). 66,6 % pacient\u0173 toksi\u0161kumo nenustatyta. Vienai pacientei pasirei\u0161k\u0117 1 laipsnio skausmas\/premiksas gydymo srityje (i\u0161op\u0117jusios kr\u016bties atveju).<\/span><\/span><\/strong><\/p>\n<p><strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">M\u016bs\u0173 preliminari patirtis rodo, kad gydymas valstybin\u0117je ligonin\u0117je, taikant \u012fprastin\u0119 prie\u017ei\u016br\u0105, yra \u012fmanomas, nereikalaujant ypating\u0173 i\u0161tekli\u0173 ir esant didelei tolerancijai.<\/span><\/span><\/strong><\/p>\n<p><strong><span dir=\"auto\" style=\"vertical-align: inherit;\"><span dir=\"auto\" style=\"vertical-align: inherit;\">I\u0160VADOS: Gydymas yra \u012fmanomas ir patogus 81,2 % m\u016bs\u0173 pacient\u0173, gydom\u0173 visuomen\u0117s sveikatos sistemoje, o 33 % pacient\u0173 lengvas toksi\u0161kumas siejamas su hipertermijos gydymu. Tinkama pacient\u0173 atranka yra labai svarbi.<\/span><\/span><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kvazi-\u012fmanomumo klinikinis tyrimas, siejantis gilios lokalios hipertermijos gydym\u0105 su standartiniais v\u0117\u017eio gydymo b\u016bdais ir apib\u016bdinantis atsako modelius Andromedic hipertermijos klinikinis tyrimas &#8211; Europos hipertermin\u0117s onkologijos draugijos kongresas 2014 m.\u00a0 \u012evadas: Tai pirmasis klinikinis tyrimas, kuriame gilioji vietin\u0117 hipertermija derinama su standartiniais v\u0117\u017eio gydymo metodais Ispanijoje ir Andal\u016bzijoje. Med\u017eiagos ir metodai: Tikslai: Pirma: i\u0161analizuoti hipertermijos ir&hellip;<\/p>\n","protected":false},"author":1,"featured_media":1944,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[173,959],"tags":[],"class_list":["post-4274","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news-lt","category-studii-clinice-lt"],"gutentor_comment":0,"_links":{"self":[{"href":"https:\/\/andromedichyperthermia.com\/lt\/wp-json\/wp\/v2\/posts\/4274","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/andromedichyperthermia.com\/lt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/andromedichyperthermia.com\/lt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/andromedichyperthermia.com\/lt\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/andromedichyperthermia.com\/lt\/wp-json\/wp\/v2\/comments?post=4274"}],"version-history":[{"count":0,"href":"https:\/\/andromedichyperthermia.com\/lt\/wp-json\/wp\/v2\/posts\/4274\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/andromedichyperthermia.com\/lt\/wp-json\/wp\/v2\/media\/1944"}],"wp:attachment":[{"href":"https:\/\/andromedichyperthermia.com\/lt\/wp-json\/wp\/v2\/media?parent=4274"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/andromedichyperthermia.com\/lt\/wp-json\/wp\/v2\/categories?post=4274"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/andromedichyperthermia.com\/lt\/wp-json\/wp\/v2\/tags?post=4274"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}