治好了还是没有? 免疫疗法响应者的长期结果. 专注于黑色素瘤的研究
Céline Boutros1,2, Djaouida Belkadi-Sadou1, Antoine Marchand1
1Dermatology Unit, Department of Medicine, Gustave Roussy Cancer Campus, 114 Rue Edouard Vaillant, 94805, Villejuif, France.
Current oncology reports
|June 2, 2023
概括
在晚期黑色素瘤中,免疫检查点抑制剂 (ICI) 的长期反应者表现出持久的缓解,即使在停止治疗后也是如此. 虽然治愈是可能的,但晚期复发可能发生,并且仍需要用于预测的生物标志物.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 皮肤病学 皮肤病学
背景情况:
- 免疫检查点抑制剂 (ICI) 在晚期黑色素瘤中表现出显著的疗效.
- 现在可以获得ICI受益的患者的长期结局数据.
- 了解ICI停止后的持续反应至关重要.
研究的目的:
- 审查在晚期黑色素瘤中长期响应ICI的特征.
- 评估持久反应患者的治愈潜力.
- 讨论ICI停止后的结果.
主要方法:
- 对ICI在转移性黑色素瘤中的第二期和第三期临床试验的长期结果的分析.
- 对与持久反应相关的患者特征的审查.
- 在停止ICI治疗的患者中对结果的评估.
主要成果:
- 在ICI停用后,观察到持续超过6年的持续性反应,中位数随访.
- 完整的反应更有可能是持久的,而不是部分反应或稳定的疾病.
- 无论PD-L1表达或瘤负担如何,长期益处都可能发生,并且在联合免疫疗法时的大脑转移中.
结论:
- 免疫检查点抑制剂在晚期黑色素瘤中提供持久的抗瘤活性,许多患者有合理的治愈希望.
- 晚期复发是可能的,目前缺乏复发的预测生物标志物.
- 在复发患者中,ICI的重新挑战可能是有效的,尽管数据有限.
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