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晚期黑色素瘤的超级进展不仅限于免疫疗法
Marie Fournier1, Laurent Mortier2, Olivier Dereure3
1Université de Paris Cité, AP-HP Hôpital Saint-Louis, Dermatology Department, Paris, France.
概括
高度进展性疾病 (HPD) 可能发生在接受免疫治疗的晚期黑色素瘤患者中. 在抗编程细胞死亡蛋白1疗法中,HPD的主要风险因素包括多个转移部位和肝脏参与.
科学领域:
- 在瘤学瘤学.
- 免疫治疗是一种免疫疗法.
- 黑色素瘤研究 黑色素瘤研究
背景情况:
- 超渐进性疾病 (HPD) 的定义是有争议的,在黑色素瘤中描述不佳.
- 这项研究调查了HPD在晚期黑色素瘤患者中的适用性.
研究的目的:
- 为了确定HPD是否适用于晚期黑色素瘤患者.
- 建立一个简单的,可重复的标准HPD.
- 为了确定HPD的预测因素.
主要方法:
- 一个前性的,多中心队列 (MelBase) 的晚期黑色素瘤患者的回顾性分析.
- 患者接受了抗PD1,伊皮利马布+尼沃马布,BRAF/MEKi或化疗.
- 在3个月内使用临床和生物标准 (RECIST,ECOG,LDH) 定义HPD.
主要成果:
- 在10%的抗PD1组中,HPD发生在6%的ipilimumab+nivolumab组,4%的向治疗组和10%的化疗组中.
- 在抗PD1组中,超过3个转移部位和肝转移是HPD的重要风险因素.
- p值: >3个转移部位的0.03,肝转移的<0.001.
结论:
- 高血压病是一个独特的小组患者,即使有有效的治疗方法,疾病也会迅速恶化.
- 临床和生物标准可以在日常实践中识别HPD.
- HPD可能代表一种侵略性的疾病演变,可能受到治疗反应的影响.
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