用 pembrolizumab治疗的固体瘤患者的瘤动态超出了疾病进展的范围
Brian G Topp1, Madhav Channavazzala2, Kapil Mayawala1
1Merck & Co., Inc, Rahway, NJ, USA.
Cancer cell
|September 12, 2023
概括
在癌症进展之后的 pembrolizumab 治疗为许多癌症患者提供了临床益处. 一个显著的子组经历了瘤缩或稳定的疾病,在黑色素瘤,肺癌,胃癌,头癌,脏癌和泌尿器癌中表现出有意义的疗效.
科学领域:
- 在瘤学瘤学.
- 免疫治疗是一种免疫疗法.
- 临床试验分析
背景情况:
- 许多癌症患者在最初的疾病进展之后继续治疗.
- 这种治疗策略的临床益处和持续时间尚未完全理解.
- 布罗利祖马布是一种免疫疗法剂,用于各种晚期癌症.
研究的目的:
- 量化治疗布罗利祖马布超过疾病进展 (PD) 的患者的临床益处和持续时间.
- 分析多种癌症的治疗结果,包括黑色素瘤,NSCLC,GC,HNSCC,ccRCC和UC.
主要方法:
- 对799名接受布罗利祖马布治疗超过RECIST v1.1 PD.的患者进行了回顾性分析.
- 瘤反应的评估,包括病变直径的减少和稳定的疾病,在后进展期.
- 结果按癌症类型分层分类.
主要成果:
- 一部分患者 (在癌症类型中从8.9%到24.4%) 显示病变直径在进展后减少了≥30%.
- 大多数患者 (64.8%至75.9%) 呈现出稳定的目标病变动态.
- 布罗利祖马布在经过RECIST v1.1进展后治疗的小组患者中显示出有意义的疗效.
结论:
- 布罗利祖马布为一组患有晚期癌症的患者提供了临床益处,这些患者在疾病进展后接受治疗.
- 经过 pembrolizumab 的治疗,瘤的进展可能会导致瘤缩或稳定.
- 这些发现支持在患有PD的选定患者中继续使用 pembrolizumab.
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