评估尿路状细胞癌 (AURORA) 患者的阿特佐利祖马布:单臂,开放标签,多中心,II期临床试验的研究方案
Simon Crabb1,2, Robin Wickens3, Sarah Jane-Bibby3
1Southampton Clinical Trials Unit, University of Southampton, Southampton, UK. aurora@soton.ac.uk.
BMC cancer
|September 19, 2023
概括
这项研究评估了PD-L1免疫疗法阿特佐利祖马布,用于晚期泌尿道状细胞癌 (UTSCC). 结果可能为这种罕见的癌症提供新的治疗选择.
科学领域:
- 在瘤学瘤学.
- 免疫治疗是一种免疫疗法.
- 临床试验 临床试验
背景情况:
- 尿路癌,主要是过渡性细胞癌,在英国很常见.
- 泌尿道状细胞癌 (UTSCC) 是一种罕见的亚型,对于晚期疾病没有确立的全身治疗方法.
- 初步数据表明,由于PD-L1的高表达和免疫细胞透,UTSCC可能会对PD-1/PD-L1免疫疗法产生反应.
研究的目的:
- 评估PD-L1抑制剂阿特佐利祖马布 (atezolizumab) 在晚期UTSCC患者的安全性和疗效.
- 评估客观反应率 (ORR) 作为AURORA临床试验的主要终点.
- 探索二次终点,包括生存,生活质量和潜在的反应生物标志物.
主要方法:
- 欧罗拉试验是英国的第二阶段,单臂,开放标签,多中心研究.
- 33名患有晚期UTSCC的患者将接受阿特佐利祖马布 (1680毫克每28天一次) 直至一年.
- 每12周通过成像评估反应;主要终点是ORR通过RECIST v1.1在12周.
主要成果:
- 这个部分不在所提供的摘要中.
- 生物标志物和患者结果的进一步分析正在进行中.
- 该试验旨在确定阿特佐利祖马布是否是UTSCC的可行的治疗选择.
结论:
- 阿特佐利祖马布显示出作为高级UTSCC的新疗法的潜力.
- 积极的结果可能会导致更大的随机对照试验.
- 这项研究旨在为患有这种罕见癌症的患者建立新的治疗选择.
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