在肝细胞癌中,抗PD-1 阻塞后的治疗超出了进展
Mir Lim1, Maishara Muquith1, Bernadette Miramontes1
1Division of Hematology and Oncology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas.
Cancer research communications
|September 29, 2023
概括
以免疫检查点抑制剂 (ICI) 治疗超出进展的时间对于肝细胞癌 (HCC) 患者是安全的. 这种策略可以通过控制疾病或使后期反应成为可能,而不会损害生存结果,从而使选择的患者受益.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
背景情况:
- 免疫检查点抑制剂 (ICI) 是肝细胞癌 (HCC) 的一线治疗方法.
- 不典型的瘤反应,如伪进展,可以发生在ICI.
- 在HCC中,在疾病进展之后继续ICI治疗的实用性尚未得到充分证实.
研究的目的:
- 为了评估治疗的安全性和有效性超越进展与ICIs在患者的HCC.
- 为了确定在进展后继续ICI治疗是否在HCC中提供临床益处.
主要方法:
- 用ICI治疗的HCC患者的多中心队列分析.
- 评估安全性,客观反应率和疾病控制,以治疗超出进展.
- 治疗超出进展期的患者和接受后续治疗的患者之间的生存结果的比较.
主要成果:
- 在HCC中使用ICI治疗超出进展后,没有显示出新的安全信号.
- 在5.8%的患者中观察到客观反应,44%的患者控制了疾病.
- 无进展和整体存活时间与随后的疗法相似,表明没有损害.
结论:
- 使用ICI治疗超越进展是HCC的安全策略.
- 这种方法可能会通过延迟反应或疾病稳定性,有利于选择HCC患者.
- 在进展后继续ICI治疗可能是一个可行的策略,以最大限度地提高HCC的治疗效益.
相关概念视频
Tumor Immunotherapy
551
Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
551
Targeted Cancer Therapies
7.7K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.7K
Treatment Resistant Cancers
3.3K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.3K
Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Cancer Therapies
7.7K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.7K


