在PD-1/L1抑制剂在晚期泌尿腺癌中获得批准之前和之后,根据年龄组和功能状态对治疗模式的时间变化
Gurjyot K Doshi1, Haojie Li2, Mehmet Burcu2
1The US Oncology Network, The Woodlands, TX, United States.
Frontiers in oncology
|October 18, 2023
概括
抗PD-1/L1免疫疗法越来越多地用于转移性尿路细胞癌 (mUC),特别是在不适合化疗的老年患者中. 这些治疗方法解决了这一弱势群体对有效选择的关键需求.
科学领域:
- 在瘤学瘤学.
- 免疫治疗是一种免疫疗法.
- 尿癌研究 尿癌研究
背景情况:
- 转移性尿路细胞癌 (mUC) 是一个重大的临床挑战,预后不佳.
- 对于有效的治疗方法,存在大量未满足的医疗需求,特别是对于无法容忍基化疗的患者.
研究的目的:
- 分析患者特征的现实趋势和美国mUC的第一线 (1L) 治疗选择.
- 评估反PD-1/L1批准对治疗模式的影响.
主要方法:
- 使用匿名电子病历 (EMR) 数据进行回顾性观察性研究.
- 数据来源于IQVIA和美国瘤网络 (USON) iKnowMed数据库.
主要成果:
- 在批准后观察到,使用1L抗PD-1/L1单疗法显著增加.
- 这一转变与1L基化疗和非指导方针治疗的减少有关.
- 这一趋势在老年患者 (>75岁) 和ECOG表现状况不佳 (ECOG PS 2+) 的患者中尤为明显.
结论:
- 抗PD-1/L1单一疗法有效地解决了脆弱的mUC患者无法接受基治疗的未满足需求.
- 现实世界的数据表明,治疗模式发生了显著的变化,有利于针对特定患者亚组的免疫治疗.
相关概念视频
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
Drug Administration and Therapy Phases: Overview
486
Drugs, the chemical agents used in diagnosing, treating, or preventing diseases, undergo a four-phase process of development: pharmaceutic, pharmacokinetics, pharmacodynamics, and therapeutic.
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
486
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


