在晚期胃癌中使用尼沃卢马布后进行化疗 (REVIVE):一项前性观察性研究
Y Narita1, T Matsushima2, Y Sakamoto3
1Department of Clinical Oncology, Aichi Cancer Center Hospital, Nagoya.
ESMO open
|November 28, 2023
概括
尼沃卢马布治疗后的化疗在晚期胃癌 (AGC) 中显示出潜在的协同抗瘤效应. 需要进一步的研究来证实这些有前途的结果对于严重预先治疗的患者.
科学领域:
- 在瘤学瘤学.
- 胃肠道瘤学 胃肠道瘤学
- 癌症免疫疗法癌症免疫疗法
背景情况:
- 尼沃卢马布是预先治疗的晚期胃癌 (AGC) 的标准治疗方法.
- 之前的研究表明,化疗可能会在其他癌症中增强尼沃卢马布治疗后的反应.
- 这项研究调查了AGC中nivolumab后化疗的疗效和安全性.
研究的目的:
- 评估在晚期胃癌患者接受尼沃卢马布治疗后的细胞毒性化疗的疗效和安全性.
- 评估整体存活率,无进展存活率和客观反应率.
主要方法:
- 前性,多中心,观察性研究.
- 包括199名先前接受治疗的尼沃卢马布耐药或不耐受AGC的患者.
- 化疗方案包括诺坦,氧沙,或trifluridine/tipiracil.
主要成果:
- 平均总生存时间为7.5个月;平均无进展生存时间为2.9个月.
- 客观应答率为16.8%,疾病控制率为18.9%.
- 一个预后指数确定了好,中等和低风险组;常见的3-4级不良事件包括中性质衰竭和贫血.
结论:
- 在nivolumab之后的细胞毒性化疗可能会在AGC中产生协同作用的抗瘤作用.
- 预后指数可以帮助根据风险对患者进行分层.
- 需要进一步调查以验证这些发现.
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