免疫检查点抑制剂相关内分泌病对癌症存活率的影响
Lisa Yang1, Sruthi Murthy1, Alessio Cortellini2,3
1Department of Endocrinology, Imperial College Healthcare NHS Trust, London, United Kingdom.
Frontiers in endocrinology
|April 29, 2024
概括
免疫检查点抑制剂 (ICI) 可以引起与免疫相关的不良事件 (irAEs). 与非内分泌IRA一起开发内分泌IRA可能会改善ICI治疗的癌症患者的生存率.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 免疫学 免疫学 免疫学
背景情况:
- 免疫检查点抑制剂 (ICI) 是关键的癌症疗法.
- ICI可以引发与免疫相关的不良事件 (irAEs),包括内分泌功能障碍 (内分泌病变).
研究的目的:
- 在接受ICI的癌症患者中表征内分泌和非内分泌IRAE.
- 为了识别irae发展的风险因素.
- 为了确定IREs是否会影响癌症预后.
主要方法:
- 用ICI治疗的晚期/转移性实体瘤患者的回顾性队列研究.
- 分析了irAE发生率,整体存活率和治疗失败的时间.
主要成果:
- 非内分泌IRAE发生在32%,内分泌IRAE发生在12%.
- 甲状腺功能障碍是最常见的内分泌IRAE (9.5%).
- 女性具有更高的内分泌IRAE风险 (p=0.017).
- 患有内分泌和非内分泌irrAEs的患者表现出最大的生存优势 (OS:HR 0.16).
- 内分泌IRAE单独或与非内分泌IRAE一起,改善了治疗失败的时间.
结论:
- 女性可能面临由ICI治疗引起的内分泌IRAE风险增加.
- 内分泌IRAE,特别是与非内分泌IRAE同时发生时,可能与ICI治疗的癌症患者的生存率改善有关.
- 需要进一步的前性研究来证实这些发现.
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