将免疫疗法推向可切除非小细胞肺癌的治疗
Jamie E Chaft1, Rafal Dziadziuszko2, Bernardo Haddock Lobo Goulart3
1Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
概括
免疫检查点抑制剂 (ICI) 越来越多地用于早期非小细胞肺癌 (NSCLC). 目前正在进行研究,以优化它们与手术和放射治疗一起使用,解决治疗选择和疗效的关键知识差距.
科学领域:
- 在瘤学瘤学.
- 免疫治疗是一种免疫疗法.
- 胸部外科手术 胸部外科手术
背景情况:
- 免疫检查点抑制剂 (ICI) 现在正在研究早期和可切除的非小细胞肺癌 (NSCLC),扩展到转移性指示之外.
- 随机试验已经支持ICI批准术前使用 (辅助剂,新辅助剂),目前正在进行的研究正在探索与刻板体辐射疗法 (SBRT) 的组合.
研究的目的:
- 审查NSCLC当前局部治疗标准.
- 描述结合ICI与SBRT的临床试验.
- 解释最近ICI批准的外科手术期间的NSCLC治疗.
- 要突出关键的领域的不确定性在外科手术期间免疫治疗可切除的NSCLC.
主要方法:
- 审查已完成和正在进行的临床试验,涉及ICI在NSCLC的外科设置.
- 对NSCLC局部疗法的当前治疗标准的分析.
- 讨论知识缺口和未来的研究方向.
主要成果:
- ICI在改善可切除NSCLC的结果方面表现有希望.
- 免疫治疗的整合增加了治疗的复杂性,并引入了知识差距.
- 不确定性的具体领域包括ICI在不同外科手术前阶段的贡献,试验的比较者选择,以及病理完整反应的作用.
结论:
- 切除性NSCLC的最佳管理需要进一步的研究,以解决围绕术后免疫治疗的临床问题.
- 需要所有利益相关者的协同研究努力,以确定在这种环境中最佳使用ICI.
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