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结合性激酶抑制剂和免疫疗法用于不可切除的厌塑性甲状腺癌:一个回顾性单中心研究
Yuntao Song1, Yabing Zhang1, Yanhua Bai2
1Department of Head and Neck Surgery, Peking University Cancer Hospital and Institute, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Beijing, China.
Oral oncology
|October 12, 2024
概括
激酶抑制剂和免疫疗法的联合治疗对不可切除的厌塑性甲状腺癌 (ATC) 有希望. 这种方法是安全有效的,特别是对于具有BRAF V600E突变的患者.
科学领域:
- 在瘤学瘤学.
- 甲状腺癌研究研究
- 癌症治疗方法 癌症治疗方法
背景情况:
- 无塑性甲状腺癌 (ATC) 是一种罕见但具有不良预后的侵袭性癌症.
- 最近的进展包括多酶抑制剂,选择性氨酸激酶抑制剂和免疫疗法.
- 评估新型组合疗法对于改善患者的治疗结果至关重要.
研究的目的:
- 评估结合酶抑制剂与抗PD-1免疫疗法的疗效和安全性.
- 为了研究这种组合作为一线治疗不可切割的ATC.
- 评估其在可切除疾病的新辅助环境中的潜力.
主要方法:
- 连续患有IVB/IVC阶段ATC的连续患者的回顾性单中心研究.
- 治疗涉及酶抑制剂 (达布拉费尼布/特拉美提尼布,伦瓦提尼布,安洛提尼布) 以及免疫检查点抑制剂 (佩姆布利祖马布,辛蒂利马布,卡梅利祖马布).
- 终点包括总生存率 (OS),无进展生存率 (PFS),反应评估和R0/R1切除可行性.
主要成果:
- 平均生存期为14.0个月,12个月生存率为55.6%.
- 与非突变患者相比,BRAF V600E突变患者的mOS (未达到) 显著更长 (4.0个月).
- 总体响应率 (ORR) 为61.1% (5个完整,6个部分响应);手术切除在38.9%是可行的.
结论:
- 激酶抑制剂和免疫治疗的联合治疗对于不可切除的ATC是安全有效的.
- 这种组合在患有BRAF V600E突变的患者中表现出特别的益处.
- 这些发现支持这种疗法作为一种有价值的第一线治疗选择.
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