在晚期黑色素瘤中,尼沃卢马布加上relatlimab:RELATIVITY-047 4年更新
Evan J Lipson1, F Stephen Hodi2, Hussein Tawbi3
1The Bloomberg-Kimmel Institute for Cancer Immunotherapy, Johns Hopkins University School of Medicine, The Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD, USA.
概括
尼沃卢马布加上relatlimab在四年后,在晚期黑色素瘤患者中显示出持久的无进展生存益处. 与单独使用尼沃卢马布相比,这种联合治疗提供了更好的结果,具有较低的毒性概况.
科学领域:
- 在瘤学瘤学.
- 免疫治疗是一种免疫疗法.
- 黑色素瘤研究 黑色素瘤研究
背景情况:
- 晚期黑色素瘤在治疗方面存在重大挑战.
- 尼沃卢马布加上relatlimab是一种试验性免疫疗法组合.
- 以前的研究表明,这种组合可能有好处.
研究的目的:
- 从RELATIVITY-047试验中提供最新的4年有效性和安全性数据.
- 评估nivolumab加relatlimab治疗的长期结果与晚期黑色素瘤的nivolumab单一治疗.
主要方法:
- 第2/3期随机试验 (相对性-047).
- 患者接受了尼沃卢马布480毫克加上relatlimab 160毫克固定剂量组合或尼沃卢马布480毫克静脉注射每4周一次.
- 主要终点:通过盲目独立中央审查 (BICR) 的无进展生存率 (PFS).
- 二级终点包括整体生存率 (OS) 和黑色素瘤特异性生存率 (MSS).
主要成果:
- 组合治疗的四年PFS率为30.6%,单独服用尼沃卢马布的比率为23.6%.
- 组合治疗的四年生存率为52.0%,而尼沃卢马布的42.8%.
- 该组合的客观响应率 (ORR) 为43.9%,而尼沃卢马布的33.4%.
- 结合剂的四年MSS率为59.7%,与尼沃卢马布的49.6%相比.
- 效率有利于大多数子组的组合,没有新的安全信号.
结论:
- 尼沃卢马布加上relatlimab在4年后在以前未经治疗的晚期黑色素瘤患者中显示了PFS,OS和ORR的持久改善.
- 与其他免疫瘤学组合相比,组合疗法提供了有利的益处风险概况,毒性较低.
- 长期数据支持nivolumab加relatlimab作为高级黑色素瘤的有价值的治疗选择.
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