在晚期或转移的食道状细胞癌中,化学免疫疗法与放射疗法相继进行
Xiang Han1, Zhongfa Zhang1, Ling Zhang1
1Department of Oncology, Qingdao Central Hospital, University of Health and Rehabilitation Sciences, Qingdao, China.
这项研究表明,用PD-1抑制剂sintilimab进行化疗免疫治疗,然后对残留瘤进行放射治疗,在晚期食道状细胞癌中提供高响应率和长期无进展生存.
科学领域:
- 在瘤学瘤学.
- 医学研究 医学研究
- 临床试验 临床试验
背景情况:
- 晚期食道状细胞癌 (ESCC) 是一个重大的治疗挑战.
- 目前的第一线治疗通常在有效性和毒性方面存在局限性.
研究的目的:
- 评估化学免疫疗法和放射治疗治疗方案的疗效和安全性,用于高级ESCC.
- 评估PD-1抑制剂sintilimab与化疗和放射治疗结合的影响.
主要方法:
- 以前没有接受过治疗的患有晚期或转移性ESCC的患者接受了四轮化疗 (TP疗程) 加上sintilimab.
- 患有稳定疾病或部分反应的患者随后接受了对残留瘤的放射治疗.
- 维护期的辛蒂利马布治疗时间长达31个周期,或直到疾病进展/毒性出现.
主要成果:
- 该研究招募了39名患者,其中30名患者可评估疗效和毒性.
- 完全响应率为6.7%,部分响应率为53.3%.
- 放射治疗后,反应的中位深度从34.5%增加到64.0%;无进展生存期为16.4个月.
结论:
- 化疗免疫疗法随后进行放射治疗和维护,sintilimab显示出高响应率和延长的PFS.
- 这种疗法显示了可容忍的毒性,作为先进/转移性ESCC的第一线治疗.
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