立体体射线疗法加卡多尼利马布 (PD-1/CTLA-4双特异抗体) 作为第三线或超越治疗耐火固体瘤:一期1b研究
Yao Xiao1, Yuxia Wang1, Jun Li1
1Department of Radiation Oncology, Peking University Third Hospital, Beijing, P. R. China.
Cancer communications (London, England)
|July 22, 2025
概括
与cadonilimab结合的立体体射线疗法 (SBRT) 显示了可控的毒性和在先进的固体瘤中有希望的疗效. 这种组合疗法为严重预先治疗的患者提供了潜在的新治疗选择.
科学领域:
- 在瘤学瘤学.
- 免疫治疗是一种免疫疗法.
- 辐射瘤学 辐射瘤学
背景情况:
- 卡多尼利马布是一种针对PD-1和CTLA-4的新型双特异抗体.
- 先进的固体瘤往往对传统疗法具有抗性.
- 免疫疗法与放射治疗相结合是一种新兴的策略.
研究的目的:
- 为了评估SBRT与cadonilimab结合的安全性和有效性.
- 评估与治疗相关的不良事件 (TRAE) 和临床结果.
- 为了确定治疗反应的预测因素.
主要方法:
- 对63名患有晚期固体瘤的患者进行了回顾性研究.
- 用于高负担/症状性病变的SBRT.
- 静脉注射卡多尼利马布 (6毫克/公斤) 每隔两周一次.
主要成果:
- 目标响应率 (ORR) 为23.8% (95% CI,14.0%-36.2%). 目标响应率 (ORR) 是23.8% (95% CI,14.0%-36.2%). 目标响应率 (ORR) 是23.8% (95% CI,14.0%-36.2%). 目标响应率 (ORR) 是23.8% (95% CI,14.0%-36.2%). 目标响应率 (ORR) 是23.8%.
- 无进展生存时间 (PFS) 中位数为7.2个月;总生存时间 (OS) 中位数为10.0个月.
- 可管理的毒性,38.1%是TRAE,3.2%是3级.
结论:
- SBRT加卡多尼利马布显示可控的毒性.
- 组合疗法在耐火实体瘤中显示出有希望的疗效.
- 需要在更大的试验中进行进一步的调查.
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