对KEYNOTE-689和NIVOPOSTOP试验及其对局部晚期头癌的术后免疫治疗的影响的比较综述
Yoshinori Imamura1, Masafumi Kanno2, Shigeharu Fujieda2
1Cancer Care Promotion Center, University of Fukui Hospital, Fukui, Japan; Department of Hematology and Oncology, University of Fukui Hospital, Fukui, Japan.
术前免疫检查点抑制剂对可切除的头癌具有前景. 两个试验,KEYNOTE-689和NIVOPOSTOP,显示了更好的生存率,可能重新定义治疗标准.
科学领域:
- 癌症学
- 免疫疗法
- 头癌研究
背景情况:
- 局部发达的头平细胞癌 (HNSCC) 治疗进展有限.
- 术后免疫检查点抑制是可切除HNSCC的新兴策略.
研究的目的:
- 审查KEYNOTE-689和NIVOPOSTOP对可切除,局部晚期HNSCC的外科免疫检查点抑制剂的试验证据.
- 分析这些发现如何重塑目前和未来的HNSCC治疗模式.
主要方法:
- 对KEYNOTE-689和NIVOPOSTOP的试验设计,患者群体,方案和结果进行比较.
- 数据来源于ClinicalTrials.gov,主要的瘤会议和同行评审的出版物.
主要成果:
- 在KEYNOTE-689 (pembrolizumab) 和NIVOPOSTOP (nivolumab) 试验中,无事件和无疾病存活率显著改善.
- KEYNOTE-689减少了远程复发,而NIVOPOSTOP改善了局部区域的控制. 在KEYNOTE-689中,依从性和不良反应较低.
结论:
- 术后免疫检查点抑制是可切除,局部发达HNSCC的潜在新标准.
- 根据风险,PD- L1表达和多学科的投入来进行量身定制的治疗选择至关重要. 未来的研究应该集中在患者选择和优化治疗方案上.
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