在初始失败后,在癌症中重新治疗,重新挑战和升级后续免疫检查点抑制剂疗法
I P da Silva1, L Zimmer2, J-Y Blay3
1Melanoma Institute Australia, University of Sydney, Sydney, Australia; Faculty of Medicine & Health, University of Sydney, Sydney, Australia; Department of Medical, Surgical, and Neurological Sciences, Charles Perkins Centre, University of Sydney, Sydney, Australia.
ESMO open
|November 7, 2025
概括
随后的免疫检查点抑制剂 (ICI) 治疗在一些癌症 (如黑色素瘤) 中显示出益处,但证据有限. 需要更多的研究来确定有效性,并优化治疗策略,为停止ICI的患者.
科学领域:
- 在瘤学瘤学.
- 免疫治疗是一种免疫疗法.
背景情况:
- 免疫检查点抑制剂 (ICI) 被广泛使用,但往往被停止使用.
- 停药后后续ICI治疗的临床益处尚未明确.
研究的目的:
- 审查和分析关于ICI治疗进展或停止后的治疗结果的文献.
- 总结治疗选择,并确定有关后续ICI治疗的知识差距.
主要方法:
- 对51项关于ICI治疗后进展/停止治疗结果的研究进行文献分析.
- 数据提取,证据强度评估和治疗策略的总结.
主要成果:
- 随后的ICI治疗在黑色素瘤 (CR,PR,SD) 中显示出有效性.
- 在细胞癌中,结果不一致;在不同研究中,疗效有所不同.
- 非小细胞肺癌和泌尿腺癌显示出一些PR/SD,但队列较小,证据有限.
结论:
- 关于后续ICI疗效的证据在黑色素瘤中最为强烈,但总体而言很低.
- 需要进行前性研究,以改善报告,标准化因素,并确定后续ICI治疗的方法.
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