免疫疗法加化疗中的性别差异:系统性审查和元分析
Salah Ameen Abdu1, Wafa Ali Asaad2, Muaadh Wdaan1
1Research Center of Oral and Maxillofacial Tumor, Xiangya Hospital, Central South University, Changsha 410008, China.
Critical reviews in oncology/hematology
|December 8, 2025
概括
免疫检查点抑制剂加上化疗对男性和女性都有同样的好处. 治疗决策应该关注瘤特征,而不是生物性别,以获得公平的癌症护理.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 临床试验 临床试验
背景情况:
- 免疫反应和癌症生物学中的基于性别的差异可能会影响免疫治疗的结果.
- 关于免疫检查点抑制剂加上化疗的性别特异有效性的证据是不完整的.
研究的目的:
- 评估免疫检查点抑制剂加上化疗与生物性别相关的疗效.
- 为了确定性别是否影响接受组合免疫治疗的癌症患者的治疗结果.
主要方法:
- 随机对照试验的系统审查和元分析 (PRISMA指南).
- 包括的试验比较了免疫检查点抑制剂加化疗与单独化疗.
- 分析包括性别分层的生存数据,子组分析和元回归.
主要成果:
- 组合治疗显著改善了男性和女性的整体存活率和无进展存活率.
- 死亡率的降低是男性的24%,女性的22%;无进展的生存率提高了男性的39%,女性的34%.
- 在各种癌症类型,免疫疗法剂或化疗方案中没有观察到基于性别的统计学上显著的疗效差异.
结论:
- 免疫检查点抑制剂与化疗相结合,为男性和女性癌症患者提供可比的生存益处.
- 治疗决策应优先考虑瘤特征,而不是患者的性别.
- 结果强调需要公平的治疗准入和临床研究中持续的性别分层数据.
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