在HHCC的TACE组合中,Sintilimab Plus IBI305和PD-1抑制剂加TKI之间的疗效和安全性比较
Houxiang Ya1, Kai Wang2, Huixia Qin3
1Department of Hepatobiliary Pancreatic Surgery, The First Affiliated Hospital of Guilin Medical University, Guilin, Guangxi Province, China.
概括
与TACE结合的sintilimab和bevacizumab生物类似剂显示出与PD-1抑制剂和TKI治疗方案相似的疗效和安全性,用于不可切除的肝细胞癌 (uHCC). 辛提利马布治疗方案为患有大型瘤,孤独病变或门静脉瘤血栓症的患者提供了更大的生存益处.
科学领域:
- 肝胆瘤学 肝胆瘤学
- 癌症免疫疗法癌症免疫疗法
- 干预性瘤学 干预性瘤学
背景情况:
- 无法切除的肝细胞癌 (uHCC) 管理依赖于系统治疗与透管动脉化学栓塞 (TACE) 结合.
- 对于HHCC中不同组合治疗方案的有限的直接比较研究存在.
- 这项研究比较了sintilimab和bevacizumab生物类似剂 (IBI305) 与PD-1抑制剂和氨酸激酶抑制剂 (TKI) 结合TACE治疗HHCC.
研究的目的:
- 为了比较两种组合治疗方案对HHCC的疗效和安全性.
- 评估整体生存率 (OS),无进展生存率 (PFS),客观反应率 (ORR) 和疾病控制率 (DCR).
- 在HHCC患者中评估与治疗相关的不良事件 (TRAE).
主要方法:
- 对225名hhCC患者进行了回顾性研究.
- 在TACE加Sintilimab/bevacizumab生物类似物 (TSB组) 和TACE加PD-1抑制剂/TKI (TTP组) 之间进行比较.
- 使用倾向性得分匹配 (PSM) 来最大限度地减少偏差,然后对OS,PFS,ORR,DCR和TRAE进行分析.
主要成果:
- 在PSM后,136名患者 (每组68人) 在TSB和TTP组之间在OS或PFS中没有显著差异.
- 目标反应率 (ORR) 和疾病控制率 (DCR) 通过RECIST1.1和mRECIST标准在组之间是可比的.
- 亚组分析表明,TSB疗法对患有大型瘤,孤独病变或门静脉瘤血栓的患者有更高的生存益处,而TTP疗法对多焦点瘤更有益.
结论:
- TSB 和 TTP 方案在 uHCC 治疗中表现出可比的疗效和安全性.
- 在特定的HHCC患者小组中,TSB疗法显示了增强生存效益的潜力.
- 进一步的研究可能会阐明每个综合治疗方案的最佳患者选择.
关键词:
卡普兰梅耶尔方法组合疗法治疗组合治疗.免疫检查点抑制剂免疫检查点抑制剂分子向疗法是指分子向疗法.总体存活率 总体存活率没有进展的生存率.倾向性得分匹配的比分匹配在安全方面,安全是安全的.通过动脉的化学栓塞.不能切除的肝细胞细胞.更多相关视频
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