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试验观察:癌症治疗中的单克隆抗体

Trial watch: Monoclonal antibodies in cancer therapy.

作者信息

Vacchelli Erika, Eggermont Alexander, Galon Jérôme, Sautès-Fridman Catherine, Zitvogel Laurence, Kroemer Guido, Galluzzi Lorenzo

机构信息

Institut Gustave Roussy; Villejuif, France ; Université Paris-Sud/Paris XI; Le Kremlin-Bicêtre, France ; INSERM; U848; Villejuif, France.

出版信息

Oncoimmunology. 2013 Jan 1;2(1):e22789. doi: 10.4161/onci.22789.

Abstract

During the past 20 years, dozens-if not hundreds-of monoclonal antibodies have been developed and characterized for their capacity to mediate antineoplastic effects, either as they activate/enhance tumor-specific immune responses, either as they interrupt cancer cell-intrinsic signal transduction cascades, either as they specifically delivery toxins to malignant cells or as they block the tumor-stroma interaction. Such an intense research effort has lead to the approval by FDA of no less than 14 distinct molecules for use in humans affected by hematological or solid malignancies. In the inaugural issue of , we briefly described the scientific rationale behind the use of monoclonal antibodies in cancer therapy and discussed recent, ongoing clinical studies investigating the safety and efficacy of this approach in patients. Here, we summarize the latest developments in this exciting area of clinical research, focusing on high impact studies that have been published during the last 15 months and clinical trials launched in the same period to investigate the therapeutic profile of promising, yet hitherto investigational, monoclonal antibodies.

摘要

在过去20年里,即便没有数百种,也有数十种单克隆抗体被研发出来,并对其介导抗肿瘤作用的能力进行了表征,这些作用包括激活/增强肿瘤特异性免疫反应、中断癌细胞内在信号转导级联反应、特异性地将毒素传递至恶性细胞或阻断肿瘤-基质相互作用。如此高强度的研究工作已使美国食品药品监督管理局(FDA)批准了不少于14种不同的分子用于治疗血液系统或实体恶性肿瘤患者。在《》的创刊号中,我们简要描述了在癌症治疗中使用单克隆抗体背后的科学原理,并讨论了近期正在进行的临床研究,这些研究调查了该方法在患者中的安全性和有效性。在此,我们总结了这一令人兴奋的临床研究领域的最新进展,重点关注过去15个月内发表的具有重大影响的研究以及同期开展的临床试验,这些试验旨在研究有前景但尚未得到充分研究的单克隆抗体的治疗特性。

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