Ettinger David S, Wood Douglas E, Akerley Wallace, Bazhenova Lyudmila A, Borghaei Hossein, Camidge David Ross, Cheney Richard T, Chirieac Lucian R, D'Amico Thomas A, Dilling Thomas J, Dobelbower M Chris, Govindan Ramaswamy, Hennon Mark, Horn Leora, Jahan Thierry M, Komaki Ritsuko, Lackner Rudy P, Lanuti Michael, Lilenbaum Rogerio, Lin Jules, Loo Billy W, Martins Renato, Otterson Gregory A, Patel Jyoti D, Pisters Katherine M, Reckamp Karen, Riely Gregory J, Schild Steven E, Shapiro Theresa A, Sharma Neelesh, Stevenson James, Swanson Scott J, Tauer Kurt, Yang Stephen C, Gregory Kristina, Hughes Miranda
The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
University of Washington/Seattle Cancer Care Alliance
J Natl Compr Canc Netw. 2016 Mar;14(3):255-64. doi: 10.6004/jnccn.2016.0031.
These NCCN Guidelines Insights focus on recent updates in the 2016 NCCN Guidelines for Non-Small Cell Lung Cancer (NSCLC; Versions 1-4). These NCCN Guidelines Insights will discuss new immunotherapeutic agents, such as nivolumab and pembrolizumab, for patients with metastatic NSCLC. For the 2016 update, the NCCN panel recommends immune checkpoint inhibitors as preferred agents (in the absence of contraindications) for second-line and beyond (subsequent) therapy in patients with metastatic NSCLC (both squamous and nonsquamous histologies). Nivolumab and pembrolizumab are preferred based on improved overall survival rates, higher response rates, longer duration of response, and fewer adverse events when compared with docetaxel therapy.
这些美国国立综合癌症网络(NCCN)指南见解聚焦于《2016年NCCN非小细胞肺癌(NSCLC)指南》(第1 - 4版)的近期更新内容。这些NCCN指南见解将讨论用于转移性NSCLC患者的新型免疫治疗药物,如纳武单抗和派姆单抗。对于2016年更新版,NCCN专家组推荐免疫检查点抑制剂作为转移性NSCLC(鳞状和非鳞状组织学类型)患者二线及后续治疗的首选药物(在无禁忌证的情况下)。与多西他赛治疗相比,基于更高的总生存率、更高的缓解率、更长的缓解持续时间以及更少的不良事件,纳武单抗和派姆单抗为首选药物。