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Safety and clinical activity of pembrolizumab for treatment of recurrent or metastatic squamous cell carcinoma of the head and neck (KEYNOTE-012): an open-label, multicentre, phase 1b trial.帕博利珠单抗治疗头颈部复发或转移性鳞状细胞癌的安全性和临床活性(KEYNOTE-012):一项开放标签、多中心、1b 期试验。
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Efficacy of the MAGE-A3 cancer immunotherapeutic as adjuvant therapy in patients with resected MAGE-A3-positive non-small-cell lung cancer (MAGRIT): a randomised, double-blind, placebo-controlled, phase 3 trial.MAGE-A3 癌症免疫治疗作为辅助治疗在切除的 MAGE-A3 阳性非小细胞肺癌(MAGRIT)患者中的疗效:一项随机、双盲、安慰剂对照、3 期临床试验。
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Bladder cancer: Atezolizumab effective against advanced-stage disease.膀胱癌:阿替利珠单抗对晚期疾病有效。
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Pembrolizumab versus docetaxel for previously treated, PD-L1-positive, advanced non-small-cell lung cancer (KEYNOTE-010): a randomised controlled trial.帕博利珠单抗对比多西他赛用于治疗后 PD-L1 阳性的、晚期非小细胞肺癌(KEYNOTE-010):一项随机对照试验。
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Nivolumab versus Docetaxel in Advanced Nonsquamous Non-Small-Cell Lung Cancer.纳武利尤单抗对比多西他赛治疗晚期非鳞状非小细胞肺癌
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Nivolumab versus Everolimus in Advanced Renal-Cell Carcinoma.纳武单抗与依维莫司治疗晚期肾细胞癌的比较
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Randomized, Placebo-Controlled, Phase III Trial of Yeast-Derived Granulocyte-Macrophage Colony-Stimulating Factor (GM-CSF) Versus Peptide Vaccination Versus GM-CSF Plus Peptide Vaccination Versus Placebo in Patients With No Evidence of Disease After Complete Surgical Resection of Locally Advanced and/or Stage IV Melanoma: A Trial of the Eastern Cooperative Oncology Group-American College of Radiology Imaging Network Cancer Research Group (E4697).酵母衍生的粒细胞巨噬细胞集落刺激因子(GM-CSF)与肽疫苗接种、GM-CSF加肽疫苗接种及安慰剂对比的随机、安慰剂对照、III期试验:针对局部晚期和/或IV期黑色素瘤完全手术切除后无疾病证据患者的东部肿瘤协作组-美国放射学会影像网络癌症研究组(E4697)试验
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在检查点抑制剂时代,治疗性癌症疫苗是否有作用?

Is there a role for therapeutic cancer vaccines in the age of checkpoint inhibitors?

作者信息

Dillman Robert O

机构信息

a AiVita Biomedical, Inc. , Irvine , CA , USA.

b Hoag Family Cancer Institute , Newport Beach , CA , USA.

出版信息

Hum Vaccin Immunother. 2017 Mar 4;13(3):528-532. doi: 10.1080/21645515.2016.1244149. Epub 2016 Nov 3.

DOI:10.1080/21645515.2016.1244149
PMID:27808593
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5360141/
Abstract

Because of the recent success of monoclonal antibody checkpoint inhibitors, and the disappointing results of most therapeutic cancer vaccine trials, it has been questioned whether there is any potential role for such products going forward. In my opinion the answer is "yes" based on the following: [1] there is a persistent unmet clinical need because the majority of patients do not benefit from anti-checkpoint therapy, [2] there is evidence that not all patients make immune responses to their tumors, [3] there is evidence that immune responses to autologous tumor antigens can be induced by patient-specific vaccines, [4] there is clinical evidence from the pre-checkpoint era that suggests survival can be positively impacted by such patient-specific vaccines, and [5] the 2 available therapeutic vaccines that have received regulatory approval are quite limited in terms of their therapeutic benefit.

摘要

由于单克隆抗体检查点抑制剂近期取得的成功,以及大多数治疗性癌症疫苗试验令人失望的结果,人们对这类产品未来是否有任何潜在作用提出了质疑。在我看来,答案是“有”,基于以下几点:[1] 存在持续未满足的临床需求,因为大多数患者无法从抗检查点治疗中获益;[2] 有证据表明并非所有患者都能对其肿瘤产生免疫反应;[3] 有证据表明患者特异性疫苗可诱导对自体肿瘤抗原的免疫反应;[4] 检查点时代之前的临床证据表明,这类患者特异性疫苗可对生存产生积极影响;[5] 已获得监管批准的两种可用治疗性疫苗在治疗益处方面相当有限。