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为何一线纳武利尤单抗不比化疗好。

Why First-Line Nivolumab Is No Better than Chemo.

出版信息

Cancer Discov. 2017 Sep;7(9):927. doi: 10.1158/2159-8290.CD-ND2017-004. Epub 2017 Aug 4.

DOI:10.1158/2159-8290.CD-ND2017-004
PMID:28778902
Abstract

In a recent trial, the PD-1 inhibitor nivolumab failed to outperform chemotherapy as a first-line treatment for non-small cell lung cancer, even though another PD-1 inhibitor, pembrolizumab, was shown to be an effective treatment just months earlier. Researchers attribute these surprising results to differences in patient selection in the two trials, and suggest that the discovery of better biomarkers, among other strategies, might allow more patients to benefit from immunotherapies.

摘要

在最近的一项试验中,PD-1 抑制剂纳武利尤单抗未能超越化疗,成为非小细胞肺癌的一线治疗药物,尽管就在数月前,另一种 PD-1 抑制剂帕博利珠单抗已被证明是一种有效的治疗药物。研究人员将这些令人惊讶的结果归因于两项试验中患者选择的差异,并提出发现更好的生物标志物等策略可能会使更多患者受益于免疫疗法。

相似文献

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Why First-Line Nivolumab Is No Better than Chemo.为何一线纳武利尤单抗不比化疗好。
Cancer Discov. 2017 Sep;7(9):927. doi: 10.1158/2159-8290.CD-ND2017-004. Epub 2017 Aug 4.
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Targeting the PD-1/PD-L1 axis in non-small cell lung cancer.靶向非小细胞肺癌中的PD-1/PD-L1轴
Curr Probl Cancer. 2017 Mar-Apr;41(2):111-124. doi: 10.1016/j.currproblcancer.2016.12.002. Epub 2016 Dec 23.
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FDA Approval Summary: Nivolumab for the Treatment of Metastatic Non-Small Cell Lung Cancer With Progression On or After Platinum-Based Chemotherapy.美国食品药品监督管理局批准摘要:纳武单抗用于治疗在铂类化疗期间或之后病情进展的转移性非小细胞肺癌。
Oncologist. 2016 May;21(5):634-42. doi: 10.1634/theoncologist.2015-0507. Epub 2016 Mar 16.
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Immunotherapy revolutionises non-small-cell lung cancer therapy: Results, perspectives and new challenges.免疫疗法彻底改变了非小细胞肺癌的治疗:结果、前景与新挑战。
Eur J Cancer. 2017 Jun;78:16-23. doi: 10.1016/j.ejca.2016.12.041. Epub 2017 Apr 11.
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Indirect comparison between pembrolizumab and nivolumab for the treatment of non-small cell lung cancer: A meta-analysis of randomized clinical trials.帕博利珠单抗与纳武利尤单抗治疗非小细胞肺癌的间接比较:一项随机临床试验的荟萃分析
Int Immunopharmacol. 2017 Aug;49:85-94. doi: 10.1016/j.intimp.2017.05.019. Epub 2017 May 27.
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Immunotherapy in Urothelial Cancer: Recent Results and Future Perspectives.尿路上皮癌的免疫治疗:最新结果与未来展望。
Drugs. 2017 Jul;77(10):1077-1089. doi: 10.1007/s40265-017-0748-7.
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Differential Activity of Nivolumab, Pembrolizumab and MPDL3280A according to the Tumor Expression of Programmed Death-Ligand-1 (PD-L1): Sensitivity Analysis of Trials in Melanoma, Lung and Genitourinary Cancers.根据程序性死亡配体-1(PD-L1)的肿瘤表达情况,纳武单抗、派姆单抗和MPDL3280A的差异活性:黑色素瘤、肺癌和泌尿生殖系统癌症试验的敏感性分析
PLoS One. 2015 Jun 18;10(6):e0130142. doi: 10.1371/journal.pone.0130142. eCollection 2015.
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Nivolumab versus Docetaxel in Advanced Squamous-Cell Non-Small-Cell Lung Cancer.纳武单抗与多西他赛治疗晚期鳞状细胞非小细胞肺癌的疗效比较
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A pooled analysis of nivolumab for the treatment of advanced non-small-cell lung cancer and the role of PD-L1 as a predictive biomarker.纳武单抗治疗晚期非小细胞肺癌的汇总分析及PD-L1作为预测生物标志物的作用。
Immunotherapy. 2016 Sep;8(9):1011-9. doi: 10.2217/imt-2016-0032.
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Pembrolizumab for the treatment of non-small cell lung cancer.帕博利珠单抗用于治疗非小细胞肺癌。
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引用本文的文献

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Immunotherapy "Shock" a case series of PD-L1 100% and pembrolizumab first-line treatment.免疫疗法“冲击”:一组程序性死亡受体配体1(PD-L1)表达为100%且帕博利珠单抗一线治疗的病例系列
Respir Med Case Rep. 2017 Aug 29;22:197-202. doi: 10.1016/j.rmcr.2017.08.017. eCollection 2017.