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抗 PD-1/PD-L1 治疗在晚期非小细胞肺癌中的患者选择:对临床实践的影响。

Patient selection for anti-PD-1/PD-L1 therapy in advanced non-small-cell lung cancer: implications for clinical practice.

机构信息

Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester, UK.

Department of Medical Oncology, Manchester University NHS Foundation Trust, Manchester, UK.

出版信息

Future Oncol. 2018 Oct;14(23):2415-2431. doi: 10.2217/fon-2018-0330. Epub 2018 Jul 6.

Abstract

Immune checkpoint inhibitors targeting PD-1 or PD-L1 represent a standard treatment option for patients with advanced non-small-cell lung cancer. However, a substantial proportion of patients will not benefit from these treatments, and robust biomarkers are required to help clinicians select patients who are most likely to benefit. Here, we discuss the available evidence on the utility of clinical characteristics in the selection of patients with advanced non-small-cell lung cancer as potential candidates for single-agent anti-PD-1/PD-L1 therapy, and provide practical guidance to clinicians on identifying those patients who are most likely to benefit. Recommendations on the use of immune checkpoint inhibitor in clinically challenging populations are also provided.

摘要

免疫检查点抑制剂针对 PD-1 或 PD-L1 的治疗方法是晚期非小细胞肺癌患者的标准治疗选择。然而,相当一部分患者不会从这些治疗中受益,因此需要强大的生物标志物来帮助临床医生选择最有可能受益的患者。在这里,我们讨论了现有关于临床特征在选择晚期非小细胞肺癌患者作为单药抗 PD-1/PD-L1 治疗潜在候选者中的效用的证据,并为临床医生提供了识别最有可能受益的患者的实用指导。还提供了关于在临床挑战性人群中使用免疫检查点抑制剂的建议。

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