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癌症老年患者的免疫治疗。

Immunotherapy in Older Adults with Cancer.

机构信息

Internal Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.

Division of Hematology/Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.

出版信息

Curr Oncol Rep. 2019 May 7;21(7):56. doi: 10.1007/s11912-019-0806-2.

DOI:10.1007/s11912-019-0806-2
PMID:31065907
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6619507/
Abstract

PURPOSE OF REVIEW

The purpose of this review is to examine the latest research and data on the use of immunotherapy in older adults with cancer in order to identify key gaps in the literature for future research.

RECENT FINDINGS

Immune checkpoint inhibitors are gaining approval and being incorporated into routine clinical use for numerous malignancies across age groups due to their overall efficacy and favorable side effect profiles. Although immune checkpoint inhibitors appear both safe and effective in older adults, deliberate study of immunotherapies in older adults is highly warranted given the paucity of data in a population with unique immunobiology that comprises the majority of the cancer population worldwide.

摘要

目的综述

本综述旨在研究免疫疗法在老年癌症患者中的最新研究和数据,以确定未来研究的文献中的关键空白。

最近的发现

由于免疫检查点抑制剂的总体疗效和良好的副作用特征,它们在不同年龄段的多种恶性肿瘤中的批准和常规临床应用正在增加。尽管免疫检查点抑制剂在老年人中似乎既安全又有效,但鉴于在全球癌症患者中占大多数的具有独特免疫生物学特性的人群中数据稀缺,非常有必要对老年人的免疫疗法进行深入研究。

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1
Immunotherapy in Older Adults with Cancer.癌症老年患者的免疫治疗。
Curr Oncol Rep. 2019 May 7;21(7):56. doi: 10.1007/s11912-019-0806-2.
2
Immune checkpoint blockade therapy for cancer: An overview of FDA-approved immune checkpoint inhibitors.癌症的免疫检查点阻断疗法:FDA 批准的免疫检查点抑制剂概述。
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3
[Checkpoint inhibitors, the perspectives for elderly patients].[检查点抑制剂,老年患者的前景]
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Drugs Aging. 2024 Oct;41(10):787-794. doi: 10.1007/s40266-024-01149-2. Epub 2024 Oct 5.
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Inclusion, characteristics, and reporting of older adults in FDA registration studies of immunotherapy, 2018-2022.2018-2022 年 FDA 免疫疗法注册研究中纳入的老年人群体的特征和报告情况。
J Immunother Cancer. 2024 Aug 28;12(8):e009258. doi: 10.1136/jitc-2024-009258.
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Immune Checkpoint Inhibitors in Geriatric Oncology.老年肿瘤学中的免疫检查点抑制剂。
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本文引用的文献

1
Immune Checkpoint Inhibitors in Real-World Treatment of Older Adults with Non-Small Cell Lung Cancer.免疫检查点抑制剂在真实世界中治疗老年非小细胞肺癌患者的应用。
J Am Geriatr Soc. 2019 May;67(5):905-912. doi: 10.1111/jgs.15750. Epub 2019 Jan 30.
2
Immunotherapy comes of age in octagenarian and nonagenarian metastatic melanoma patients.免疫疗法在 80 岁及 90 岁以上转移性黑色素瘤患者中崭露头角。
Eur J Cancer. 2019 Feb;108:61-68. doi: 10.1016/j.ejca.2018.12.012. Epub 2019 Jan 14.
3
Aging, immune senescence, and immunotherapy: A comprehensive review.衰老、免疫衰老与免疫疗法:全面综述。
Semin Oncol. 2018 Aug;45(4):187-200. doi: 10.1053/j.seminoncol.2018.08.006. Epub 2018 Oct 24.
4
The impact of immunosenescence on the efficacy of immune checkpoint inhibitors in melanoma patients: a meta-analysis.免疫衰老对黑色素瘤患者免疫检查点抑制剂疗效的影响:一项荟萃分析。
Onco Targets Ther. 2018 Oct 26;11:7521-7527. doi: 10.2147/OTT.S165368. eCollection 2018.
5
FDA analyses of survival in older adults with metastatic non-small cell lung cancer in controlled trials of PD-1/PD-L1 blocking antibodies.FDA 对 PD-1/PD-L1 阻断抗体临床试验中转移性非小细胞肺癌老年患者生存情况的分析。
Semin Oncol. 2018 Aug;45(4):220-225. doi: 10.1053/j.seminoncol.2018.08.007. Epub 2018 Oct 31.
6
CD47 Blockade by Hu5F9-G4 and Rituximab in Non-Hodgkin's Lymphoma.Hu5F9-G4 联合利妥昔单抗阻断 CD47 在非霍奇金淋巴瘤中的作用。
N Engl J Med. 2018 Nov 1;379(18):1711-1721. doi: 10.1056/NEJMoa1807315.
7
Sarcopenia & aging in cancer.癌症中的肌肉减少症与衰老
J Geriatr Oncol. 2019 May;10(3):374-377. doi: 10.1016/j.jgo.2018.10.009. Epub 2018 Oct 19.
8
Immune Checkpoint Inhibitor Toxicity in 2018.2018年免疫检查点抑制剂毒性
JAMA. 2018 Oct 23;320(16):1702-1703. doi: 10.1001/jama.2018.13995.
9
Fatal Toxic Effects Associated With Immune Checkpoint Inhibitors: A Systematic Review and Meta-analysis.免疫检查点抑制剂相关致命性毒性作用:系统评价和荟萃分析。
JAMA Oncol. 2018 Dec 1;4(12):1721-1728. doi: 10.1001/jamaoncol.2018.3923.
10
Immunotherapy in Older Adults With Advanced Cancers: Implications for Clinical Decision-Making and Future Research.老年晚期癌症患者的免疫治疗:对临床决策和未来研究的启示。
Am Soc Clin Oncol Educ Book. 2018 May 23;38:400-414. doi: 10.1200/EDBK_201435.