Stein Alexander, Thuss-Patience Peter
University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Charité, University Medicine Berlin, Berlin, Germany.
Visc Med. 2019 Mar;35(1):12-16. doi: 10.1159/000497292. Epub 2019 Feb 7.
Immunotherapy, particular PD-1/L1 inhibition, is a relevant treatment approach in esophagogastric adenocarcinoma. To date, single-agent activity is limited to the chemotherapy refractory setting and molecularly defined subgroups. Currently, ongoing trials, which are likely to relevantly change the landscape of treatment for this disease in the next years, evaluate different combination approaches with chemotherapy and/or molecular targeted agents in different disease settings. The German AIO study group has launched several combination trials in the perioperative, first-line, and advanced disease setting to further define the role of immunotherapy in esophagogastric adenocarcinoma.
免疫疗法,尤其是PD-1/L1抑制,是食管胃腺癌的一种相关治疗方法。迄今为止,单药活性仅限于化疗难治性情况和分子定义的亚组。目前,正在进行的试验可能会在未来几年显著改变这种疾病的治疗格局,这些试验在不同疾病情况下评估与化疗和/或分子靶向药物的不同联合方法。德国AIO研究小组已在围手术期、一线和晚期疾病情况下开展了多项联合试验,以进一步明确免疫疗法在食管胃腺癌中的作用。