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晚期胃食管肿瘤的新治疗选择:是否适用于当前临床实践?

New Treatment Options for Advanced Gastroesophageal Tumours: Mature for the Current Practice?

作者信息

Puhr Hannah Christina, Preusser Matthias, Prager Gerald, Ilhan-Mutlu Aysegül

机构信息

Department of Medicine I, Division of Oncology, Medical University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria.

Comprehensive Cancer Center Vienna-Gastroesophageal Tumors Unit, Waehringer Guertel 18-20, A-1090 Vienna, Austria.

出版信息

Cancers (Basel). 2020 Jan 28;12(2):301. doi: 10.3390/cancers12020301.

DOI:10.3390/cancers12020301
PMID:32012895
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7072704/
Abstract

Several clinical trials attempted to identify novel treatment options for advanced gastroesophageal tumours in first, second and further lines. Although results of targeted therapy regimens were mainly disappointing, novel immunotherapy agents showed promising activity, which led to their approval in second and third lines in many countries. This review focuses on the results of recent clinical trials investigating novel agents including targeted therapies, immunotherapy components and chemotherapies and discuss their current impact as well as current approval status on the treatment armamentarium of advanced gastroesophageal tumours.

摘要

多项临床试验试图确定一线、二线及后续治疗中晚期胃食管肿瘤的新治疗方案。尽管靶向治疗方案的结果大多令人失望,但新型免疫治疗药物显示出了有前景的活性,这使得它们在许多国家被批准用于二线和三线治疗。本综述重点关注近期临床试验中研究新型药物(包括靶向治疗、免疫治疗成分和化疗)的结果,并讨论它们目前对晚期胃食管肿瘤治疗手段的影响以及当前的获批情况。

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本文引用的文献

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Regorafenib Plus Nivolumab in Patients With Advanced Gastric or Colorectal Cancer: An Open-Label, Dose-Escalation, and Dose-Expansion Phase Ib Trial (REGONIVO, EPOC1603).雷戈非尼联合纳武利尤单抗治疗晚期胃或结直肠癌患者的开放标签、剂量递增和剂量扩展Ib 期临床试验(REGONIVO,EPOC1603)。
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Individual Patient Data Meta-Analysis of the Value of Microsatellite Instability As a Biomarker in Gastric Cancer.胃癌中微卫星不稳定性作为生物标志物价值的个体化患者数据汇总分析。
J Clin Oncol. 2019 Dec 10;37(35):3392-3400. doi: 10.1200/JCO.19.01124. Epub 2019 Sep 12.
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Heterogeneity of first-line palliative systemic treatment in synchronous metastatic esophagogastric cancer patients: A real-world evidence study.同步转移性胃食管交界癌患者一线姑息性全身治疗的异质性:一项真实世界证据研究。
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Lancet. 2019 May 11;393(10184):1948-1957. doi: 10.1016/S0140-6736(18)32557-1. Epub 2019 Apr 11.
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Pembrolizumab alone or in combination with chemotherapy as first-line therapy for patients with advanced gastric or gastroesophageal junction adenocarcinoma: results from the phase II nonrandomized KEYNOTE-059 study.帕博利珠单抗单药或联合化疗作为晚期胃或胃食管结合部腺癌患者的一线治疗:来自 II 期非随机 KEYNOTE-059 研究的结果。
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