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用于治疗非小细胞肺癌的联合检查点抑制剂:双重抗CTLA-4和抗PD-1/PD-L1疗法的最新进展

Combination checkpoint inhibitors for treatment of non-small-cell lung cancer: an update on dual anti-CTLA-4 and anti-PD-1/PD-L1 therapies.

作者信息

Puri Sonam, Shafique Michael

机构信息

Division of Medical Oncology, Huntsman Cancer Institute at University of Utah, Salt Lake City, Utah, USA.

Department of Thoracic Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.

出版信息

Drugs Context. 2020 Jan 13;9. doi: 10.7573/dic.2019-9-2. eCollection 2020.

DOI:10.7573/dic.2019-9-2
PMID:32158484
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7048109/
Abstract

Immunotherapy has revolutionized cancer treatment. In non-small-cell lung cancer (NSCLC), monotherapy with immune checkpoint inhibitors has improved survival in metastatic disease. Combinations of immune checkpoint inhibitors have shown synergy in preclinical models and are being studied as part of the treatment armamentarium in NSCLC. This review discusses the rationale, outcomes, and challenges of combination immune checkpoint blockade. Despite the challenges, this paper also presents some solutions and ways to improve our understanding and implementation of such combinations in the future.

摘要

免疫疗法彻底改变了癌症治疗方式。在非小细胞肺癌(NSCLC)中,免疫检查点抑制剂单药治疗已改善了转移性疾病患者的生存率。免疫检查点抑制剂联合治疗在临床前模型中已显示出协同作用,目前正在作为NSCLC治疗手段的一部分进行研究。本综述讨论了联合免疫检查点阻断的基本原理、疗效及挑战。尽管存在挑战,但本文也提出了一些解决方案以及未来增进对此类联合治疗的理解与应用的方法。

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本文引用的文献

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Nivolumab plus ipilimumab in non-small-cell lung cancer.纳武利尤单抗联合伊匹单抗用于非小细胞肺癌。
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Clinical Pharmacokinetics and Pharmacodynamics of Immune Checkpoint Inhibitors.免疫检查点抑制剂的临床药代动力学和药效学。
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First-Line Nivolumab Plus Ipilimumab in Advanced Non-Small-Cell Lung Cancer (CheckMate 568): Outcomes by Programmed Death Ligand 1 and Tumor Mutational Burden as Biomarkers.纳武利尤单抗联合伊匹单抗一线治疗晚期非小细胞肺癌(CheckMate 568):程序性死亡配体 1 和肿瘤突变负荷作为生物标志物的结果。
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Pembrolizumab plus Chemotherapy in Metastatic Non-Small-Cell Lung Cancer.帕博利珠单抗联合化疗治疗转移性非小细胞肺癌。
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Nivolumab plus Ipilimumab in Lung Cancer with a High Tumor Mutational Burden.纳武利尤单抗联合伊匹单抗治疗高肿瘤突变负荷肺癌。
N Engl J Med. 2018 May 31;378(22):2093-2104. doi: 10.1056/NEJMoa1801946. Epub 2018 Apr 16.
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