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一项关于替莫唑胺联合伊匹单抗与单纯替莫唑胺治疗术后放化疗后近期诊断为胶质母细胞瘤患者的 II 期开放标签、随机研究:IpI-Glio 试验方案。

A phase II open label, randomised study of ipilimumab with temozolomide versus temozolomide alone after surgery and chemoradiotherapy in patients with recently diagnosed glioblastoma: the Ipi-Glio trial protocol.

机构信息

Department of Oncology, University College London Hospitals, 250 Euston Road, London, NW1 2PQ, UK.

Oncology Clinical Trials Office (OCTO), Department of Oncology, The University of Oxford, Old Road Campus Research Building, Oxford, OX3 7DQ, UK.

出版信息

BMC Cancer. 2020 Mar 12;20(1):198. doi: 10.1186/s12885-020-6624-y.

DOI:10.1186/s12885-020-6624-y
PMID:32164579
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7068928/
Abstract

BACKGROUND

Median survival for patients with glioblastoma is less than a year. Standard treatment consists of surgical debulking if feasible followed by temozolomide chemo-radiotherapy. The immune checkpoint inhibitor ipilimumab targets cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) and has shown clinical efficacy in preclinical models of glioblastoma. The aim of this study is to explore the addition of ipilimumab to standard therapy in patients with glioblastoma.

METHODS/DESIGN: Ipi-Glio is a phase II, open label, randomised study of ipilimumab with temozolomide (Arm A) versus temozolomide alone (Arm B) after surgery and chemoradiotherapy in patients with recently diagnosed glioblastoma. Planned accrual is 120 patients (Arm A: 80, Arm B: 40). Endpoints include overall survival, 18-month survival, 5-year survival, and adverse events. The trial is currently recruiting in seven centres in the United Kingdom.

TRIAL REGISTRATION

ISRCTN84434175. Registered 12 November 2018.

摘要

背景

胶质母细胞瘤患者的中位生存期不足一年。标准治疗包括如果可行则进行手术切除,然后进行替莫唑胺化疗和放疗。免疫检查点抑制剂伊匹单抗靶向细胞毒性 T 淋巴细胞相关蛋白 4(CTLA-4),并已在胶质母细胞瘤的临床前模型中显示出临床疗效。本研究旨在探讨在胶质母细胞瘤患者中添加伊匹单抗联合标准治疗的效果。

方法/设计:Ipi-Glio 是一项 II 期、开放标签、随机研究,比较了伊匹单抗联合替莫唑胺(A 组)与替莫唑胺单药(B 组)在手术和放化疗后用于新诊断的胶质母细胞瘤患者的效果。计划入组 120 例患者(A 组:80 例,B 组:40 例)。主要终点包括总生存期、18 个月生存率、5 年生存率和不良事件。该试验目前正在英国的 7 个中心招募患者。

试验注册

ISRCTN84434175。注册于 2018 年 11 月 12 日。

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Cancer-Germline Antigen Expression Discriminates Clinical Outcome to CTLA-4 Blockade.肿瘤-种系抗原表达可区分 CTLA-4 阻断的临床疗效。
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Sex and interleukin-6 are prognostic factors for autoimmune toxicity following treatment with anti-CTLA4 blockade.性别和白细胞介素 6 是抗 CTLA-4 阻断治疗后自身免疫毒性的预后因素。
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