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PD-1/PD-L1 抑制剂在乳腺癌中的临床开发:任重道远。

Clinical Development of PD-1/PD-L1 Inhibitors in Breast Cancer: Still a Long Way to Go.

机构信息

Oncology Center, Hospital Sírio-Libanês, SGAS 613/614 Conjunto E Lote 95, Brazília, DF, 70200-730, Brazil.

Department of Medical Oncology, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA, 02215, USA.

出版信息

Curr Treat Options Oncol. 2020 Jun 17;21(7):59. doi: 10.1007/s11864-020-00756-6.

Abstract

Currently, only patients with metastatic triple-negative breast cancer whose tumors are PD-L1 positive are eligible for receiving immunotherapy. Other studies have explored new combinations with PD-1/PD-L1 inhibitors in different disease settings and populations. Data from neoadjuvant trials testing the addition of PD-1/PD-L1 inhibitors to standard treatment are promising and have led to increases in pathologic complete response rates; however, data on survival outcomes are still immature. There is still much work needed to optimize benefits of immunotherapy in breast cancer and correlative studies in patients treated with immunotherapy are urgently needed to inform the best strategies for further development.

摘要

目前,只有肿瘤 PD-L1 阳性的转移性三阴性乳腺癌患者才有资格接受免疫治疗。其他研究已经在不同的疾病环境和人群中探索了 PD-1/PD-L1 抑制剂的新组合。新辅助试验中检测 PD-1/PD-L1 抑制剂加入标准治疗的结果令人鼓舞,增加了病理完全缓解率;然而,生存数据仍不成熟。在乳腺癌中优化免疫治疗的益处还需要做很多工作,并且迫切需要对接受免疫治疗的患者进行相关研究,以确定进一步开发的最佳策略。

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