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纳武单抗联合伊匹单抗治疗软组织肉瘤:单机构回顾性研究。

Nivolumab plus ipilimumab for soft tissue sarcoma: a single institution retrospective review.

机构信息

Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.

Department of Medicine (Oncology), Stanford University School of Medicine, Stanford, CA 94305, USA.

出版信息

Immunotherapy. 2020 Dec;12(18):1303-1312. doi: 10.2217/imt-2020-0155. Epub 2020 Sep 23.

Abstract

To analyze the efficacy of checkpoint inhibitors in soft tissue sarcoma. We retrospectively reviewed patients with advanced soft tissue sarcoma treated with ipilimumab and nivolumab. All patients who received at least one cycle were included. One patient had a complete response and five had a partial response, for an objective response rate of 15%. Clinical benefit rate was 34% with a median duration of 12.0 months (range: 4.5 to 28.9+ months [mo]). Median overall survival was 12.0 months (95% CI: 4.5-23.7+ mo). Median progression-free survival was 2.7 months (95% CI: 2.3-4.5+ mo) by Response Evaluation Criteria in Solid Tumors 1.1 and 2.9 months (2.5-6.0+ mo) by immune-related Response Evaluation Criteria in Solid Tumors. Adverse events of any grade were seen in 58% of patients, the most common being fatigue (21%) and cough (10%), 5% of patients experienced a grade 3 adverse event (AE) (hyperglycemia) or grade 4 AE (myocarditis). Ipilimumab/nivolumab combination showed efficacy and was well tolerated in advanced soft tissue sarcoma.

摘要

分析检查点抑制剂在软组织肉瘤中的疗效。我们回顾性分析了接受伊匹单抗和纳武利尤单抗治疗的晚期软组织肉瘤患者。所有接受至少一个周期治疗的患者均被纳入。1 例患者完全缓解,5 例部分缓解,客观缓解率为 15%。临床获益率为 34%,中位持续时间为 12.0 个月(范围:4.5-28.9+ 个月[mo])。中位总生存期为 12.0 个月(95%CI:4.5-23.7+ mo)。根据实体瘤反应评估标准 1.1,中位无进展生存期为 2.7 个月(95%CI:2.3-4.5+ mo),根据免疫相关实体瘤反应评估标准,中位无进展生存期为 2.9 个月(2.5-6.0+ mo)。任何等级的不良事件发生率为 58%,最常见的是疲劳(21%)和咳嗽(10%),5%的患者发生 3 级不良事件(AE)(高血糖)或 4 级 AE(心肌炎)。伊匹单抗/纳武利尤单抗联合治疗在晚期软组织肉瘤中显示出疗效且耐受性良好。

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