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抗PD-1单药/联合治疗难治性胸腺癌的疗效与安全性:一项病例系列研究

The Effect and Safety of Anti-PD-1 Single/Combination Therapy in Refractory Thymic Carcinoma: A Case-Series Study.

作者信息

Jin Wei, Duan Jian-Chun, Wang Zhi-Jie, Lin Lin, Bai Hua, Wang Jie, Feng Li

机构信息

Department of Chinese Medicine, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, People's Republic of China.

State Key Laboratory of Molecular Oncology, Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, People's Republic of China.

出版信息

Cancer Manag Res. 2020 Nov 6;12:11351-11358. doi: 10.2147/CMAR.S274830. eCollection 2020.

Abstract

Immunotherapy provided with checkpoint inhibitors such as the programmed cell death-1 (PD-1) receptor or its ligand-1 (PD-L1) protein has been shown to be effective for treating several types of cancer, and was recently approved for use in treating malignant melanoma, advanced non-small cell lung cancer (NSCLC), urothelial carcinoma, head and neck squamous cell carcinoma, liver cancer, and additional forms of cancer. However, there is little evidence concerning its effectiveness in treating thymic squamous cell carcinoma (TSCC). Here, we report two cases of refractory TSCC that were treated with PD-1 single/combination therapy in a clinical setting. The patients exhibited variable responses to therapy without any serious adverse events. In summary, our findings show that immunotherapy provided with an immuno-checkpoint inhibitor in combination with chemotherapy/anti-angiogenesis therapy can improve the treatment response of patients with refractory TSCC. Anti-PD-1 single/combination therapy may be used as a strategy for treating advanced refractory TC.

摘要

已证明,使用程序性细胞死亡蛋白1(PD-1)受体或其配体1(PD-L1)蛋白等检查点抑制剂的免疫疗法对治疗多种类型的癌症有效,最近已被批准用于治疗恶性黑色素瘤、晚期非小细胞肺癌(NSCLC)、尿路上皮癌、头颈部鳞状细胞癌、肝癌及其他癌症形式。然而,关于其治疗胸腺鳞状细胞癌(TSCC)有效性的证据很少。在此,我们报告两例难治性TSCC在临床环境中接受PD-1单药/联合治疗的病例。患者对治疗表现出不同反应,且无任何严重不良事件。总之,我们的研究结果表明,免疫检查点抑制剂联合化疗/抗血管生成疗法的免疫疗法可改善难治性TSCC患者的治疗反应。抗PD-1单药/联合疗法可作为治疗晚期难治性TSCC的一种策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/489b/7654529/3effca68b018/CMAR-12-11351-g0001.jpg

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