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病例报告:一例经过多次治疗的转移性三阴性乳腺癌患者对乐伐替尼与免疫检查点抑制剂联合治疗有显著反应

Case Report: Significant Response to the Combination of Lenvatinib and Immune Checkpoint Inhibitor in a Patient With Heavily Pretreated Metastatic Triple Negative Breast Cancer.

作者信息

Lee Jin Sun, Yost Susan E, Yuan Yuan

机构信息

Department of Medical Oncology & Molecular Therapeutics, City of Hope Comprehensive Cancer Center and Beckman Research Institute, Duarte, CA, United States.

出版信息

Front Oncol. 2021 Jan 11;10:582185. doi: 10.3389/fonc.2020.582185. eCollection 2020.

DOI:10.3389/fonc.2020.582185
PMID:33505906
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7830150/
Abstract

BACKGROUND

Triple negative breast cancer (TNBC) has poor prognosis without targetable mutations. The combination of lenvatinib and pembrolizumab has shown clinical activity in different types of solid tumors.

CASE PRESENTATION

We report a case of one patient with metastatic TNBC who has been heavily pretreated. The patient had been treated with multiple lines (≥ 8 lines) of chemotherapy without durable clinical responses. Her tumor regressed significantly under the combination of lenvatinib and immune checkpoint inhibitor, and remains stable for 10 months.

CONCLUSIONS

The combination of lenvatinib and immune checkpoint inhibitor may have significant clinical activity in selective patients with heavily pretreated metastatic TNBC.

摘要

背景

三阴性乳腺癌(TNBC)预后较差,且无可靶向的突变。乐伐替尼和帕博利珠单抗联合用药已在不同类型实体瘤中显示出临床活性。

病例报告

我们报告一例转移性TNBC患者,该患者此前接受过多种治疗。患者接受了多线(≥8线)化疗,但未获得持久的临床缓解。在乐伐替尼和免疫检查点抑制剂联合治疗下,她的肿瘤显著消退,并保持稳定达10个月。

结论

乐伐替尼和免疫检查点抑制剂联合用药可能对经过多线治疗的转移性TNBC患者具有显著临床活性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f3e/7830150/77122f2373aa/fonc-10-582185-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f3e/7830150/4eb1d7e55721/fonc-10-582185-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f3e/7830150/77122f2373aa/fonc-10-582185-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f3e/7830150/4eb1d7e55721/fonc-10-582185-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f3e/7830150/77122f2373aa/fonc-10-582185-g002.jpg

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Primary results from IMpassion131, a double-blind, placebo-controlled, randomised phase III trial of first-line paclitaxel with or without atezolizumab for unresectable locally advanced/metastatic triple-negative breast cancer.IMpassion131 研究是一项双盲、安慰剂对照、随机 III 期临床试验,旨在评估一线紫杉醇联合或不联合阿替利珠单抗治疗不可切除局部晚期/转移性三阴性乳腺癌的主要结果。
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Pembrolizumab plus chemotherapy versus placebo plus chemotherapy for previously untreated locally recurrent inoperable or metastatic triple-negative breast cancer (KEYNOTE-355): a randomised, placebo-controlled, double-blind, phase 3 clinical trial.帕博利珠单抗联合化疗对比安慰剂联合化疗用于治疗既往未经治疗的局部晚期不可切除或转移性三阴性乳腺癌(KEYNOTE-355):一项随机、安慰剂对照、双盲、III 期临床研究。
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三阴性乳腺癌:针对多种受体实现治疗突破、纳米医学及免疫疗法的潜在靶点
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