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肺癌的免疫治疗:长期获益的承诺最终实现了吗?

Immunotherapy in Lung Cancer: Are the Promises of Long-Term Benefit Finally Met?

机构信息

Centro Oncologico Riojano (CORI), National University La Rioja, La Rioja, Argentina.

Departament of Oncology, Hospital Italiano, Buenos Aires, Argentina.

出版信息

Adv Exp Med Biol. 2021;1342:113-142. doi: 10.1007/978-3-030-79308-1_4.

Abstract

Over the last few years, agents targeting immune checkpoints have shown potential to improve therapeutic outcomes in patients with lung cancer in multiple clinical settings. Inhibitors of PD-1/PD-L1 have been approved for the treatment of different types of lung cancer by the FDA either alone or in combination with chemotherapy or other immune checkpoint inhibitors, such as anti-CTLA-4 agents. The introduction of these agents in clinical practice has revolutionized the therapeutic approach to lung cancer, keeping the promises of long-term benefit in selected patient populations. The therapeutic indications of immunotherapy in lung cancer are rapidly growing, and multiple combinations entered clinical practice or are under active development. Furthermore, the quest for a reliable predictive biomarker is still ongoing to overcome the limits of currently approved tests for patients' selection. In this review, we summarized the current status and progress of anti-PD-1/PD-L1 agents in lung cancer treatment.

摘要

在过去几年中,针对免疫检查点的药物在多种临床环境下显示出改善肺癌患者治疗效果的潜力。FDA 已经批准 PD-1/PD-L1 抑制剂单独或与化疗或其他免疫检查点抑制剂(如抗 CTLA-4 药物)联合用于治疗不同类型的肺癌。这些药物在临床实践中的应用彻底改变了肺癌的治疗方法,为选定的患者群体带来了长期获益的承诺。免疫疗法在肺癌中的治疗适应证正在迅速扩大,多种联合治疗方案已经进入临床实践或正在积极开发中。此外,人们仍在努力寻找可靠的预测性生物标志物,以克服目前用于患者选择的检测方法的局限性。在这篇综述中,我们总结了抗 PD-1/PD-L1 药物在肺癌治疗中的现状和进展。

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