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度伐利尤单抗作为晚期实体瘤患者多模式介入治疗后巩固治疗的初步研究

Durvalumab as Consolidation Therapy in Post-Multimodal Interventional Treatment for Patients with Advanced Solid Tumors: A Preliminary Study.

作者信息

Li Yuanming, Guo Runqi

机构信息

Minimally Invasive Tumor Therapies Center, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China.

出版信息

J Oncol. 2022 Mar 15;2022:7794840. doi: 10.1155/2022/7794840. eCollection 2022.

Abstract

With 2.1 million unique cases of lung tumors and 1.8 million mortalities in China, advanced solid tumors continue to be the primary source of cancer mortality rates. Nearly two-thirds of lung cancer individuals display advanced-stage tumors at the time of testing, with a 5-year survival ratio of 7%. People with advanced solid tumors have an appalling outcome, with a 5-year total survival ratio of roughly 15%. Immunotherapy inhibitors, like those for programmed cell death protein 1 (PD-1) and programmed death-ligand 1 (PD-L1), have ushered in a novel period in cancer diagnosis and therapy. Three resistant medications were authorized for advanced solid tumors: nivolumab, pembrolizumab, and atezolizumab. Durvalumab, an anti-PD-L1 antigen, is currently being researched. Durvalumab's pharmacologic characteristics, clinical efficacy, and security as consolidation therapy in post-multimodal interventional therapies for people with advanced solid tumors are discussed in this paper. We have also shared details of two patients who were identified with advanced solid tumors and were provided with durvalumab medication. The performance measures like Progression-Free Survival (PFS), Overall Survival (OS), and Overall Response Rate (ORR) are also contrasted for different antibodies. The research findings imply that durvalumab consolidation therapy is a cost-efficient therapy, while health policymakers should address the financial consequences.

摘要

在中国,肺癌肿瘤病例达210万例,死亡病例达180万例,晚期实体瘤仍是癌症死亡率的主要来源。近三分之二的肺癌患者在检测时已处于肿瘤晚期,其5年生存率为7%。晚期实体瘤患者的预后令人震惊,其5年总生存率约为15%。免疫疗法抑制剂,如针对程序性细胞死亡蛋白1(PD-1)和程序性死亡配体1(PD-L1)的抑制剂,开创了癌症诊断和治疗的新纪元。有三种抗耐药药物被批准用于晚期实体瘤治疗:纳武单抗、派姆单抗和阿特珠单抗。抗PD-L1抗原药物度伐鲁单抗目前正在研究中。本文讨论了度伐鲁单抗在晚期实体瘤患者多模式介入治疗后的巩固治疗中的药理特性、临床疗效和安全性。我们还分享了两名被确诊为晚期实体瘤并接受度伐鲁单抗治疗的患者的详细情况。还对比了不同抗体的无进展生存期(PFS)、总生存期(OS)和总缓解率(ORR)等性能指标。研究结果表明,度伐鲁单抗巩固治疗是一种性价比高的治疗方法,而卫生政策制定者应解决其经济影响问题。

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