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Lenvatinib plus Pembrolizumab for Advanced Endometrial Cancer.仑伐替尼联合帕博利珠单抗治疗晚期子宫内膜癌。
N Engl J Med. 2022 Feb 3;386(5):437-448. doi: 10.1056/NEJMoa2108330. Epub 2022 Jan 19.
2
Clinical Activity and Safety of the Anti-Programmed Death 1 Monoclonal Antibody Dostarlimab for Patients With Recurrent or Advanced Mismatch Repair-Deficient Endometrial Cancer: A Nonrandomized Phase 1 Clinical Trial.抗程序性死亡 1 单克隆抗体 dostarlimab 治疗复发性或晚期错配修复缺陷型子宫内膜癌患者的临床活性和安全性:一项非随机 1 期临床试验。
JAMA Oncol. 2020 Nov 1;6(11):1766-1772. doi: 10.1001/jamaoncol.2020.4515.
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Annual report to the nation on the status of cancer, part I: National cancer statistics.国家癌症报告:癌症现状年度报告第一部分:国家癌症统计数据。
Cancer. 2020 May 15;126(10):2225-2249. doi: 10.1002/cncr.32802. Epub 2020 Mar 12.
4
Efficacy of Pembrolizumab in Patients With Noncolorectal High Microsatellite Instability/Mismatch Repair-Deficient Cancer: Results From the Phase II KEYNOTE-158 Study.帕博利珠单抗治疗非结直肠癌高度微卫星不稳定/错配修复缺陷型癌症患者的疗效:来自 II 期 KEYNOTE-158 研究的结果。
J Clin Oncol. 2020 Jan 1;38(1):1-10. doi: 10.1200/JCO.19.02105. Epub 2019 Nov 4.
5
Randomized Phase II Trial of Carboplatin-Paclitaxel Versus Carboplatin-Paclitaxel-Trastuzumab in Uterine Serous Carcinomas That Overexpress Human Epidermal Growth Factor Receptor 2/neu.随机Ⅱ期临床试验:卡铂-紫杉醇对比卡铂-紫杉醇-曲妥珠单抗治疗人表皮生长因子受体 2/neu 过表达的子宫浆液性癌。
J Clin Oncol. 2018 Jul 10;36(20):2044-2051. doi: 10.1200/JCO.2017.76.5966. Epub 2018 Mar 27.
6
Mismatch repair deficiency predicts response of solid tumors to PD-1 blockade.错配修复缺陷可预测实体瘤对程序性死亡受体1(PD-1)阻断疗法的反应。
Science. 2017 Jul 28;357(6349):409-413. doi: 10.1126/science.aan6733. Epub 2017 Jun 8.
7
Integrated genomic characterization of endometrial carcinoma.子宫内膜癌的综合基因组特征分析。
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8
Progestational agents in the treatment of carcinoma of the endometrium.孕激素制剂在子宫内膜癌治疗中的应用。
N Engl J Med. 1961 Feb 2;264:216-22. doi: 10.1056/NEJM196102022640503.

错配修复缺陷、微卫星不稳定高和铂类耐药的子宫内膜癌对度伐利尤单抗的显著响应。

An Exceptional Response to Dostarlimab in Mismatch Repair Deficient, Microsatellite Instability-High and Platinum Refractory Endometrial Cancer.

机构信息

Unit of Medical Oncology and Cancer Prevention, Department of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), 33081 Aviano, Italy.

Unit of Gynecologic Oncology Surgery, IRCCS CRO Aviano, National Cancer Institute, 33081 Aviano, Italy.

出版信息

Curr Oncol. 2022 Jul 22;29(8):5209-5212. doi: 10.3390/curroncol29080413.

DOI:10.3390/curroncol29080413
PMID:35892982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9332114/
Abstract

Until recently, effective therapies for advanced endometrial cancer progressing to a platinum-based combination were lacking. In this setting, immunotherapy with anti PD-1/PDL-1 monoclonal antibodies is rising as a new paradigm in particular for patients with microsatellites instability/mismatch repair deficiency. In this case report, we describe an exceptional and rapid response to dostarlimab in a platinum refractory endometrial cancer patient with high disease burden harboring a mismatch repair deficiency.

摘要

直到最近,对于进展为基于铂类的联合治疗的晚期子宫内膜癌,还缺乏有效的治疗方法。在这种情况下,抗 PD-1/PDL-1 单克隆抗体免疫疗法作为一种新的治疗模式,特别是对于微卫星不稳定/错配修复缺陷的患者,正在兴起。在本病例报告中,我们描述了一例高疾病负担的错配修复缺陷铂类耐药子宫内膜癌患者对 dostarlimab 产生的异常快速的反应。