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免疫检查点抑制剂在完全切除的非小细胞肺癌患者中作为辅助治疗。

Immune checkpoint inhibitors as adjuvant therapy in patients with completely resected nonsmall cell lung cancer.

作者信息

Pirker Robert

机构信息

Department of Medicine I, Medical University of Vienna, Vienna, Austria.

出版信息

Curr Opin Oncol. 2024 Jan 1;36(1):24-28. doi: 10.1097/CCO.0000000000001003. Epub 2023 Oct 20.

DOI:10.1097/CCO.0000000000001003
PMID:37865822
Abstract

PURPOSE OF REVIEW

The purpose of the review is to summarize the current status of immune checkpoint inhibitors as adjuvant therapy in patients with resected nonsmall cell lung cancer (NSCLC).

RECENT FINDINGS

The IMpower010 phase 3 trial demonstrated improved disease-free survival and, in case of PD-L1 at least 50%, also improved overall survival for atezolizumab compared to best supportive care among patients with completely resected stage II-IIIA NSCLC. The PEARLS/KEYNOTE-091 trial showed increased disease-free survival for pembrolizumab among patients with stage IB-IIIA NSCLC. Trials with nivolumab and durvalumab are ongoing.

SUMMARY

Atezolizumab or pembrolizumab have become options for adjuvant therapy in patients with completely resected NSCLC.

摘要

综述目的

本综述旨在总结免疫检查点抑制剂作为已切除非小细胞肺癌(NSCLC)患者辅助治疗的现状。

最新研究结果

IMpower010 3期试验表明,对于完全切除的II-IIIA期NSCLC患者,与最佳支持治疗相比,阿替利珠单抗可改善无病生存期,且在PD-L1至少为50%的情况下,还可改善总生存期。PEARLS/KEYNOTE-091试验显示,帕博利珠单抗可提高IB-IIIA期NSCLC患者的无病生存期。纳武利尤单抗和度伐利尤单抗的试验正在进行中。

总结

阿替利珠单抗或帕博利珠单抗已成为完全切除的NSCLC患者辅助治疗的选择。

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引用本文的文献

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The role of PD-L1 in patients with non-small cell lung cancer receiving neoadjuvant immune checkpoint inhibitor plus chemotherapy: a meta-analysis.PD-L1 在接受新辅助免疫检查点抑制剂联合化疗的非小细胞肺癌患者中的作用:一项荟萃分析。
Sci Rep. 2024 Oct 31;14(1):26200. doi: 10.1038/s41598-024-78159-y.