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PD-1/PD-L1 抑制剂联合治疗在 HER2 阳性肿瘤免疫治疗中的进展。

Progress of PD-1/PD-L1 inhibitor combination therapy in immune treatment for HER2-positive tumors.

机构信息

School of Pharmaceutical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.

School of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, China.

出版信息

Eur J Clin Pharmacol. 2024 May;80(5):625-638. doi: 10.1007/s00228-024-03644-2. Epub 2024 Feb 11.

Abstract

BACKGROUND

Patients with HER2-positive cancers often face a poor prognosis, and treatment regimens containing anti-HER2 have become the first-line treatment options for breast and gastric cancers. However, these approaches are faced with significant challenges in terms of drug resistance. Hence, it is crucial to explore precise treatment strategies aimed at improving survival outcomes.

ADVANCEMENTS IN TREATMENT

Over the past few years, there has been rapid advancement in the realm of tumor therapy, particularly with the swift progress of immune checkpoint inhibitors, including PD-1/PD-L1 inhibitors. They exert anti-tumor effects by disrupting immune-suppressive factors within the tumor microenvironment. However, monotherapy with PD-1/PD-L1 inhibitors has several limitations. Consequently, numerous studies have explored combinatorial immunotherapeutic strategies and demonstrated highly promising avenues of development.

OBJECTIVE

This article aims to review the clinical trials investigating PD-1/PD-L1 inhibitor combination therapy for HER2-positive tumors. Additionally, it provides a summary of ongoing trials evaluating the efficacy and safety of these combined treatments, with the intention of furnishing valuable insights for the clinical management of HER2-positive cancer.

CONCLUSION

Combinatorial immunotherapeutic strategies involving PD-1/PD-L1 inhibitors hold considerable promise in the treatment of HER2-positive tumors. Continued research efforts and clinical trials are warranted to elucidate optimal treatment regimens that maximize therapeutic benefits while minimizing adverse effects.

摘要

背景

HER2 阳性癌症患者的预后通常较差,包含抗 HER2 的治疗方案已成为乳腺癌和胃癌的一线治疗选择。然而,这些方法在耐药性方面面临着重大挑战。因此,探索旨在改善生存结果的精确治疗策略至关重要。

治疗进展

在过去几年中,肿瘤治疗领域取得了快速进展,特别是免疫检查点抑制剂的快速发展,包括 PD-1/PD-L1 抑制剂。它们通过破坏肿瘤微环境中的免疫抑制因子发挥抗肿瘤作用。然而,PD-1/PD-L1 抑制剂的单药治疗存在一些局限性。因此,许多研究探索了联合免疫治疗策略,并展示了极具发展前景的途径。

目的

本文旨在综述评估 PD-1/PD-L1 抑制剂联合治疗 HER2 阳性肿瘤的临床试验。此外,还总结了正在评估这些联合治疗的疗效和安全性的临床试验,以期为 HER2 阳性癌症的临床管理提供有价值的见解。

结论

PD-1/PD-L1 抑制剂联合免疫治疗策略在治疗 HER2 阳性肿瘤方面具有很大的潜力。需要进一步的研究和临床试验来阐明最佳的治疗方案,以最大限度地提高治疗效果,同时最小化不良反应。

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