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不断演变的格局:转移性结直肠癌的新疗法。

An Evolving Landscape: New Therapies for Metastatic Colorectal Cancer.

机构信息

Department of Oncology, Montefiore Einstein, Bronx, NY; Montefiore Einstein Comprehensive Cancer Center, Bronx, NY.

Department of Oncology, Montefiore Einstein, Bronx, NY; Department of Molecular Pharmacology, Montefiore Einstein, Bronx, NY.

出版信息

Clin Colorectal Cancer. 2024 Dec;23(4):337-345. doi: 10.1016/j.clcc.2024.08.003. Epub 2024 Aug 24.

DOI:10.1016/j.clcc.2024.08.003
PMID:39332920
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11608151/
Abstract

Substantial progress is being made in the development of novel therapies directed against colorectal cancer. The discovery of various molecular markers and advances in tumor profiling have facilitated the development of new targeted agents and immunotherapy. Not only have these drugs improved progression-free survival and even overall survival in some cases, but their related outcomes have also raised questions as to how to best combine or sequence therapies for even greater efficacy. Furthermore, we are beginning to understand how these combination therapies may yield for greater therapeutic response for patients with microsatellite stable colorectal cancer for which there is much need for improvement. In this article, we review recent trial data and explore the outcomes of various targeted therapies and immunotherapies for patient with advanced colorectal cancer.

摘要

针对结直肠癌的新型治疗方法正在取得重大进展。各种分子标志物的发现和肿瘤分析技术的进步促进了新型靶向药物和免疫疗法的发展。这些药物不仅在某些情况下改善了无进展生存期,甚至总生存期,而且其相关结果也提出了如何最好地组合或序贯治疗以获得更大疗效的问题。此外,我们开始了解这些联合疗法如何为微卫星稳定型结直肠癌患者带来更大的治疗反应,而这些患者非常需要改善。在本文中,我们回顾了最近的试验数据,并探讨了各种针对晚期结直肠癌患者的靶向治疗和免疫治疗的结果。

相似文献

1
An Evolving Landscape: New Therapies for Metastatic Colorectal Cancer.不断演变的格局:转移性结直肠癌的新疗法。
Clin Colorectal Cancer. 2024 Dec;23(4):337-345. doi: 10.1016/j.clcc.2024.08.003. Epub 2024 Aug 24.
2
Advancements in combining targeted therapy and immunotherapy for colorectal cancer.联合靶向治疗和免疫治疗结直肠癌的进展。
Trends Cancer. 2024 Jul;10(7):598-609. doi: 10.1016/j.trecan.2024.05.001. Epub 2024 May 31.
3
Neoadjuvant combination immunotherapy in MSI/dMMR colorectal cancer.微卫星高度不稳定/错配修复缺陷型结直肠癌的新辅助联合免疫疗法
Trends Cancer. 2024 Dec;10(12):1093-1094. doi: 10.1016/j.trecan.2024.10.006. Epub 2024 Oct 24.
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Identification of beneficial populations for targeted-immunotherapy combinations: tailoring later-line care for patients with pMMR/MSS metastatic colorectal cancer.鉴定靶向免疫治疗联合用药的获益人群:为 pMMR/MSS 转移性结直肠癌患者的后续治疗提供个体化方案。
Front Immunol. 2024 Oct 24;15:1462346. doi: 10.3389/fimmu.2024.1462346. eCollection 2024.
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Combination of immune checkpoint blockade in metastatic colorectal cancers with microsatellite instability: A new standard of care?微卫星不稳定性转移性结直肠癌中免疫检查点阻断的联合应用:一种新的治疗标准?
Med. 2025 Mar 14;6(3):100636. doi: 10.1016/j.medj.2025.100636.
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Strategic enhancement of immune checkpoint inhibition in refractory Colorectal Cancer: Trends and future prospective.免疫检查点抑制在难治性结直肠癌中的策略性增强:趋势与未来展望。
Int Immunopharmacol. 2021 Oct;99:108017. doi: 10.1016/j.intimp.2021.108017. Epub 2021 Aug 2.
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Immunotherapy in Colorectal Cancer - Finding the Achilles' Heel.结直肠癌的免疫治疗——寻找阿喀琉斯之踵。
NEJM Evid. 2024 Jun;3(6):EVIDra2300353. doi: 10.1056/EVIDra2300353. Epub 2024 May 28.
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Pembrolizumab in Microsatellite-Instability-High Advanced Colorectal Cancer.帕博利珠单抗治疗微卫星高度不稳定型晚期结直肠癌。
N Engl J Med. 2020 Dec 3;383(23):2207-2218. doi: 10.1056/NEJMoa2017699.
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Deficient Mismatch Repair and the Role of Immunotherapy in Metastatic Colorectal Cancer.错配修复缺陷与免疫疗法在转移性结直肠癌中的作用
Curr Treat Options Oncol. 2016 Aug;17(8):41. doi: 10.1007/s11864-016-0414-4.
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Effect of Combined Immune Checkpoint Inhibition vs Best Supportive Care Alone in Patients With Advanced Colorectal Cancer: The Canadian Cancer Trials Group CO.26 Study.联合免疫检查点抑制与单独最佳支持治疗对晚期结直肠癌患者的影响:加拿大癌症临床试验组 CO.26 研究。
JAMA Oncol. 2020 Jun 1;6(6):831-838. doi: 10.1001/jamaoncol.2020.0910.

本文引用的文献

1
Amivantamab plus Lazertinib in Previously Untreated -Mutated Advanced NSCLC.Amivantamab 联合 Lazertinib 治疗未经治的 - 突变型晚期 NSCLC。
N Engl J Med. 2024 Oct 24;391(16):1486-1498. doi: 10.1056/NEJMoa2403614. Epub 2024 Jun 26.
2
Efficacy and Safety of Adagrasib plus Cetuximab in Patients with KRASG12C-Mutated Metastatic Colorectal Cancer.阿达格拉西布联合西妥昔单抗治疗 KRASG12C 突变型转移性结直肠癌患者的疗效和安全性。
Cancer Discov. 2024 Jun 3;14(6):982-993. doi: 10.1158/2159-8290.CD-24-0217.
3
Clinical and biomarker results from a phase II trial of combined cabozantinib and durvalumab in patients with chemotherapy-refractory colorectal cancer (CRC): CAMILLA CRC cohort.卡博替尼联合度伐利尤单抗治疗化疗耐药结直肠癌(CRC)的 II 期临床试验的临床和生物标志物结果:CAMILLA CRC 队列。
Nat Commun. 2024 Feb 20;15(1):1533. doi: 10.1038/s41467-024-45960-2.
4
Sotorasib with panitumumab in chemotherapy-refractory KRAS-mutated colorectal cancer: a phase 1b trial.索托拉西布联合帕尼单抗治疗化疗耐药 KRAS 突变型结直肠癌:一项 1b 期试验。
Nat Med. 2024 Jan;30(1):265-270. doi: 10.1038/s41591-023-02717-6. Epub 2024 Jan 4.
5
Sotorasib plus Panitumumab in Refractory Colorectal Cancer with Mutated G12C.索托拉西布联合帕尼单抗治疗携带 G12C 突变的难治性结直肠癌。
N Engl J Med. 2023 Dec 7;389(23):2125-2139. doi: 10.1056/NEJMoa2308795. Epub 2023 Oct 22.
6
Neoadjuvant botensilimab plus balstilimab response pattern in locally advanced mismatch repair proficient colorectal cancer.贝伐珠单抗联合巴替利单抗在局部晚期错配修复功能正常结直肠癌中的疗效模式。
Oncogene. 2023 Oct;42(44):3252-3259. doi: 10.1038/s41388-023-02835-y. Epub 2023 Sep 21.
7
Different prognostic values of KRAS exon 2 submutations and BRAF V600E mutation in microsatellite stable (MSS) and unstable (MSI) stage III colon cancer: an ACCENT/IDEA pooled analysis of seven trials.微卫星稳定(MSS)和不稳定(MSI)III 期结直肠癌中 KRAS 外显子 2 亚突变和 BRAF V600E 突变的不同预后价值:ACCENT/IDEA 七个试验的汇总分析。
Ann Oncol. 2023 Nov;34(11):1025-1034. doi: 10.1016/j.annonc.2023.08.006. Epub 2023 Aug 23.
8
Light on life: immunoscore immune-checkpoint, a predictor of immunotherapy response.生命之光:免疫评分免疫检查点,免疫治疗反应的预测指标。
Oncoimmunology. 2023 Aug 5;12(1):2243169. doi: 10.1080/2162402X.2023.2243169. eCollection 2023.
9
Impact of Anti-EGFR Therapies on HER2-Positive Metastatic Colorectal Cancer: A Systematic Literature Review and Meta-Analysis of Clinical Outcomes.抗 EGFR 治疗对 HER2 阳性转移性结直肠癌的影响:临床结局的系统文献回顾和荟萃分析。
Oncologist. 2023 Oct 3;28(10):885-893. doi: 10.1093/oncolo/oyad200.
10
Fruquintinib versus placebo in patients with refractory metastatic colorectal cancer (FRESCO-2): an international, multicentre, randomised, double-blind, phase 3 study.呋喹替尼对比安慰剂用于治疗难治性转移性结直肠癌患者(FRESCO-2):一项国际、多中心、随机、双盲、III 期研究。
Lancet. 2023 Jul 1;402(10395):41-53. doi: 10.1016/S0140-6736(23)00772-9. Epub 2023 Jun 15.