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将CTLA-4/PD-1阻断疗法纳入宫颈癌治疗:COMPASSION-16研究结果

Integrating CTLA-4/PD-1 blockade into cervical cancer management: Results of COMPASSION-16.

作者信息

How Jeffrey A, Jazaeri Amir A

机构信息

Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

出版信息

Med. 2025 Jan 10;6(1):100558. doi: 10.1016/j.medj.2024.11.011.

DOI:10.1016/j.medj.2024.11.011
PMID:39798550
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11963253/
Abstract

Although there is anti-tumor efficacy of dual CTLA-4/PD-1 blockade in advanced/recurrent cervical cancer, it is unclear whether combination with chemotherapy is synergistic. In COMPASSION-16, Wu et al. demonstrated improved survival outcomes of cadolinimab plus chemotherapy compared to chemotherapy alone for first-line systemic therapy for advanced/recurrent cervical cancer, suggesting a potential role of bispecific CTLA-4/PD-1 inhibitors in the frontline setting..

摘要

尽管双重CTLA-4/PD-1阻断在晚期/复发性宫颈癌中具有抗肿瘤疗效,但尚不清楚与化疗联合是否具有协同作用。在COMPASSION-16研究中,Wu等人证明,对于晚期/复发性宫颈癌的一线全身治疗,卡多利单抗联合化疗的生存结果优于单纯化疗,这表明双特异性CTLA-4/PD-1抑制剂在一线治疗中具有潜在作用。

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Integrating CTLA-4/PD-1 blockade into cervical cancer management: Results of COMPASSION-16.将CTLA-4/PD-1阻断疗法纳入宫颈癌治疗:COMPASSION-16研究结果
Med. 2025 Jan 10;6(1):100558. doi: 10.1016/j.medj.2024.11.011.
2
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BMC Cancer. 2025 May 13;25(1):863. doi: 10.1186/s12885-025-14264-z.

本文引用的文献

1
Cadonilimab plus platinum-based chemotherapy with or without bevacizumab as first-line treatment for persistent, recurrent, or metastatic cervical cancer (COMPASSION-16): a randomised, double-blind, placebo-controlled phase 3 trial in China.卡度尼利单抗联合含铂化疗±贝伐珠单抗作为持续性、复发性或转移性宫颈癌一线治疗(COMPASSION-16):中国一项随机、双盲、安慰剂对照的 3 期临床试验。
Lancet. 2024 Oct 26;404(10463):1668-1676. doi: 10.1016/S0140-6736(24)02135-4. Epub 2024 Oct 16.
2
Nivolumab with or without ipilimumab in patients with recurrent or metastatic cervical cancer (CheckMate 358): a phase 1-2, open-label, multicohort trial.纳武利尤单抗联合或不联合伊匹木单抗治疗复发性或转移性宫颈癌患者(CheckMate 358):一项1/2期、开放标签、多队列试验
Lancet Oncol. 2024 May;25(5):588-602. doi: 10.1016/S1470-2045(24)00088-3. Epub 2024 Apr 9.
3
Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.2022 年全球癌症统计数据:全球 185 个国家和地区 36 种癌症的发病率和死亡率全球估计数。
CA Cancer J Clin. 2024 May-Jun;74(3):229-263. doi: 10.3322/caac.21834. Epub 2024 Apr 4.
4
Cadonilimab Combined with Chemotherapy with or without Bevacizumab as First-Line Treatment in Recurrent or Metastatic Cervical Cancer (COMPASSION-13): A Phase 2 Study.卡度尼利单抗联合化疗±贝伐珠单抗作为复发性或转移性宫颈癌一线治疗的研究(COMPASSION-13):一项2期研究
Clin Cancer Res. 2024 Apr 15;30(8):1501-1508. doi: 10.1158/1078-0432.CCR-23-3162.
5
First-Line Pembrolizumab + Chemotherapy Versus Placebo + Chemotherapy for Persistent, Recurrent, or Metastatic Cervical Cancer: Final Overall Survival Results of KEYNOTE-826.一线帕博利珠单抗+化疗对比安慰剂+化疗用于持续性、复发性或转移性宫颈癌:KEYNOTE-826 的最终总生存结果。
J Clin Oncol. 2023 Dec 20;41(36):5505-5511. doi: 10.1200/JCO.23.00914. Epub 2023 Nov 1.
6
Dual PD-1 and CTLA-4 Checkpoint Blockade Using Balstilimab and Zalifrelimab Combination as Second-Line Treatment for Advanced Cervical Cancer: An Open-Label Phase II Study.巴替利单抗和泽利鲁单抗联合双 PD-1 和 CTLA-4 检查点阻断作为晚期宫颈癌二线治疗的开放标签 II 期研究。
J Clin Oncol. 2022 Mar 1;40(7):762-771. doi: 10.1200/JCO.21.02067. Epub 2021 Dec 21.
7
Pembrolizumab for Persistent, Recurrent, or Metastatic Cervical Cancer.派姆单抗治疗持续性、复发性或转移性宫颈癌。
N Engl J Med. 2021 Nov 11;385(20):1856-1867. doi: 10.1056/NEJMoa2112435. Epub 2021 Sep 18.
8
Bevacizumab for advanced cervical cancer: final overall survival and adverse event analysis of a randomised, controlled, open-label, phase 3 trial (Gynecologic Oncology Group 240).贝伐珠单抗治疗晚期宫颈癌:一项随机、对照、开放标签、3 期临床试验(妇科肿瘤学组 240)的最终总生存和不良事件分析。
Lancet. 2017 Oct 7;390(10103):1654-1663. doi: 10.1016/S0140-6736(17)31607-0. Epub 2017 Jul 27.
9
Improved survival with bevacizumab in advanced cervical cancer.贝伐珠单抗治疗晚期宫颈癌可提高生存率。
N Engl J Med. 2014 Feb 20;370(8):734-43. doi: 10.1056/NEJMoa1309748.