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免疫疗法在胃食管恶性肿瘤治疗中不断演变的作用

The Evolving Role of Immunotherapy for Gastroesophageal Malignancies.

作者信息

Emiloju Oluwadunni, Miao Ruoyu, Alese Olatunji

机构信息

Winship Cancer Institute of Emory University, Atlanta, GA, USA.

出版信息

Ann Surg Oncol. 2025 May 7. doi: 10.1245/s10434-025-17386-7.


DOI:10.1245/s10434-025-17386-7
PMID:40332652
Abstract

The incorporation of immunotherapy has transformed the treatment landscape for advanced, unresectable, or metastatic gastroesophageal cancers (GECs), with improved survival outcomes. These improvements in outcomes for advanced GECs have led to clinical trials evaluating the role of immunotherapy in patients with resectable early-stage GECs. However, there remains a high burden of morbidity and mortality, and ongoing trials utilizing novel immunotherapy agents and combinations are underway. This review summarizes the findings of previous and ongoing clinical trials related to immunotherapy for patients with early- and late-stage GECs.

摘要

免疫疗法的纳入改变了晚期、不可切除或转移性胃食管癌(GEC)的治疗格局,改善了生存结果。晚期GEC治疗效果的这些改善促使开展临床试验,评估免疫疗法在可切除的早期GEC患者中的作用。然而,发病率和死亡率仍然很高,目前正在进行利用新型免疫疗法药物及联合治疗方案的试验。本综述总结了既往及正在进行的关于早期和晚期GEC患者免疫治疗的临床试验结果。

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引用本文的文献

[1]
ASO Author Reflections: The Evolving Role of Immunotherapy for Gastro-Esophageal Malignancies.

Ann Surg Oncol. 2025-5-22

本文引用的文献

[1]
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Lancet. 2025-2-1

[2]
Perioperative Chemotherapy or Preoperative Chemoradiotherapy in Esophageal Cancer.

N Engl J Med. 2025-1-23

[3]
Tremelimumab and durvalumab as neoadjuvant or non-operative management strategy of patients with microsatellite instability-high resectable gastric or gastroesophageal junction adenocarcinoma: the INFINITY study by GONO.

Ann Oncol. 2025-3

[4]
Adjuvant immunotherapy in patients with resected gastric and oesophagogastric junction cancer following preoperative chemotherapy with high risk for recurrence (ypN+ and/or R1): European Organisation of Research and Treatment of Cancer (EORTC) 1707 VESTIGE study.

Ann Oncol. 2025-2

[5]
DKN-01 in Combination With Tislelizumab and Chemotherapy as First-Line Therapy in Advanced Gastric or Gastroesophageal Junction Adenocarcinoma: DisTinGuish.

J Clin Oncol. 2025-1-20

[6]
Preclinical Evaluation of AZD6422, an Armored Chimeric Antigen Receptor T Cell Targeting CLDN18.2 in Gastric, Pancreatic, and Esophageal Cancers.

Clin Cancer Res. 2024-12-2

[7]
Overall Survival with Pembrolizumab in Early-Stage Triple-Negative Breast Cancer.

N Engl J Med. 2024-11-28

[8]
An exploratory clinical study of β-glucan combined with camrelizumab and SOX chemotherapy as first-line treatment for advanced gastric adenocarcinoma.

Front Immunol. 2024

[9]
SAFFRON-104: a phase Ib/II study of sitravatinib alone or with tislelizumab in advanced hepatocellular carcinoma and gastric cancer/gastroesophageal junction cancer.

Cancer Immunol Immunother. 2024-9-5

[10]
Nivolumab plus chemotherapy in patients with HER2-negative, previously untreated, unresectable, advanced, or recurrent gastric/gastroesophageal junction cancer: 3-year follow-up of the ATTRACTION-4 randomized, double-blind, placebo-controlled, phase 3 trial.

Gastric Cancer. 2024-11

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