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一项关于纳武利尤单抗再次给药治疗晚期胃癌的多中心、前瞻性观察性研究(NIVO RETURNS)。

A multicenter, prospective, observational study of nivolumab readministration for advanced gastric cancer (NIVO RETURNS).

作者信息

Kodama Hiroyuki, Narita Yukiya, Nakamura Michio, Takahashi Masanobu, Mizukami Takuro, Ando Takayuki, Mitani Seiichiro, Komori Azusa, Hosokawa Ayumu, Moriwaki Toshikazu, Sugiyama Keiji, Taguri Masataka, Orihara Shunichiro, Kagamu Hiroshi, Yamaguchi Toshifumi, Nishikawa Hiroki, Muro Kei

机构信息

Cancer Chemotherapy Center, Osaka Medical and Pharmaceutical University, Osaka, Japan.

Department of Gastroenterology, Osaka Medical and Pharmaceutical University, Osaka, Japan.

出版信息

Future Oncol. 2025 Jun;21(14):1753-1759. doi: 10.1080/14796694.2025.2500918. Epub 2025 May 8.


DOI:10.1080/14796694.2025.2500918
PMID:40336472
Abstract

Combination treatment with an anti-programmed cell death-1 (PD-1) antibody, an immune checkpoint inhibitor (ICI), and chemotherapy is the standard treatment for patients with HER2-negative advanced gastric/esophagogastric cancer (AGC). ICI re-administration has been reported to have a clinical benefit for patients with lung cancer or melanoma. However, data on patients with AGC have not yet been collected. We plan to conduct a prospective, multicenter, observational NIVO RETURNS study to evaluate the efficacy and safety of nivolumab monotherapy re-administration in patients with AGC refractory to initial anti-PD-1 or anti-programmed cell death ligand-1 (PD-L1) antibody treatment. Patients who have achieved clinical benefits (complete response, partial response, or stable disease for ≥ 6 months) from prior treatment, including anti-PD-1/PD-L1 therapy, will be included. The primary endpoint will be the objective response rate to nivolumab re-administration. We anticipate that our findings will contribute to the improvement of survival outcomes as later-line treatment for AGC. UMIN000050515, UMIN000051044.

摘要

抗程序性细胞死亡蛋白1(PD-1)抗体、免疫检查点抑制剂(ICI)与化疗联合治疗是HER2阴性晚期胃癌/食管胃交界癌(AGC)患者的标准治疗方案。据报道,ICI再次给药对肺癌或黑色素瘤患者具有临床益处。然而,尚未收集到AGC患者的数据。我们计划开展一项前瞻性、多中心、观察性NIVO RETURNS研究,以评估纳武利尤单抗单药再次给药对初始抗PD-1或抗程序性细胞死亡配体1(PD-L1)抗体治疗难治的AGC患者的疗效和安全性。曾从包括抗PD-1/PD-L1治疗在内的既往治疗中获得临床益处(完全缓解、部分缓解或疾病稳定≥6个月)的患者将被纳入研究。主要终点将是纳武利尤单抗再次给药的客观缓解率。我们预计我们的研究结果将有助于改善AGC后线治疗的生存结局。UMIN000050515,UMIN000051044。

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本文引用的文献

[1]
Nivolumab Rechallenge After Prior Nivolumab Therapy in Advanced Gastric Cancer: A Single-Center Case Series and Literature Review.

J Gastrointest Cancer. 2024-6

[2]
Pembrolizumab plus chemotherapy versus placebo plus chemotherapy for HER2-negative advanced gastric cancer (KEYNOTE-859): a multicentre, randomised, double-blind, phase 3 trial.

Lancet Oncol. 2023-11

[3]
Ramucirumab beyond progression plus TAS-102 in patients with advanced or metastatic esophagogastric adenocarcinoma, after treatment failure on a ramucirumab-based therapy.

Int J Cancer. 2023-11-15

[4]
Single-Cell Analysis Reveals a CD4+ T-cell Cluster That Correlates with PD-1 Blockade Efficacy.

Cancer Res. 2022-12-16

[5]
Nivolumab Retreatment in Non-Small Cell Lung Cancer Patients Who Responded to Prior Immune Checkpoint Inhibitors and Had ICI-Free Intervals (WJOG9616L).

Clin Cancer Res. 2022-6-28

[6]
Clinical Progress in Inoperable or Recurrent Advanced Gastric Cancer Treatment from 1004 Single Institute Experiences Between 2007 and 2018.

Oncologist. 2022-6-8

[7]
Immune Checkpoint Inhibitor Rechallenge and Resumption: a Systematic Review.

Curr Oncol Rep. 2022-9

[8]
Nivolumab plus chemotherapy versus placebo plus chemotherapy in patients with HER2-negative, untreated, unresectable advanced or recurrent gastric or gastro-oesophageal junction cancer (ATTRACTION-4): a randomised, multicentre, double-blind, placebo-controlled, phase 3 trial.

Lancet Oncol. 2022-2

[9]
Rechallenge of immune checkpoint inhibitors: A systematic review and meta-analysis.

Crit Rev Oncol Hematol. 2021-9

[10]
First-line nivolumab plus chemotherapy versus chemotherapy alone for advanced gastric, gastro-oesophageal junction, and oesophageal adenocarcinoma (CheckMate 649): a randomised, open-label, phase 3 trial.

Lancet. 2021-7-3

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