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跨癌症类型的新辅助免疫疗法快速演变的模式。

The rapidly evolving paradigm of neoadjuvant immunotherapy across cancer types.

作者信息

Awada Gil, Cascone Tina, van der Heijden Michiel S, Blank Christian U, Kok Marleen, Chalabi Myriam

机构信息

Department of Medical Oncology, Vrije Universiteit Brussel/Universitair Ziekenhuis Brussel, Brussels, Belgium.

Department of Thoracic/Head and Neck Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

出版信息

Nat Cancer. 2025 Jun;6(6):967-987. doi: 10.1038/s43018-025-00990-7. Epub 2025 Jun 24.

Abstract

Neoadjuvant immunotherapy is rapidly changing the treatment landscape for many tumor types. The superiority of neoadjuvant compared to adjuvant immunotherapy has now been established in both preclinical studies and clinical trials. Neoadjuvant immunotherapy, either as monotherapy or in combination with other immune checkpoint inhibitors or other agents, has become a standard of care for several cancer types, while many new indications are expected. Future research should focus on determining the benefit of treatment combinations versus monotherapy and the contribution of adjuvant after neoadjuvant (or perioperative) treatment versus neoadjuvant treatment alone as well as on identifying predictive biomarkers of response.

摘要

新辅助免疫疗法正在迅速改变许多肿瘤类型的治疗格局。目前,在临床前研究和临床试验中均已证实新辅助免疫疗法相较于辅助免疫疗法具有优势。新辅助免疫疗法,无论是作为单一疗法还是与其他免疫检查点抑制剂或其他药物联合使用,已成为几种癌症类型的标准治疗方案,同时有望出现许多新的适应症。未来的研究应集中于确定联合治疗与单一疗法的疗效、新辅助(或围手术期)治疗后辅助治疗与单纯新辅助治疗的作用,以及识别反应的预测生物标志物。

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