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The Lancet Oncology:Pembrolizumab用于晚期头颈癌

2017-04-01 MedSci MedSci原创

试验初步证明了Pembrolizumab对于晚期头颈部鳞状细胞癌的疗效和安全性

在一项无对照II期研究中,6个月内接受过铂或西妥昔单抗治疗无效的,头颈部鳞状细胞癌复发或转移患者接受PD-1抑制剂Pembrolizumab治疗。

研究表明,在171名患者中,有28名(16%)全面应答,中位应答时间为8个月,其中有21人(75%)的患者在随访7个月后仍持续应答,中位无进展生存期为2.1个月,中位总生存期8个月;有109名患者(64%)出现药物相关的不良事件,15%的患者出现三级以上的不良事件,最常见的不良事件为天冬氨酸转氨酸升高;有4%的患者因不良事件终止试验,1名患者死于药物不良事件。

该试验初步证明了Pembrolizumab对于晚期头颈部鳞状细胞癌的疗效和安全性,对于确定Pembrolizumab疗效的进一步试验即将开展。

原文出处:

Vicki Brower et al. Pembrolizumab in advanced head and neck cancer. The Lancet Oncology. 2017 Mar 30

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    2018-01-31 howi
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    2017-10-16 feather89
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    2017-07-14 minlingfeng
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    2017-04-17 chendoc242
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    2017-06-19 snf701207
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对于晚期非鳞状非小细胞肺癌患者,在标准一线化疗基础上(卡铂+培美曲塞)添加派姆单抗(Pembrolizumab),可显著改善患者的总体缓解率、延长PFS。 来自宾夕法尼亚大学的Corey J. Langer博士和同事们对123例IIIB/IV期、未进行化疗的非鳞状非小细胞肺癌患者进行了研究,这些患者的ECOG性能状态评分为0分或1分,并且没有EGFR突变或ALK易位。 基于PD-L1肿

NEJM:Pembrolizumab治疗PD-L1阳性非小细胞肺癌,疗效十分显著

Pembrolizumab是人源化的单克隆抗体的细胞程序性死亡受体1(PD-1),在晚期非小细胞肺癌中具有抗肿瘤活性(NSCLC),在表达程序性死亡配体1(PD-L1)的肿瘤中活性增加。

ASCO 2016:pembrolizumab和ipilimumab联合治疗晚期黑色素瘤的安全性和有效性在可接受范围(KEYNOTE-029)

根据ASCO年会上公布的KEYNOTE-029试验数据,pembrolizumab和ipilimumab联合治疗晚期黑色素瘤时,表现出了强大的抗肿瘤活性和可接受的毒性。抗PD-1抗体pembrolizumab(Keytruda, Merck)是被批准在美国和国际上用于晚期黑色素瘤的治疗。KEYNOTE-006试验数据显示pembrolizumab与ipilimumab(Yervoy, Bristo

NEJM:Pembrolizumab作为晚期尿路上皮癌二线治疗疗效如何?

由此可见,相比于化疗药物,Pembrolizumab作为铂类耐受的晚期尿路上皮癌的二线治疗可以显著延长患者总生存期(约3个月)并且治疗相关不良事件发生率较低。

NEJM:Pembrolizumab二线治疗尿路上皮癌优于化疗(KEYNOTE-045)

2017年3月16日,《新英格兰医学杂志》(NEJM)发布Pembrolizumab与化疗对照用于晚期尿路上皮癌二线治疗的KEYNOTE-045研究结果。在这项开放标签的国际III期临床试验中,542例含铂化疗后复发或进展的晚期尿路上皮癌患者被随机分组,接受PD-1 抗体Pembrolizumab治疗(每三周200mg),或接受研究者选择的紫杉醇、多西他赛或长春氟宁化疗。主要终点是总生存(OS)和

FDA批准pembrolizumab作为高表达PD-L1转移性NSCLC的一线治疗

FDA批准pembrolizumab作为表达PD-L1的转移性非小细胞肺癌的一线治疗药物。该药物适用于无EGFR或ALK基因异常、高PD-L1表达(肿瘤比例分数50%)和之前没有接受系统化疗的转移性非小细胞肺癌患者。剂量为每三周200毫克,直至疾病进展、出现不可接受的毒性、或24个月患者无疾病进展。两项随机对照试验表明,随机分配到pembrolizumab组的患者与化疗组患者相比,PFS和OS均得

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