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EUR J Cancer:ipilimumab在NY-ESO-1阳性黑色素瘤患者中的作用

2018-02-28 MedSci MedSci原创

免疫检查点抑制剂显著改变了转移性黑色素瘤患者的治疗选择。但是部分患者仍然对治疗没有反应。回顾性数据表明ipilimumab在NY-ESO-1阳性的黑素瘤患者中具有更高的临床益处

EUR J CanceripilimumabNY-ESO-1阳性黑色素瘤患者中的作用

免疫检查点抑制剂显著改变了转移性黑色素瘤患者的治疗选择。但是部分患者仍然对治疗没有反应。回顾性数据表明ipilimumabNY-ESO-1阳性的黑素瘤患者中具有更高的临床益处。

25名先前未经治疗或治疗的转移性黑素瘤患者在第14710天接受ipilimumab,剂量为10mg / kg,然后进行为期3个月的维持治疗,最长48周。主要终点是根据免疫相关应答标准(irRC)的疾病控制率。次要终点包括根据RECIST标准的疾病控制率,无进展生存期(PFS)和总生存期(OS)。并分析细胞对NY-ESO-1的免疫应答。

结果表明,疾病控制率为52%。按照RECIST标准,无进展生存期为7.8个月,中位OS22.7个月,相应的1年生存率为66.8%。治疗相关的3级不良反应事件发生率为36%,无4-5级不良反应事件。 NY-ESO-1特异性细胞或体液免疫应答与临床活动之间没有明确的关联。

Ipilimumab在这个生物标志物(NY-ESO-1)定义的人群中表现出临床相关的活性。

 

原始出处:

Haag, G. M., et al. "Phase II trial of ipilimumab in melanoma patients with preexisting humoural immune response to NY-ESO-1." European Journal of Cancer 2018 90: 122-129. doi.org/10.1016/j.ejca.

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    2018-03-05 snf701207
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    2018-03-01 sunylz
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    2018-03-02 hongbochen
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