ANN ONCOL:Pembrolizumab治疗复发性生殖细胞肿瘤

2018-01-27 MedSci MedSci原创

尽管对于复发性生殖细胞肿瘤患者可以进行标准剂量或大剂量挽救性化疗,仍有约15%的患者是无法治愈的。免疫检查点抑制剂在多种肿瘤中均具有抗肿瘤活性。ANN ONCOL近期发表了一篇文章,报道了第一个生殖细胞肿瘤患者应用免疫治疗的临床研究

尽管对于复发性生殖细胞肿瘤患者可以进行标准剂量或大剂量挽救性化疗,仍有约15%的患者是无法治愈的。免疫检查点抑制剂在多种肿瘤中均具有抗肿瘤活性。ANN ONCOL近期发表了一篇文章,报道了第一个生殖细胞肿瘤患者应用免疫治疗的临床研究。

研究纳入的患者为复发且无其他治疗选择的生殖细胞肿瘤患者。Pembrolizumab200mg 静脉注射直至出现病情进展。年龄≥18岁,进行一线顺铂化疗并接受至少一个方案的挽救治疗(大剂量或标准剂量)为合格患者。对肿瘤PD-L1和浸润免疫细胞进行评分。主要的研究终点是总反应率。最终共纳入12例男性患者。中位年龄38岁。所有患者均为非精原细胞瘤。原发部位为睾丸或纵膈。中位AFP 615,中位hCG4.6例患者出现晚期复发。接受过的化疗方案中位数为3。6例患者接受过大剂量化疗。2例患者PD-L1阳性。Pembrolizumab剂量中位数为2。出现6例3级不良反应。未发现免疫相关不良反应。为观察到部分或完全反应。2例患者达到影像学病情稳定,时间分别为28周和19周,尽管影像学病情稳定,但是AFP水平均有升高且PD-L1染色阴性。

文章最后认为,该研究为第一个评估免疫检查点抑制剂治疗生殖细胞肿瘤的试验。Pembrolizumab耐受性良好但是在治疗复发性生殖细胞肿瘤时并不具有临床上的单药抗肿瘤活性。

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    2018-04-14 minlingfeng
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    2018-06-17 chendoc242
  4. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Tue Feb 27 08:01:36 CST 2018, time=2018-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=287306, encodeId=85b828e30681, content=非常好的文章.学习了.很收益, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Mon Feb 12 07:29:30 CST 2018, time=2018-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=285175, encodeId=bbb62851e5d0, content=非常好的文章.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Sun Feb 04 23:55:44 CST 2018, time=2018-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1272517, encodeId=6a3f12e251781, content=<a href='/topic/show?id=4323140286a' target=_blank style='color:#2F92EE;'>#Pembrolizumab#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14028, encryptionId=4323140286a, topicName=Pembrolizumab)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ac59108, createdName=hxj0117, createdTime=Mon Jan 29 10:54:00 CST 2018, time=2018-01-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1464990, encodeId=1668146499042, content=<a href='/topic/show?id=b33769109ed' target=_blank style='color:#2F92EE;'>#生殖细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=69109, encryptionId=b33769109ed, topicName=生殖细胞)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fb406680414, createdName=jiadan198784, createdTime=Mon Jan 29 10:54:00 CST 2018, time=2018-01-29, status=1, ipAttribution=)]
    2018-04-08 snf701207
  5. 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objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Sun Feb 04 23:55:44 CST 2018, time=2018-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1272517, encodeId=6a3f12e251781, content=<a href='/topic/show?id=4323140286a' target=_blank style='color:#2F92EE;'>#Pembrolizumab#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14028, encryptionId=4323140286a, topicName=Pembrolizumab)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ac59108, createdName=hxj0117, createdTime=Mon Jan 29 10:54:00 CST 2018, time=2018-01-29, status=1, ipAttribution=), 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    2018-03-12 feather89
  6. 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objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Sun Feb 04 23:55:44 CST 2018, time=2018-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1272517, encodeId=6a3f12e251781, content=<a href='/topic/show?id=4323140286a' target=_blank style='color:#2F92EE;'>#Pembrolizumab#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14028, encryptionId=4323140286a, topicName=Pembrolizumab)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ac59108, createdName=hxj0117, createdTime=Mon Jan 29 10:54:00 CST 2018, time=2018-01-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1464990, encodeId=1668146499042, content=<a href='/topic/show?id=b33769109ed' target=_blank style='color:#2F92EE;'>#生殖细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=69109, encryptionId=b33769109ed, topicName=生殖细胞)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fb406680414, createdName=jiadan198784, createdTime=Mon Jan 29 10:54:00 CST 2018, time=2018-01-29, status=1, ipAttribution=)]
    2018-02-27 天涯183

    非常好的文章.学习了

    0

  7. 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objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Sun Feb 04 23:55:44 CST 2018, time=2018-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1272517, encodeId=6a3f12e251781, content=<a href='/topic/show?id=4323140286a' target=_blank style='color:#2F92EE;'>#Pembrolizumab#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14028, encryptionId=4323140286a, topicName=Pembrolizumab)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ac59108, createdName=hxj0117, createdTime=Mon Jan 29 10:54:00 CST 2018, time=2018-01-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1464990, encodeId=1668146499042, content=<a href='/topic/show?id=b33769109ed' target=_blank style='color:#2F92EE;'>#生殖细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=69109, encryptionId=b33769109ed, topicName=生殖细胞)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fb406680414, createdName=jiadan198784, createdTime=Mon Jan 29 10:54:00 CST 2018, time=2018-01-29, status=1, ipAttribution=)]
    2018-02-12 天涯183

    非常好的文章.学习了.很收益

    0

  8. 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objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Sun Feb 04 23:55:44 CST 2018, time=2018-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1272517, encodeId=6a3f12e251781, content=<a href='/topic/show?id=4323140286a' target=_blank style='color:#2F92EE;'>#Pembrolizumab#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14028, encryptionId=4323140286a, topicName=Pembrolizumab)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ac59108, createdName=hxj0117, createdTime=Mon Jan 29 10:54:00 CST 2018, time=2018-01-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1464990, encodeId=1668146499042, content=<a href='/topic/show?id=b33769109ed' target=_blank style='color:#2F92EE;'>#生殖细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=69109, encryptionId=b33769109ed, topicName=生殖细胞)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fb406680414, createdName=jiadan198784, createdTime=Mon Jan 29 10:54:00 CST 2018, time=2018-01-29, status=1, ipAttribution=)]
    2018-02-04 天涯183

    非常好的文章.学习了

    0

  9. 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