NEJM:Atezolizumab联合紫杉醇治疗三阴性乳腺癌

2018-12-04 zhangfan MedSci原创

研究认为纳米白蛋白结合紫杉醇联合Atezolizumab可显著延长三阴性乳腺癌患者生存期,缓解疾病进展

不可切除的局部晚期或转移性三阴性乳腺癌患者的预后较差。近日研究人员发现纳米白蛋白结合(NAB)-紫杉醇可增强Atezolizumab的抑癌活性。

在这项III期临床研究中,三阴性乳腺癌患者随机在NAB紫杉醇基础上联合Atezolizumab或安慰剂 。研究的主要终点为无进展生存期以及总生存期。

各组均有451名患者,平均随访12.9个月。Atezolizumab组患者无进展生存期为7.2个月,安慰剂组为5.5个月(死亡或进展HR=0.80)。对于PD-L1阳性人群,无进展生存期分别为7.5个月和5.0个月。Atezolizumab组总生存期为21.3个月,安慰剂组为17.6个月(HR=0.84),PD-L1阳性人群的总生存期分别为25.0和15.5个月。Atezolizumab组因不良事件导致的终止率为15.9%,安慰剂组为8.2%。

研究认为纳米白蛋白结合紫杉醇联合Atezolizumab可显著延长三阴性乳腺癌患者生存期,缓解疾病进展。

原始出处:

Peter Schmid et al. Tisagenlecleucel in Adult Relapsed or Refractory Diffuse Large B-Cell Lymphoma.N Engl J Med, November 29, 2018.

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    2019-04-08 snf701207
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    2018-12-06 xlysu
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    2018-12-04 ylzr123

    感谢小编为我们准备了如此丰盛的精神大餐,同时也向作者致谢!认真学习了,点赞!

    0

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    2018-12-04 飛歌

    学习了很有用不错

    0

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帕妥珠单抗+曲妥珠单抗双靶新辅助治疗HER2阳性乳腺癌

2018年圣安东尼奥乳腺癌研讨会(SABCS)在美国圣安东尼奥召开,SABCS是世界上最大、最具影响力的乳腺癌会议。从1977年开始至今,已经发展成为为期5天,来自世界90多个国家超过7000名科研人员与医生代表参与的研讨会。今年的SABCS上,由邵志敏教授牵头的III期在亚洲人群进行的帕妥珠单抗+曲妥珠单抗双靶新辅助治疗HER2阳性乳腺癌的PEONY研究将展示首次分析结果。PEONY研究结果如何