AACR:恩替司他与PD-1单抗Keytruda联合是抗PD1治疗失败后晚期黑色素瘤的有效选择

2019-04-06 不详 MedSci原创

2019年美国癌症协会年会(AACR)上发表的一项研究显示,将组蛋白去乙酰化酶抑制剂恩替司他与PD-1单抗Keytruda联合使用,显示出对无法切除或转移的、单用抗PD1无效的黑色素瘤患者具有临床治疗益处。

2019年美国癌症协会年会(AACR)上发表的一项研究显示,将组蛋白去乙酰化酶抑制剂恩替司他与PD-1单抗Keytruda联合使用,显示出对无法切除或转移的、单用抗PD1无效的黑色素瘤患者具有临床治疗益处。

马萨诸塞州波士顿麻省总医院的医学博士Ryan J. Sullivan说:"我们的研究结果表明,对于那些在用PD-1抑制剂治疗期间从未有过反应或进展的患者,这种组合可能是一种积极的治疗方案。"

2期临床试验ENCORE 601评估了恩替司他和Keytruda在非小细胞肺癌、黑色素瘤和错配修复直肠癌患者中的有效性。Sullivan博士报告了53例接受过免疫治疗的无法切除或转移性黑色素瘤患者,接受恩替司他和Keytruda的治疗结果。

恩替司他和Keytruda联用的客观反应率为19%,1个完全反应(CR)和9个部分反应(PR)。临床受益率为32%(CR,PR,SD> 6个月),7例患者病情稳定> 6个月。

中位无进展生存期为4.2个月,中位反应持续时间为12.5个月。

先前PD-1治疗的中位持续时间为4.9个月。在这些患者中,70%的患者事先用CTLA4单抗ipilimumab治疗,23%的患者事先用BRAF / MEK抑制剂治疗。

Sullivan博士说:"接下来的关键步骤是确定一种生物标志物,以更好地确定哪些患者会对这种治疗做出应答。"

原始出处:

http://www.firstwordpharma.com/node/1633751?tsid=4#axzz5kJVZOSC3

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    2019-07-17 zhzhxiang
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    2019-08-11 sunylz
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  5. 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  6. 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createdTime=Mon Apr 08 11:06:00 CST 2019, time=2019-04-08, status=1, ipAttribution=)]
    2019-04-08 10518094zz
  7. 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createdTime=Mon Apr 08 11:06:00 CST 2019, time=2019-04-08, status=1, ipAttribution=)]
    2019-04-08 Luyuxie_14
  8. 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