NEJM:Durvalumab可显著延长III期非小细胞肺癌患者总生存期

2018-09-26 zhangfan MedSci原创

研究认为,Durvalumab联合同步放化疗可显著延长III期不可切除非小细胞肺癌患者总生存期

在先前的III期临床研究中,相比于安慰剂,Durvalumab可显著延长III期不可切除非小细胞肺癌患者(NSCLC)的无进展生存期。近日研究人员公布了该研究关于总生存期的结论。

参与研究的患者,在同步放化疗基础上,每2周接受10mg/Kg体重的Durvalumab注射或安慰剂,持续12个月。研究的主要终点为无进展生存期和总生存期,次要终点为死亡或远端转移时间,疾病二次进展时间以及安全性。

709名患者参与研究,其中Durvalumab组473人,安慰剂组236人,平均随访25.2个月。Durvalumab组24个月的总生存率为66.3%,安慰剂组为55.6%。Durvalumab总生存率显著提高,患者死亡风险比值比为0.68。Durvalumab组患者无进展生存期为17.2个月,而安慰剂组仅5.6个月。Durvalumab组治疗后死亡或远端转移的时间为28.3个月,安慰剂组为16.2个月。Durvalumab组30.5%以及安慰剂组26.1%的患者存在3或4级不良事件,分别有15.4%和9.8%的患者因不良事件停药。

研究认为,Durvalumab联合同步放化疗可显著延长III期不可切除非小细胞肺癌患者总生存期。

原始出处:

Scott J. Antonia et al. Overall Survival with Durvalumab after Chemoradiotherapy in Stage III NSCLC. N Engl J Med, September 25, 2018.

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    2019-06-14 juliusluan78
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  5. 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  6. 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  7. 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  8. 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  9. 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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=346705, encodeId=bf51346e0513, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0aa31415219, createdName=orangesking, createdTime=Wed Sep 26 10:12:00 CST 2018, time=2018-09-26, status=1, ipAttribution=)]
    2018-09-26 明月清辉

    谢谢分享,学习了

    0

  10. 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    2018-09-26 orangesking

    0

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