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帕博利珠单抗联合同步放化疗治疗不可切除的Ⅲ期NSCLC的疗效和安全性:KEYNOTE-799研究及2年随访数据解读
文献摘要:
KEYNOTE-799研究近期更新了 2年生存结果.这是一个由10个国家52个研究中心参与的非随机Ⅱ期研究,旨在研究帕博利珠单抗联合同步放化疗治疗不可切除的Ⅲ期NSCLC的疗效,其主要研究终点为客观缓解率(ORR)和3级及以上肺炎的发生率.研究共纳入216例不可切除的局部晚期非小细胞肺癌(NSCLC)患者,其中112例患者进入A队列(鳞癌和非鳞NSCLC),104例患者进入B队列(非鳞NSCLC)(2022ASCO更新时变为102例).两组在给予帕博利珠单抗+化疗诱导治疗1个周期后行帕博利珠单抗联合同步放化疗,接着行帕博利珠单抗巩固治疗.结果显示,A队列ORR为71.4%,疾病控制率(DCR)达到88.4%;B队列ORR为75.5%,DCR达到93.1%.A队列中位PFS为30.6个月,2年PFS率55.3%;B队列中位PFS未达到,2年PFS率为60.6%.两队列的中位OS和缓解持续时间都未达到.KEYNOTE-799进行了免疫联合同步放化疗的尝试,有望使更多不可切除的局部晚期NSCLC患者接受免疫治疗.
文献关键词:
帕博利珠单抗;同步放化疗;非小细胞肺癌;客观缓解率;肺炎
作者姓名:
王谨;莫淼;季永领;CSCO专家委员会KEYNOTE工作组
作者机构:
中国科学院大学附属肿瘤医院(浙江省肿瘤医院),中国科学院基础医学与肿瘤研究所,浙江杭州310022;复旦大学附属肿瘤医院,复旦大学上海医学院肿瘤学系,上海200433
文献出处:
引用格式:
[1]王谨;莫淼;季永领;CSCO专家委员会KEYNOTE工作组-.帕博利珠单抗联合同步放化疗治疗不可切除的Ⅲ期NSCLC的疗效和安全性:KEYNOTE-799研究及2年随访数据解读)[J].肿瘤学杂志,2022(11):972-981
A类:
2022ASCO
B类:
帕博利珠单抗,抗联,同步放化疗治疗,不可切除,NSCLC,疗效和安全性,KEYNOTE,随访数据,生存结果,客观缓解率,ORR,局部晚期非小细胞肺癌,鳞癌,诱导治疗,后行,巩固治疗,疾病控制率,DCR,PFS,两队,OS,和缓,免疫治疗
AB值:
0.188023
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