camrelizumab联合治疗复发或转移性宫颈癌和子宫内膜癌的疗效和安全性:一项回顾性研究

S. Niu, Zhao-hui Fang, Xiangshan Chen, Siyang Liu, Ge Jin, Yunfeng Guo, Qianying Zhang, Hong Liu
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引用次数: 0

摘要

背景:由于缺乏有效的治疗方法,复发或转移性宫颈癌和子宫内膜癌在很大程度上是一种无法治愈的疾病。需要新的治疗策略来提供长期的抗肿瘤反应。阻断PD-1与其配体之间的相互作用是一种很有前景的治疗策略,并且先前在宫颈癌和子宫内膜癌中显示出令人鼓舞的抗肿瘤活性。Camrelizumab是一种人源抗程序性死亡-1 (anti PD-1)抗体。因此,本研究旨在评估camrelizumab联合治疗复发或转移性宫颈癌和子宫内膜癌患者的疗效和安全性。方法选取宫颈、子宫内膜癌复发或转移患者。符合条件的患者年龄在30 - 70岁之间,东部肿瘤合作组成绩为0-2。患者接受camrelizumab (200mg iv d1 q2w),同时进行放化疗(CRT)/放化疗。紫杉醇和卡铂分别以175mg/m2和AUC=5给药,d1, q3w, 6-8个周期。患者接受外束放疗45~50.4Gy/25~28f,淋巴结60Gy/25~30f 5次/周,近距离放疗28~30Gy/4 ~ 5f。主要终点为客观缓解(ORR)。次要终点包括疾病控制率(DCR)、中位无进展生存期(mPFS)和安全性。结果2019年9月至2022年4月共入组37例。36例患者进行疗效评价,ORR和DCR分别为53%(19/36)和83% (30/36)
本文章由计算机程序翻译,如有差异,请以英文原文为准。
452 Efficacy and safety of camrelizumab combination therapy in patients with recurrent or metastatic cervical and endometrial carcinoma: a retrospective study
Background Recurrent or metastatic cervical and endometrial carcinoma is largely an incurable disease due to lack of effec-tive therapies. New treatment strategies are needed to provide long-term anti-tumor responses. Blocking the interaction between PD-1 and its ligands is a promising treatment strat-egy, and has previously shown encouraging antitumor activity in cervical and endometrial carcinoma. Camrelizumab is a humanised anti-programmed death-1 (anti PD-1) antibody. Therefore, this study aimed to assess the efficacy and safety of camrelizumab combination therapy in patients with recurrent or metastatic cervical and endometrial carcinoma. Methods Patients (pts) with recurrent or metastatic cervical and endometrial carcinoma were enrolled. Eligible patients were aged 30 – 70 years with an Eastern Cooperative Oncology Group performance status of 0-2. Pts received camrelizumab (200mg iv d1 q2w) with concurrent chemoradiotherapy (CRT)/radiation/chemotherapy. Paclitaxel and carboplatin are delivered with 175mg/m2 and AUC=5, respectively, d1, q3w for 6-8 cycles. Pts received radiation with external-beam radiotherapy 45~50.4Gy/25~28f, lymph node 60Gy/25~30f 5 times/week, brachytherapy 28~30Gy/4-5f. The primary end-point was objective response (ORR). The secondary endpoints included disease control rate (DCR), median progression-free survival (mPFS) and safety. Results 37 pts were enrolled from Sept. 2019 to Apr. 2022. 36 patients were evaluated for efficacy, the ORR and DCR was 53% (19/36) and 83% (30/36
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