[可切除非小细胞肺癌围手术期免疫疗法:当前证据和新的治疗标准]。

IF 0.5 4区 医学 Q4 SURGERY
Zentralblatt fur Chirurgie Pub Date : 2024-08-01 Epub Date: 2024-08-13 DOI:10.1055/a-2353-6336
Uyen-Thao Le, Birte Ohm, Severin Schmid
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引用次数: 0

摘要

免疫疗法极大地改变了肺癌的治疗方法,它不仅适用于全身性疾病,也适用于局部晚期非小细胞肺癌的围手术期治疗。特别是 CheckMate 816 和 KEYNOTE-671 研究中的新辅助治疗和围手术期治疗方案,以及 IMPower010 和 PEARLS/KEYNOTE-091 方案中的辅助治疗,已获得欧洲药品管理局 (EMA) 批准,用于治疗特定病例。目前正在对其他治疗方案以及不同药物类别和治疗方式的联合疗法的有效性和耐受性进行研究。新的治疗格局为治疗学科带来了新的机遇和挑战。本文将重点介绍可切除肺癌围手术期免疫疗法的现有证据和由此产生的治疗标准,尤其是新辅助和辅助免疫疗法的患者选择以及当前的研究工作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Perioperative Immunotherapy for Resectable Non-Small Cell Lung Cancer: Current Evidence and New Standard of Care].

Immunotherapy has drastically changed the treatment of lung cancer not only in systemic disease but also in the perioperative setting in locally advanced non-small cell lung cancer. In particular, the neoadjuvant and perioperative therapy regimes of the CheckMate 816 and KEYNOTE-671 studies as well as the adjuvant therapy according to the IMPower010 and the PEARLS/KEYNOTE-091 protocols have already been approved by the European Medicines Agency (EMA) for the treatment of selected cases. Other therapy protocols and combination therapies with varying drug classes and therapy modalities are currently being examined for their effectiveness and tolerance. The new treatment landscape creates new opportunities but also challenges for the treating disciplines. This article will focus on the current evidence for perioperative immunotherapy for resectable lung cancer and the resulting therapy standards, especially with regard to patient selection for both neoadjuvant and adjuvant immunotherapy, as well as current research efforts.

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来源期刊
CiteScore
1.00
自引率
14.30%
发文量
116
审稿时长
6-12 weeks
期刊介绍: Konzentriertes Fachwissen aus Forschung und Praxis Das Zentralblatt für Chirurgie – alle Neuigkeiten aus der Allgemeinen, Viszeral-, Thorax- und Gefäßchirurgie.
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