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1帕博利珠单抗治疗伴脑转移NSCLC患者的一项非随机、开放Ⅱ期试验的长期随访结果和生物标志物分析显示文摘背景与目的我们开展了一项帕博利珠单抗用于伴未治疗脑转移的非小细胞肺癌(non-small cell lung cancer,NSCLC)或黑色素瘤患者的疗效和安全性的II期试验,旨在评估程序性死亡受体1(programmed cell death 1,PD-1)抑制剂在中枢神经系统(central nervous system,CNS)中的疗效。中期结果已发表,现报道对NSCLC队列的更新分析结果。方法这是一项开放性、单中心、II期试验。纳入标准:年龄≥18岁,诊断为晚期NSCLC并伴有≥1个5 mm-20 mm脑转移病灶,既往从未治疗或之前放疗后进展,无神经系统症状,不需要激素治疗且美国东部肿瘤协作组(Eastern Cooperative Oncology Group,ECOG)<2分。患者每2周接受一次帕博利珠单抗(10 mg/kg)治疗。队列1为程序性死亡配体1(programmed cell death ligand 1,PD-L1)≥1%的患者,队列2为PD-L1<1%或未评估的患者。主要终点是脑转移患者缓解比例。所有经治患者均纳入疗效与安全性终点的分析。该研究已结束入组,并于Clinicaltrials.gov登记注册,注册号为NCT02085070。结果2014年3月31日-2018年5月21日,共42例患者接受治疗。中位随访时间为8.3个月(IQR:4.5个月-26.2个月)。队列1的37例患者中11例有脑转移缓解[29.7%(95%CI:15.9%-47.0%)]。队列2未观察到缓解。治疗相关的3级-4级不良事件(adverse events,AEs)包括2例肺炎、1例全身症状、1例结肠炎、1例肾上腺皮质功能不全、1例高血糖症和1例低钾血症。6例(14%)患者发生了治疗相关的严重不良事件,包括肺炎、急性肾损伤、低钾血症和肾上腺皮质功能不全。没有观察到治疗相关死亡病例。结论帕博利珠单抗治疗PD-L1≥1%的NSCLC伴脑转移患者有效,且对所有纳入的未经治疗的脑转移患者安全。需要进一步探索免疫治疗用于NSCLC合并CNS转移。Sarah B GOLDBERG Kurt A SCHALPER Scott N GETTINGER Amit MAHAJAN Roy S HERBST Anne C CHANG Rogerio LILENBAUM Frederick H WILSON Sacit Bulent OMAY James B YU Lucia JILAVEANU Thuy TRAN Kira PAVLIK Elin ROWEN Heather GERRSH Annette KOMLO Richa GUPTA Hailey WYATT Matthew RIBEIRO Yuval KLUGER Geyu ZHOU Wei WEI Veronica L CHANG Harriet M KLUGER 董晓荣(翻译/校对) 2021中国肺癌杂志2021,24,9:34
2Metabolic profiling analysis of a D-galactosamine/lipopolysaccharide- induced mouse model of fulminant hepatic failure显示文摘Feng, B Wu, SM Lv, S Liu, F Chen, HS Yan, XZ Li, Y Dong, FT Wei, L 2007中国生物学文摘2007,21,11:23
3体内腺相关病毒-常间回文重复序列丛集及其相关蛋白9介导的基因编辑可改善家族性高胆固醇血症的动脉粥样硬化显示文摘低密度脂蛋白受体(low-density lipoprotein receptor,Ldlr)基因突变是家族性高胆固醇血症的主要原因之一,可导致动脉粥样硬化,并具有很高的终生心血管病风险。常间回文重复序列丛集(clustered regularly interspaced short palindromic repeats,CRISPR)/CRISPR相关蛋白9(CRISPR-related protein 9,Cas9)系统是基因编辑纠正基因突变从而改善疾病的有效工具。该研究的目的是通过腺相关病毒(adeno-associated virus,AAV)携带的CRISPR/Cas9系统进行体内体细胞基因编辑,以确定其能否在小鼠模型中治疗由Ldlr突变体引起的家族性高胆固醇血症。刘青(译) 叶鹏(审校) Zhao H Li Y He L Pu W Yu W Li Y Wu YT Xu C Wei Y Ding Q Song BL Huang H Zhou B 2020中华高血压杂志2020,28,3:22
4Hybrid molecular materials based on covalently linked inorganic polyoxometalates and organic conjugated systems显示文摘Xu B B Wei Y G Barnes C L 2001Angew Chem Int Ed2001,40,:1
5New code delay compensation algorithm for weak GPS signal acquisition显示文摘Wei L M Chen A B 2009International Journal Elec- tronic Communication (AEI))2009,63,8:1
6The effects of Xylazine and fentanyl on various hormones and motabolites in karakul sheep and blesbok显示文摘Maraisal A L Greene S A Wei A B 1991J S Afr Vet Assoc1991,62,1:1
7Anti-inflammatory flavonoids from A rtocarpus heterophyllus and Artocarpus communis显示文摘Wei B L Weng J R Chiu P H 2005J Agr Food Chem2005,53,10:1
8Amino acid mutations in the capsid protein produce novel porcine circovirus type 2 neutralizing epitopes显示文摘Liu J B Huang L P Wei Y W 0,,:1
9The TIL commissioning and performance显示文摘X Zhang W Zheng X Wei F Jing Z Sui K Zheng Q Xu X Yuan X Jiang L Yang P Ma M Li J Wang D Hu S He F Li Z Peng B Feng H Zhou L Guo X Li X Zhang J Su Q Zhu H Yu R Zhao C Ma H He D Fan W Zhang 2008Journal of Physics: Conference Series2008,,3:1
10Peroxidarive modification of phosphor Rlipids in myocardial membranes显示文摘Parinandi N L Weis B K Natarajan V 1990Arch Biochem Biophys1990,280,1:1
11Influence of RF power on the structure of ZnS thin films grown by sulfurizing RF sputter deposited ZnO显示文摘Zhang R G Wang B Y Wei L 2006Materials Chemistry and Physics2006,112,:1
12Carbon nanofibers and single-walled carbon nanotubes prepared by the floating catalyst method显示文摘Ci L J Wei J Q Wei B Q 2001Carbon2001,39,:1
13Design of a GIS-based Decision Support System for Chemical Emergency Preparedness and Response in an Urban Environment Com-puters显示文摘Chang N B Wei Y L Tseng C C et at 0,,01:1
14The effects of crystal structure of the precursor MnO2 on electrochemical properties of spinel LiMn2O4显示文摘WEI Q L WANG X Y YANG X K SHU H B JU B W HU B N SONG Y F 2012J Solid State Electrochem2012,16,7:1
15DNA repair : a double- edged sword 显示文摘WEI Q FRAZIER M L LEVIN B 2000J Natl Caneer lnst2000,92,6:1
16Synergistic interaction between tetrandrine and chemotherapeutic agents and influence of tetrandrine on chemotherapeutic agent - associated genes in human gastric cancer cell lines 显示文摘Wei J Liu B Wang L 2007Cancer Chemother Pharmacol2007,60,5:1
17Impact of dam construction on water quality and water self-purification capacity of the Lancang River, China显示文摘Wei G L Yang Z F Cui B S 2009Water Resources Manage2009,23,:1
18Transplantation of embryonic stem cells overexpressing Bcl-2 promotes functional recovery after transient cerebral ischemia显示文摘Wei L Cui L Snider B J 2005Neurobiol Dis2005,19,:1
19A global map of p53 transcription-factor binding sites in the human genome 显示文摘Wei C L Wu Q Vega V B 2006Cell2006,124,1:1
20Analytical modeling of the transistor laser显示文摘FARAJI B SHI Wei PULFREY D L 2009IEEE Journal of Selected Topics in Quantum Electronics2009,15,3:1
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