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搜狐全球医讯 | 《自然医学》:免疫联合化疗显著改善三阴性乳腺癌患者生存

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Each race includes two Favorites, Two middle of the pack, and two Outliers.Rules For Betting The lineup for this bet is going to be lonely Stepbrother at 3/1, Snatched Your Mama breaking out even, and Hard Time Done is 18/1, further goes on to Ghost Dank.

作者 | 周亦川

编辑 | 袁月

近期《自然医学》发布江泽飞教授团队TORCHLIGHT临床随机3期试验成果显示,抗PD-1单抗特瑞普利单抗联合注射用紫杉醇,可显著改善PD-L1阳性的转移性或复发性三阴性乳腺癌患者的无进展生存期。

世卫组织发布数据显示,2020年乳腺癌已成为全球发病最多的癌症。三阴性乳腺癌约占10%—15%,它侵袭性强、早期复发率高,对靶向及内分泌治疗不敏感,缺乏特异性疗法。当前治疗以化疗为主但效果欠佳,患者中位生存期仅9—12个月,在乳腺癌各亚型治疗中预后最差。

近年来“免疫治疗+化疗药”策略成为肿瘤临床热点。在本项研究中,课题组将PD-L1阳性三阴性乳腺癌患者以2:1比例分为治疗组与安慰剂组,经特瑞普利单抗联合化疗药以及单用化疗分别治疗。

结果显示,两组的中位生存期分别为8.4和5.6个月,疾病进展和死亡风险降低35%。两组中位总生存期为32.8个月和19.5个月,不良事件以及严重不良事件率相近,证明了免疫治疗联合化疗策略在三阴性乳腺癌治疗中的重要价值。目前,该治疗新适应症上市申请已获得受理,期待让更多的乳腺癌患者受益。

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