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评估帕博利珠单抗在中国晚期黑色素瘤患者中的应用:基于KEYNOTE-151研究的3年随访数据
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作者 Lu Si Xiaoshi Zhang +17 位作者 Yongqian Shu Hongming Pan Di Wu Jiwei Liu lili mao Xuan Wang Xizhi Wen Yanhong Gu Lingjun Zhu Shijie Lan Xin Cai Scott J.Diede Haiyan Dai Cuizhen Niu Jianfeng Li Jun Guo 李雯钰(翻译校对) 斯璐(点评) 《癌症》 CAS 2023年第8期437-450,共14页
中国肢端和黏膜黑色素瘤的发病率较高,但治疗选择有限,晚期黑色素瘤患者的生存率普遍较低。对Ib期KEYNOTE-151研究的初步分析显示,帕博利珠单抗在作为二线药物治疗中国晚期黑色素瘤患者中,表现出了良好的耐受性和优异的临床抗肿瘤活性... 中国肢端和黏膜黑色素瘤的发病率较高,但治疗选择有限,晚期黑色素瘤患者的生存率普遍较低。对Ib期KEYNOTE-151研究的初步分析显示,帕博利珠单抗在作为二线药物治疗中国晚期黑色素瘤患者中,表现出了良好的耐受性和优异的临床抗肿瘤活性。本研究分析了3年随访的研究数据,纳入一线治疗后进展的不可切除的III/IV期中国黑色素瘤患者,给予帕博利珠单抗2 mg/kg治疗,每3周1次,最长使用35剂。主要终点为安全性和客观缓解率(objective response rate,ORR);次要终点包括疗效维持时间(duration of response,DOR)、无进展生存期(progression-free survival,PFS)和总生存期(overall survival,OS)。根据RECIST v1.1标准,采用独立中心盲法评估患者疗效。此外,根据黑色素瘤亚型,以及BRAF突变状态和PD-L1表达状态(仅肢端黑色素瘤)进行亚组分析。本研究共纳入103例患者,中位随访时间[从首次用药到数据截止时间(2020年7月13日)]为44.6个月[四分位距(interquartile range,IQR):39.1–46.2]。85.4%的患者发生了任一级别的治疗相关不良事件(treatment-related adverse events,TRAEs),12.6%的患者发生了3/4级的TRAEs,无5级TRAE发生。3例患者因TRAEs(免疫相关肝炎、肺炎和关节炎)停药。免疫相关AEs和输液反应发生比例为34.0%(3/4级,2.9%)。ORR为17.6%(95%CI:10.8–26.4;1例完全缓解/17例部分缓解),中位DOR为13.8个月(范围:2.7–37.4+)。中位PFS为2.8个月(95%CI:2.7–3.5),36个月的PFS率为5.0%。中位OS为13.2个月(95%CI:10.4–16.5),36个月的OS率为22.3%。肢端黑色素瘤中位OS为14.8个月,非肢端皮肤黑色素瘤为13.5个月,黏膜黑色素瘤为7.4个月。在肢端黑色素瘤亚组中,程序性死亡配体-1(programmed death ligand-1,PD-L1)阳性的中位OS为22.8个月,PD-L1阴性的中位OS为8.4个月,BRAF野生型的中位OS为18.5个月,BRAF突变型的中位OS为5.8个月。综上,本研究对3年随访数据分析结果表明,帕博利珠单抗作为二线治疗在中国晚期黑色素瘤患者中的安全性可控,且达到了具有临床意义的抗肿瘤活性,使部分患者获得持久缓解。亚组分析表明PD-L1阳性和BRAF野生型的肢端黑色素瘤患者从该治疗中获益较大,但由于亚组样本量较小,该研究结论仍需进一步验证。 展开更多
关键词 帕博利珠单抗 PD-1 PD-L1 晚期黑色素瘤 皮肤/肢端黑色素瘤 黏膜黑色素瘤
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转移性乳头状肾细胞癌的临床特征及预后分析
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作者 唐碧霞 李彩莉 +11 位作者 鄢谢桥 李思明 迟志宏 斯璐 崔传亮 毛丽丽 连斌 王轩 周莉 白雪 郭军 盛锡楠 《中国肿瘤临床》 CAS CSCD 北大核心 2019年第17期883-886,共4页
目的:探讨转移性乳头状肾细胞癌(papillary renal cell carcinoma,pRCC)的临床特征、酪氨酸激酶抑制剂(tyrosine kinase inhibitor,TKI)及雷帕霉素靶蛋白(mechanistic target of rapamycin kinase,mTOR)抑制剂系统性靶向治疗疗效及预后... 目的:探讨转移性乳头状肾细胞癌(papillary renal cell carcinoma,pRCC)的临床特征、酪氨酸激酶抑制剂(tyrosine kinase inhibitor,TKI)及雷帕霉素靶蛋白(mechanistic target of rapamycin kinase,mTOR)抑制剂系统性靶向治疗疗效及预后情况。方法:回顾性分析2003年1月至2018年3月93例北京大学肿瘤医院收治的转移性pRCC患者的临床资料,采用国际转移性肾细胞癌联合数据库(internationalmetastatic renal cell carcinoma database consortium,IMDC)预后模型对患者进行预后危险分层。采用Kaplan-Meier法及Cox比例风险回归模型对生存及影响因素进行分析。结果:93例转移性pRCC患者中Ⅱ型占95.7%(89/93),Ⅰ型占4.3%(4/93),伴肉瘤分化占11.8%(11/93),中位年龄为50.0 (22~87)岁,中位随访时间为23.1个月,中位总生存(overall survival,OS)时间为(31.5±5.9)个月(95% CI为19.9~43.1)。采用IMDC预后模型进行分层,低、中、高危患者分别占14.0%(13/93)、46.2%(43/93)、39.8%(37/93),低、中、高危患者的中位OS分别为(100.0±32.8)、(38.3±8.2)、(16.4±1.2)个月,高危与低、中危患者的OS相比差异具有统计学意义(P<0.001),低危与中危患者的OS相比差异无统计学意义(P=0.015)。93例pRCC患者的一线靶向治疗的总中位无疾病进展(progression free survival,PFS)时间为(6.6±0.5)个月,低、中、高危患者一线靶向治疗的PFS分别为(17.5±5.7)、(7.1±2.3)、(5.2±1.5)个月,高危与低危患者、高危与中危患者的PFS相比差异具有统计学意义(P=0.002、P=0.01)。结论:转移性pRCC具有独特的生物学特点,IMDC预后模型可用于预测转移性pRCC患者的TKI一线靶向治疗的疗效和预后生存。 展开更多
关键词 转移性 乳头型肾细胞癌 靶向治疗
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阿昔替尼联合信迪利单抗治疗中高危晚期肾癌的研究 被引量:12
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作者 杜羽 斯璐 +3 位作者 毛丽丽 迟志宏 崔传亮 郭军 《中国肿瘤临床》 CAS CSCD 北大核心 2020年第10期513-516,共4页
目的:评价阿昔替尼联合信迪利单抗治疗中高危晚期肾癌的初步疗效及安全性。方法:回顾性分析2019年4月至2019年12月10例就诊于北京大学肿瘤医院行阿昔替尼联合信迪利单抗治疗的晚期肾癌患者的临床资料,其中病理诊断为肾透明细胞癌患者7... 目的:评价阿昔替尼联合信迪利单抗治疗中高危晚期肾癌的初步疗效及安全性。方法:回顾性分析2019年4月至2019年12月10例就诊于北京大学肿瘤医院行阿昔替尼联合信迪利单抗治疗的晚期肾癌患者的临床资料,其中病理诊断为肾透明细胞癌患者7例、肾非透明细胞癌3例。治疗方案为静脉滴注信迪利单抗200 mg、每3周1次,口服阿昔替尼5 mg、每天2次,并分析客观缓解率、无进展生存期及不良反应。结果:所有患者中位年龄为58.5(43.0~67.0)岁,国际转移性肾细胞癌数据库联盟(international metastatic renal cell carcinoma database consortium,IMDC)风险分级均为中危或高危。10例患者的阿昔替尼联合信迪利单抗的客观缓解率为40.0%(4/10),疾病控制率为90.0%(9/10)。7例肾透明细胞癌患者的客观缓解率为57.1%(4/7)。10例患者的主要不良反应中转氨酶升高4例(40.0%),甲状腺功能减退症4例(40.0%),恶心3例(30.0%),高血压2例(20.0%),手足皮肤反应2例(20.0%)。患者的不良反应主要为1~2级,3例发生3~4级不良反应,经对症治疗好转。结论:阿昔替尼联合信迪利单抗治疗中高危晚期肾癌有较高的客观缓解率,且不良反应多可耐受。 展开更多
关键词 阿昔替尼 信迪利单抗 晚期肾癌
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Comments on Chinese guidelines for diagnosis and treatment of melanoma 2018(English version) 被引量:1
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作者 Xue Bai lili mao Jun Guo 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2019年第5期740-741,共2页
Melanoma is a rare malignant tumor in China;however,its mortality rate is high and the incidence rate is also increasing year by year.In order to improve the efficacy of melanoma treatment,the National Health Commissi... Melanoma is a rare malignant tumor in China;however,its mortality rate is high and the incidence rate is also increasing year by year.In order to improve the efficacy of melanoma treatment,the National Health Commission of the People’s Republic of China revised Chinese guidelines for diagnosis and treatment of melanoma in 2018,and meanwhile its modified English version Chinese guidelines for diagnosis and treatment of melanoma 2018(English version)(1)is also published.Based on the most updated research findings for the Chinese ethnicity with emphasis on acral and mucosal melanomas,two most commonly seen subtypes in Asia,as well as treatment for melanoma liver metastases. 展开更多
关键词 DIAGNOSIS MELANOMA TREATMENT
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Assessment of HER2 status in extramammary Paget disease and its implication for disitamab vedotin,a novel humanized anti-HER2 antibody-drug conjugate therapy
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作者 Jia Jia lili mao +11 位作者 Jing Lin Wenyu Li Pei Yuan Lei Guo Jie Dai Caili Li Xue Bai Zhongwu Li Yu Chen Jun Guo Jianming Ying Lu Si 《Frontiers of Medicine》 SCIE CSCD 2024年第3期565-569,共5页
Dear Editor,Extramammary Paget disease(EMPD)is a rare adenocarcinoma that originates in the apocrine gland-rich skin and usually affects the perineal skin(primary EMPD)or represents the intraepithelial spread of an un... Dear Editor,Extramammary Paget disease(EMPD)is a rare adenocarcinoma that originates in the apocrine gland-rich skin and usually affects the perineal skin(primary EMPD)or represents the intraepithelial spread of an underlying visceral carcinoma(secondary EMPD).Approximately half of EMPD cases are confined to the epidermis,which was defined as intraepithelial EMPD. 展开更多
关键词 PAGET HER2 ADENOCARCINOMA
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Expert consensus on the diagnosis and treatment of solid tumors with BRAF mutations
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作者 Wenxian Wang Bin Lian +133 位作者 Chunwei Xu Qian Wang Ziming Li Nan Zheng Aijun Liu Jinpu Yu Wenzhao Zhong Zhijie Wang Yongchang Zhang Jingjing Liu Shirong Zhang Xiuyu Cai Anwen Liu Wen Li lili mao Ping Zhan Hongbing Liu Tangfeng Lv Liyun Miao Lingfeng Min Yu Chen Jingping Yuan Feng Wang Zhansheng Jiang Gen Lin Long Huang Xingxiang Pu Rongbo Lin Weifeng Liu Chuangzhou Rao Dongqing Lv Zongyang Yu Xiaoyan Li Chuanhao Tang Chengzhi Zhou Junping Zhang Junli Xue Hui Guo Qian Chu Rui Meng Xuewen Liu Jingxun Wu Rui Zhang Jin Zhou Zhengfei Zhu Yongheng Li Hong Qiu Fan Xia Yuanyuan Lu Xiaofeng Chen Jian Feng Rui Ge Enyong Dai Yu Han Weiwei Pan Fei Pang Xin Huang Meizhen Hu Qing Hao Kai Wang Fan Wu Binbin Song Bingwei Xu Liping Wang Youcai Zhu Li Lin Yanru Xie Xinqing Lin Jing Cai Ling Xu Jisheng Li Xiaodong Jiao Kainan Li Jia Wei Huijing Feng Lin Wang Yingying Du Wang Yao Xuefei Shi Xiaomin Niu Dongmei Yuan Yanwen Yao Jianhui Huang Yue Feng Yinbin Zhang Pingli Sun Hong Wang Mingxiang Ye Dong Wang Zhaofeng Wang Yue Hao Zhen Wang Bin Wan Donglai Lv Shengjie Yang Jin Kang Jiatao Zhang Chao Zhang Wenfeng Li Jianfei Fu Lizhi Wu Shijie Lan Juanjuan Ou Lin Shi Zhanqiang Zhai Yina Wang Bihui Li Zhang Zhang Ke Wang Xuelei Ma Zhongwu Li Zhefeng Liu Nong Yang Lin Wu Huijuan Wang Gu Jin Guansong Wang Jiandong Wang Hubing Shi Meiyu Fang Yong Fang Yuan Li Xiaojia Wang Jing Chen Yiping Zhang Xixu Zhu Yi Shen Shenglin Ma Biyun Wang Yong Song Zhengbo Song Wenfeng Fang Yuanzhi Lu Lu Si 《The Innovation》 EI 2024年第6期100-116,共17页
The BRAF gene is an important signaling molecule in human cells that is involved in the regulation of cell growth,differentiation,and survival.When the BRAF gene mutates,it can lead to abnormal activation of the signa... The BRAF gene is an important signaling molecule in human cells that is involved in the regulation of cell growth,differentiation,and survival.When the BRAF gene mutates,it can lead to abnormal activation of the signaling pathway,which promotes cell proliferation,inhibits cell apoptosis,and ultimately contributes to the occurrence and development of cancer.BRAF mutations are widely present in various cancers,including malignant melanoma,thyroid cancer,colorectal cancer,non-small cell lung cancer,and hairy cell leukemia,among others.BRAF is an important target for the treatment of various solid tumors,and targeted combination therapies,represented by BRAF inhibitors,have become one of the main treatment modalities for a variety of BRAF-mutation-positive solid tumors. 展开更多
关键词 BRAF DIAGNOSIS TREATMENT
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IBI310(anti-CTLA-4 antibody)monotherapy or in combination with sintilimab in advanced melanoma or urothelial carcinoma
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作者 Chuanliang Cui Juan Li +14 位作者 Yue Yang Lu Si Zhihong Chi lili mao Xuan Wang Bixia Tang Xieqiao Yan Siming Li Li Zhou Xiaoting Wei Yuping Shen Qun Guo Shirui Zheng Jun Guo Bin Lian 《The Innovation》 EI 2024年第4期34-40,33,共8页
IBI310 is a recombinant fully human IgG1 antibody against cytotoxic T lymphocyte antigen 4.This study was conducted to evaluate IBI310 monotherapy or combination therapy with sintilimab in the patients with advanced m... IBI310 is a recombinant fully human IgG1 antibody against cytotoxic T lymphocyte antigen 4.This study was conducted to evaluate IBI310 monotherapy or combination therapy with sintilimab in the patients with advanced melanoma or urothelial carcinoma(UC).Patients in phase 1a received IBI310 at 0.3/1/2/3 mg/kg intravenously(IV)every 3 weeks(Q3W)following the accelerated titration and 3+3 escalation design.Patients in phase 1b received IBI310(1/2/3 mg/kg IV,Q3W)plus sintilimab(200 mg IV,Q3W)for four cycles,followed by sintilimab maintenance therapy.The phase 1b expansion of IBI310 plus sintilimab was performed in patients with advanced melanoma or UC.Overall,53 patients were enrolled,including 10 patients with melanoma in phase 1a,34 with melanoma,and 9 with UC in phase 1b.Overall,94.3%of patients(50/53)experienced at least one treatment-related adverse event(TRAE)with most being grade 1–2;26.4%of patients(14/53)experienced grade 3 or higher TRAEs.In phase 1a,the disease control rate(DCR)was 50.0%(95%confidence interval[CI],18.7%–81.3%).In phase 1b,the objective response rate(ORR)and DCR were 17.6%(95%CI,6.8%–34.5%)and 44.1%(95%CI,27.2%–62.1%),respectively,for melanoma,and were 22.2%(95%CI,2.8%–60.0%)and 66.7%(95%CI,29.9%–92.5%),respectively,for UC.IBI310 monotherapy or combination therapy with sintilimab was well tolerated with favorable antitumor activity across patients with advanced melanoma and UC. 展开更多
关键词 melanoma mono experienced
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Fiber up-taper assisted Mach-Zehnder interferometer for high sensitive temperature sensing
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作者 lili mao Qizhen SUN +2 位作者 Ping LU Zefeng LAO Deming LIU 《Frontiers of Optoelectronics》 CSCD 2015年第4期431-438,共8页
A new in-line Mach-Zehnder interferometer (MZI) sensor consisting of a stub of multi-mode fiber and an up-taper was proposed and demonstrated. Temperature measurement can be carried out by detecting wavelength shift... A new in-line Mach-Zehnder interferometer (MZI) sensor consisting of a stub of multi-mode fiber and an up-taper was proposed and demonstrated. Temperature measurement can be carried out by detecting wavelength shift. Dependency of sensitivity on interferometer length and dip wavelength was discussed. Experimental results showed a maximum temperature sensitivity of 113.6pm/℃ can be achieved, which is superior to most fiber temperature sensors based on in-line MZIs within the range from 20℃ to 80℃, also a good mechanical strength can be obtained. The proposed sensor is a good candidate for temperature measurement, due to the advantages of simple structure, easy fabrication, cost- effective and high sensitivity. 展开更多
关键词 fiber sensor Mach-Zehnder interferometer(MZI) multimode fiber (MMF) up-taper
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