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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 |
| 2 | Effects of flow cytometry analysis on morphology and viability of fragile phytoplankton显示文摘 | ELIN M H TERRY L C CLARICE M Y | 1987 | Applied and Environmental Microbiology1987，53，11： | 1 |
| 3 | Helicobacter pylori in apparently healthy children aged 0 - 12 years in urban Kampala, Uganda: a community-based cross sectional survey显示文摘 | Elin Hestvik Thorkild Tylleskar Deogratias H Kaddu-Mulindwa | 2010 | BMC Gastroentero12010，10，： | 1 |
| 4 | High gastrin cell ac- tivity and low ghrelin cell activity in high-anxiety Wistar Kyo-to rats 显示文摘 | ELIN K MONIKA S ROLF H K | 2007 | Journal of Endocrinology ( 2007 ) 1932007，，： | 1 |
| 5 | Superparasitism and host discrimination byEphedrus cerasicola [Hym.: Aphidiidae], an aphidiid parasitoid ofMyzus persicae [Hom.: Aphididae]显示文摘 | T. Hofsvang Eline B. H?gvar | 1983 | Entomophaga1983，，4： | 1 |
| 6 | Satisfaction with care in on- cology out- patient clinics:psychometric characteristics of the Ice- landic EORTC IN-PATSAT32 version显示文摘 | ElSabet H Ingalill RH Elin DG | 2010 | J Clin Nurs2010，19，： | 1 |
| 7 | Different toxicity and environmental fates of hexachlorocyclohexane isomers显示文摘 | Keistine L W Elin M U Ronald A H | 1998 | Environmental Science & Technology1998，32，： | 1 |
| 8 | Helico- bacter pylori in apparently healthy children aged 0-12 years in urban Kampala, Uganda: a community-based cross sectional survey 显示文摘 | Elin H Thorkild T Deogratias HKM | 2010 | BMC Gastroenterology2010，10，： | 1 |
| 9 | Antireflection treatment of low emitting glazings for energy efficient windows with high visible transmittance 显示文摘 | ELIN H ARNE R | 2003 | Thin Solid Films2003，442，： | 1 |
| 10 | Differential toxicity and environmental fates of hexachlorocyclohexane isomers显示文摘 | Kristine L W Elin M U Ronald A H | 1998 | Environ Sci Technol1998，32，： | 1 |
| 11 | Interference with clinical laboratory analyses 显示文摘 | Kroll M H Elin R J | 1994 | Clin Chem1994，40，11： | 1 |
| 12 | Interference with clinical laboratory analyses 显示文摘 | Kroll M H Elin R J | 1994 | Clin Chem1994，40，11： | 1 |
| 13 | LSDP5 is a PAT protein specificallyexpressed in fatty acid oxidizing tissues显示文摘 | Knut TD Tuva D Elin H | 2007 | Biochimica et BiophysicaActa2007，1771，2： | 1 |
| 14 | Shrinkage of silica gels aged in TEOS显示文摘 | George W S Siv H Elin N | 1996 | J Non-Cryst Solids1996，202，： | 1 |
| 15 | Effect of genetic polymor- phism of milk proteins on rheology of chymosin - induced milk gels 显示文摘 | ELIN H TOOMAS A JESSICA N | 2007 | International Dairy Journal2007，，17： | 1 |
| 16 | HPV positive bronchopulmonary carcinomas in women with previous high-grade cervical intraepithelial neoplasia (CIN Ⅲ)显示文摘 | ELIN M H ZHENHE S U O FRANK K | 1999 | Acta Oncologica1999，38，5： | 1 |
| 17 | Interference with clinical laboratory analyses 显示文摘 | Kroll M H Elin R J | 1994 | Clin Chem1994，40，11： | 1 |
| 18 | An automated technique for the measurementof dissolved N2O in natural waters显示文摘 | Butler J H Elins J W | 1991 | Marine Chemistry1991，34，： | 1 |
| 19 | Differential toxicity and environmental fates of hcxachlorocyclohexane isomers显示文摘 | Kristine L W Elin M U Ronald A H | 1998 | Environ Sci Technol1998，32，： | 1 |
| 20 | Nitrogen spray atomization of molten tin metal: Powder morphology eharacteristics显示文摘 | Renaud M C'eline M Mehrdad H | 2007 | Journal of Materials Processing Technology2007，189，： | 1 |
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