替雷利珠单抗联合新辅助化疗治疗局部晚期宫颈癌的疗效分析OA
Efficacy of neoadjuvant chemotherapy plus tislelizumab in the treatment of locally ad-vanced cervical cancer
目的:评估新辅助化疗(NACT)联合程序性死亡受体-1(PD-1)抑制剂替雷利珠单抗免疫治疗方案在局部晚期宫颈癌(LACC)患者中的疗效及安全性.方法:回顾分析2022 年8 月至2024 年8 月于解放军总医院第一医学中心接受NACT联合替雷利珠单抗免疫治疗的52 例LACC患者.结果:52 例患者中完全缓解 11 例(21.2%),部分缓解29 例(55.8%),病情稳定 8 例(15.4%),病情进展 4 例(7.7%);客观缓解 40 例(77%),疾病控制48 例(92.3%).其中 38 例患者接受手术治疗,8 例患者(21.1%,8/38)术后病理完全缓解.截止随访日期,中位随访时间16 个月,2 年OS率为94.4%,PFS率为82.9%.治疗相关不良事件发生率为84.6%(44/52),33 例(63.5%)患者出现1~2 级不良反应,16 例(30.8%)患者出现3~4 级不良反应,14 例(26.9%)出现免疫相关不良事件,未出现治疗相关的死亡,患者耐受性良好.结论:NACT联合替雷利珠单抗免疫治疗对于LACC患者具有较好的抗肿瘤活性和可接受的安全性.
Objective:To retrospectively review the efficacy and safety of neoadjuvant chemotherapy(NACT)plus PD-1 inhibitor tislelizumab immunotherapy in patients with locally advanced cervical cancer(LACC).Methods:Clinical data of 52 patients with locally advanced cervical cancer admitted to the First Medical Center of Chinese PLA General Hospital from Au-gust 2022 to August 2024 were collected.The efficacy and safety of the patients were retrospec-tively reviewed after neoadjuvant chemo-immunotherapy.Result:Among 52 patients,11(21.2%)cases were complete response,29(55.8%)cases were partial response,8(15.4%)cases were stable disease and 4(7.7%)cases were progressive disease.The objective response rate was 77%and the disease control rate was 92.3%.38 patients completed surgery,and a pathological complete response was observed in 8(21.2%)patients.The medium follow-up of the cohort was 16 months,the 2-year progression-free survival was 94.4%and the 2-year over-all survival rate was 82.9%.Treatment-related adverse events were reported in 44 patients(84.6%).Grade1~2 TRAEs occurred in 63.5%of the patients.Grade 3~4 TRAEs oc-curred in 30.8%of the patients.No treatment-related deaths occurred.The treatment was well-tolerated among patients.Conclusions:Neoadjuvant chemotherapy(NACT)plus tislelizumab immunotherapy showed promising antitumour activity and good safety.
张文博;赵路阳;李立安;付晓宇;杨雯;翟青枝;孟元光
解放军总医院第七医学中心妇产医学部,北京 100700解放军总医院第七医学中心妇产医学部,北京 100700解放军总医院第七医学中心妇产医学部,北京 100700解放军总医院第七医学中心妇产医学部,北京 100700解放军总医院第七医学中心妇产医学部,北京 100700解放军总医院第七医学中心妇产医学部,北京 100700解放军总医院第七医学中心妇产医学部,北京 100700
医药卫生
局部晚期宫颈癌新辅助化疗免疫治疗程序性死亡受体-1(PD-1)抑制剂替雷利珠单抗
Locally advanced cervical cancerNeoadjuvant chemotherapyImmuno-therapyProgrammed death 1 inhibitorTislelizumab
《现代妇产科进展》 2026 (1)
19-23,5
北京自然科学基金(No:7254423)解放军总医院青年自主创新科学基金(No:22QNFC109)解放军总医院第七医学中心创新培育基金(No:qzx-2023-45)
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