下一代肿瘤不可知靶点即将出现
Next-generation tumor-agnostic targets on the horizon.
肿瘤不可知药物开发将肿瘤学重新聚焦于共享的分子依赖性而非组织来源,从而能够针对跨肿瘤的罕见可操作驱动因素进行高效开发。
英文原题:Current and future immunotherapy for breast cancer.
乳腺癌免疫治疗领域已取得重大治疗进展。
乳腺癌免疫治疗领域已取得重大治疗进展。免疫检查点抑制剂pembrolizumab联合化疗已获FDA批准,用于PD-L1阳性转移性和早期三阴性乳腺癌,同时正在进行的临床试验试图扩大免疫检查点抑制剂在激素受体阳性和HER2阳性乳腺癌中的当前治疗格局。抗体药物偶联物已获FDA批准用于三阴性和HER2+疾病,并正在研究其与免疫检查点抑制剂的联合应用。疫苗和双特异性抗体是活跃的研究领域。细胞疗法如TIL(肿瘤浸润淋巴细胞)、CAR-T 细胞和T细胞受体工程化细胞的研究前景广阔且正在进行中。本综述提供了乳腺癌免疫治疗近期主要临床试验的最新进展,并讨论了乳腺癌治疗的未来方向。
Substantial therapeutic advancement has been made in the field of immunotherapy in breast cancer. The immune checkpoint inhibitor pembrolizumab in combination with chemotherapy received FDA approval for both PD-L1 positive metastatic and early-stage triple-negative breast cancer, while ongoing clinical trials seek to expand the current treatment landscape for immune checkpoint inhibitors in hormone receptor positive and HER2 positive breast cancer. Antibody drug conjugates are FDA approved for triple negative and HER2+ disease, and are being studied in combination with immune checkpoint inhibitors. Vaccines and bispecific antibodies are areas of active research. Studies of cellular therapies such as tumor infiltrating lymphocytes, chimeric antigen receptor-T cells and T cell receptor engineered cells are promising and ongoing. This review provides an update of recent major clinical trials of immunotherapy in breast cancer and discusses future directions in the treatment of breast cancer.
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