张诗民, 陈元, 褚倩. 免疫检查点抑制剂治疗肿瘤的不良反应及管理策略[J]. 中国肿瘤临床, 2018, 45(12): 609-613. DOI: 10.3969/j.issn.1000-8179.2018.12.262
引用本文: 张诗民, 陈元, 褚倩. 免疫检查点抑制剂治疗肿瘤的不良反应及管理策略[J]. 中国肿瘤临床, 2018, 45(12): 609-613. DOI: 10.3969/j.issn.1000-8179.2018.12.262
Zhang Shimin, Chen Yuan, Chu Qian. Management strategy for adverse events of immune checkpoint inhibitors[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2018, 45(12): 609-613. DOI: 10.3969/j.issn.1000-8179.2018.12.262
Citation: Zhang Shimin, Chen Yuan, Chu Qian. Management strategy for adverse events of immune checkpoint inhibitors[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2018, 45(12): 609-613. DOI: 10.3969/j.issn.1000-8179.2018.12.262

免疫检查点抑制剂治疗肿瘤的不良反应及管理策略

Management strategy for adverse events of immune checkpoint inhibitors

  • 摘要: 免疫检查点抑制剂(immune checkpoint inhibitors,ICPIs)是现今备受关注的肿瘤治疗新方法,其拓宽了肿瘤传统治疗的边界,开启了肿瘤免疫治疗的新时代。与传统化疗药物相比,其在显著延长患者生存期(overall survival,OS)的同时减轻了免疫相关不良反应(immune-related adverse events,irAEs)。由于ICPIs全新的作用机理,且上市时间较短,其不良反应尚未有标准化的处理方案。随着免疫治疗在临床上的广泛应用,irAEs日益获得关注。本文旨在对irAEs的处理原则予以综述,为ICPIs在临床上的安全应用提供理论依据。

     

    Abstract: Currently, immune checkpoint inhibitors (ICPIs) are the most compelling approach in cancer therapy, which expanded theboundary of treatment of cancer to immune-based therapy. Compared to traditional chemotherapy, immunotherapy significantly prolongs survival while conferring fewer side effects. Because of the new mechanism of the ICPIs with good clinical efficacy, they havebeen approved for sale in a short time. However, the mechanism of immune-related adverse events have yet fully understood for astandardized management strategy. With further development of immunotherapy and possible combination therapy, adverse eventsof ICPIs gain more attention. Here, we focuses on the reported adverse events and the treatment experience to provide theoretical basis for their treatment.

     

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