黄陈军, 朱蔚友, 林玉, 朱陵君. 免疫检查点抑制剂治疗非小细胞肺癌的真实世界研究进展[J]. 中国肿瘤临床, 2020, 47(12): 640-646. DOI: 10.3969/j.issn.1000-8179.2020.11.442
引用本文: 黄陈军, 朱蔚友, 林玉, 朱陵君. 免疫检查点抑制剂治疗非小细胞肺癌的真实世界研究进展[J]. 中国肿瘤临床, 2020, 47(12): 640-646. DOI: 10.3969/j.issn.1000-8179.2020.11.442
Chenjun Huang, Weiyou Zhu, Yu Lin, Lingjun Zhu. Immune checkpoint inhibitors for non-small cell lung cancer: research progress of realworld studies[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2020, 47(12): 640-646. DOI: 10.3969/j.issn.1000-8179.2020.11.442
Citation: Chenjun Huang, Weiyou Zhu, Yu Lin, Lingjun Zhu. Immune checkpoint inhibitors for non-small cell lung cancer: research progress of realworld studies[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2020, 47(12): 640-646. DOI: 10.3969/j.issn.1000-8179.2020.11.442

免疫检查点抑制剂治疗非小细胞肺癌的真实世界研究进展

Immune checkpoint inhibitors for non-small cell lung cancer: research progress of realworld studies

  • 摘要: 目前,已有多种免疫检查点抑制剂(immune checkpoint inhibitor,ICI)基于随机对照临床试验(randomized controlled trial,RCT)获批用于治疗晚期非小细胞肺癌(non-small cell lung cancer,NSCLC),为晚期NSCLC患者带来新的希望。但RCT结果的适用性受限于严格的入组标准和特定临床环境,而真实世界研究可以整合真实世界数据,进行较长时间的临床观察和随访,其产生的证据与RCT产生的证据互补。ICI已在全球多个国家和地区上市数年,积累了一定的真实世界用药经验。本文将回顾近年来ICI用于治疗NSCLC患者的大型扩大用药项目和多中心回顾性研究中的主要有效性和安全性结果,以及在特殊人群中的用药经验,以期为中国临床用药提供参考。

     

    Abstract: Several immune checkpoint inhibitors (ICIs) have been approved for use in patients with advanced non-small cell lung cancer (NSCLC) based on the results of randomized controlled trials (RCTs), bringing new hope to patients with such disease. However, the applicability of the RCT results is limited due to their strict inclusion criteria and specific clinical settings. Real-world studies (RWS) can integrate data from real-life practice with long-term clinical observations and follow-up, therefore building up the real-world evidence to complement that provided by conventional clinical trials. ICIs have been used in clinical practice in multiple countries and areas for several years. Here, we aim to provide an overview of the efficacy and safety of ICIs in patients with NSCLC included in the large expanded access program and multicenter retrospective observational studies and review the impact of different populations to provide a reference for ICIs use in China.

     

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