黑色素瘤/皮肤癌 免疫治疗依旧最燃 创新疗法百花齐放
2020年欧洲肿瘤内科学会(ESMO)年会将于9月19~21日以线上会议形式举行,在全球疫情形式回暖之际,下半年的肿瘤学术交流也开始全面复苏。本文整理黑色素瘤/皮肤癌领域的重磅研究如下。
一、免疫治疗依旧最“燃”
在9月20日举行的黑色素瘤“Proffered Paper”专场中,PD-1/L1免疫治疗无疑仍带主角光环,“PD-L1+D+T”在晚期BRAF V600突变型一线治疗的突破,“Len+PD-1”在PD-1/L1进展后祭出的“王炸组合”,SECOMBIT对免疫和靶向的序贯和联合探索,无不在“免疫+靶向”上大做文章。
LBA43 - Spartalizumab plus dabrafenib and trametinib(Sparta-DabTram) in patients(pts) with previously untreated BRAF V600–mutant unresectable or metastatic melanoma: results from the randomized part 3 of the Phase III COMBI-i trial
Spartalizumab(抗PD-L1)联合D+T(达拉非尼+曲美替尼)治疗未经治疗的BRAF V600突变型不可切除或转移性黑色素瘤:来自Ⅲ期随机试验COMBI-i的第3部分结果
时间:16:20~16:32
讲者:Paul Nathan(Northwood, Middlesex, United Kingdom)
LBA44 - Lenvatinib(len) plus pembrolizumab(pembro) for advanced melanoma(MEL) that progressed on a PD-1 or PD-L1 inhibitor: initial results of LEAP-004
仑伐替尼联合帕博利珠单抗治疗PD-1或PD-L1抑制剂进展的晚期黑色素瘤:LEAP-004的初步结果
时间:16:32~16:44
讲者:Ana Maria Arance Fernandez(Barcelona, Spain)
LBA45 - First report of efficacy and safety from the phase II study SECOMBIT(SEquential COMBo Immuno and Targeted therapy study)
Ⅱ期研究SECOMBIT(序贯联合免疫和靶向治疗研究)的疗效和安全性的初次报告
时间:16:44 - 16:56
讲者:Paolo A. Ascierto(Napoli, Italy)
LBA46 - Pembrolizumab versus placebo after complete resection of high-risk stage III melanoma: final results regarding distant metastasis-free survival from the EORTC 1325-MG/Keynote 054 double-blinded phase 3 trial
帕博利珠单抗对比安慰剂在高危Ⅲ期黑色素瘤完全切除后:双盲3期试验EORTC 1325-MG/Keynote 054的无远处转移生存最终结果
时间:17:16 - 17:28
讲者:Alexander M. Eggermont(Utrecht, Netherlands)
1076O - Adjuvant nivolumab(NIVO) vs ipilimumab(IPI) in resected stage III/IV melanoma: 4-y recurrence-free and overall survival(OS) results from CheckMate 238
纳武利尤单抗对比伊匹木单抗辅助治疗已切除Ⅲ/Ⅳ期黑色素瘤:来自CheckMate 238的4年无复发和总生存结果
时间:17:28 - 17:40
讲者:Jeffrey Weber(New York, NY, United States of America)
二、创新疗法“百花齐放”
在9月18日释放的“Mini oral”环节中,也有不少黑色素瘤/皮肤癌领域的创新药物相关研究,包括抗PD-1的Cemiplimab、亚硝酸脲类fotemustine、TLR9激动剂tilsotolimod,以及树突状细胞疫苗、IDO/PD-L1肽疫苗等,呈现百花齐放、百家争鸣的热闹场面。
LBA47 - Primary analysis of Phase 2 results for cemiplimab in patients(pts) with locally advanced basal cell carcinoma(laBCC) who progress on or are intolerant to hedgehog inhibitors(HHIs)
Cemiplimab(抗PD-1)治疗局部晚期基底细胞癌(laBCC)疾病进展或不能耐受hedgehog抑制剂(HHIs)的2期试验初步分析
讲者:Alexander J. Stratigos(Athens, Greece)
1077MO - PD1 blockade with pembrolizumab in classic and endemic Kaposi sarcoma: A multicenter phase II study
帕博利珠单抗(抗PD-1)治疗经典型和地方型Kaposi肉瘤的多中心Ⅱ期研究
讲者:Julie Delyon(Paris, France)
1078MO - MIND-DC: A randomized phase III trial to assess the efficacy of adjuvant dendritic cell vaccination in comparison to placebo in stage IIIB and IIIC melanoma patients
MIND-DC:在ⅢB期和ⅢC期黑色素瘤患者中评估树突状细胞疫苗对比安慰剂辅助治疗的随机Ⅲ期试验
讲者:Kalijn Bol(Herlev, Denmark)
1079MO - Progression of BRAF mutant CNS metastases are associated with a transcriptional network bearing similarities with the innate PD-1 resistant signature(IPRES)
BRAF突变型CNS转移进展与先天性PD-1耐药特征(IPRES)相似的转录网络相关
讲者:Peter K. Lau(Nedlands, WA, Australia)
1080MO - The value of local therapy in treatment of solitary melanoma progression upon immune checkpoint inhibition
免疫检查点抑制剂局部治疗孤立性黑色素瘤进展的价值
讲者:Judith M. Versluis(Amsterdam, Netherlands)
1081MO - Efficacy of ipilimumab plus nivolumab or ipilimumab plus fotemustine vs fotemustine in patients with melanoma metastatic to the brain: Primary analysis of the phase III NIBIT-M2 trial
伊匹木单抗联合纳武利尤单抗或 fotemustine(一种亚硝脲类抗肿瘤药物)对比fotemustine治疗黑色素瘤脑转移患者的疗效:Ⅲ期试验NIBIT-M2的初步分析
讲者:Anna M. Di Giacomo(Siena, Italy)
LBA48 - Clinical efficacy and immunity of combination therapy with Nivolumab and IDO/PD-L1 peptide vaccine in patients with metastatic melanoma. A phase I/II trial
纳武利尤单抗联合IDO/PD-L1肽疫苗治疗转移性黑色素瘤的临床疗效及免疫功能:一项Ⅰ/Ⅱ期试验
讲者:Inge-Marie Svane(Herlev, Denmark)
1082MO - 5-year characterization of complete responses in patients with advanced melanoma who received nivolumab plus ipilimumab(NIVO+IPI) or NIVO alone
晚期黑色素瘤患者接受纳武利尤单抗联合伊匹木单抗(NIVO+IPI)或纳武利尤单抗治疗的5年完全缓解特征
讲者:Caroline Robert(Villejuif, France)
1083MO - Final results from ILLUMINATE-204, a phase I/II trial of intratumoral tilsotolimod in combination with ipilimumab in PD-1 inhibitor refractory advanced melanoma
LIQUISE-204的最终结果:肿瘤内注射tilsotolimod(一种TLR9激动剂)联合伊匹木单抗治疗PD-1抑制剂难治性晚期黑色素瘤的Ⅰ/Ⅱ期试验
讲者:Cara Haymaker(Houston, TX, United States of America)