Randomized Phase III Trial INcorporating Pathologic Complete ReSponse in Participants With Early StaGe Non Small Cell Lung Cancer to Optimize ImmunotHerapy in The AdjuvanT Setting (INSIGHT)

This phase III trial compares durvalumab to the usual approach (patient observation) after surgery for the treatment of patients with early-stage non-small cell lung cancer. Immunotherapy with monoclonal antibodies, such as durvalumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. The usual approach for patients who are not in a study is to closely watch a patient's condition after surgery and to have regular visits with their doctor to watch for signs of the cancer coming back. Usually, patients do not receive further treatment unless the cancer returns. This study will help determine whether this different approach with durvalumab is better, the same, or worse than the usual approach of observation. Giving durvalumab may help patients live longer and prevent early-stage non-small cell lung cancer from coming back as compared to the usual approach.

开始日期2025-03-14

申办/合作机构

National Cancer Institute

NCT06501625 / Not yet recruiting临床1/2期

A Phase 1b/2, Safety Lead-in and Dose-Expansion, Open Label, Multicenter Trial Investigating the Safety, Tolerability, and Preliminary Activity of Ivosidenib in Combination With Durvalumab and Gemcitabine/Cisplatin as First-line Therapy in Participants With Locally Advanced, Unresectable or Metastatic Cholangiocarcinoma With an IDH1 Mutation

The objective of this study is to investigate the safety, tolerability and preliminary activity of ivosidenib in combination with durvalumab and gemcitabine/cisplatin as first-line therapy in participants with locally advanced, unresectable or metastatic cholangiocarcinoma with an IDH1 mutation. The study will begin with a safety lead-in phase (Phase 1b study) to determine the recommended combination dose (RDC) and then will transition to an expansion phase (Phase 2 study) to assess the clinical activity of ivosidenib in combination with durvalumab and gemcitabine/cisplatin at the RCD. During the treatment period participants will have study visits on days 1, 8, and 15 of Cycle 1, on days 1 and 8 of Cycle 2 to 8, and on day 1 of each additional cycle. Cycles 1 through 8 are 21 day cycles, and each following cycle is 28 days. Approximately 30 days and 90 days after treatment has ended, safety follow-up visits will occur and then participants will be followed for survival every 3 months. Study visits may include blood tests, ECG, vital signs, and a physical examination.

开始日期2024-12-16

申办/合作机构

Institut de Recherches Intern Servier

NCT06548412 / Not yet recruiting临床1/2期

CTX-009 With Gemcitabine, Cisplatin, and Durvalumab as First-line Therapy in Patients With Unresectable or Metastatic Biliary Tract Cancers

To evaluate combination therapy of adding CTX-009 to the standard therapy GCD as first-line therapy in patients with unresectable or mBTC.

开始日期2024-12-01

申办/合作机构

M.D. Anderson International España SA

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100 项与度伐利尤单抗相关的转化医学

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100 项与度伐利尤单抗相关的专利（医药）

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1,481

项与度伐利尤单抗相关的文献（医药）

2024-08-01·European urology oncology

Metastatic Organotropism Differential Treatment Response in Urothelial Carcinoma: A Systematic Review and Network Meta-analysis of Randomized Controlled Trials

Review

作者: Laukhtina, Ekaterina ; Kardoust Parizi, Mehdi ; Shariat, Shahrokh F ; Matsukawa, Akihiro ; Abufaraj, Mohammad ; Klemm, Jakob ; Karakiewicz, Pierre ; Krauter, Johanna ; Chiujdea, Sever ; Alimohammadi, Arman ; Bekku, Kensuke

CONTEXT:

The optimal therapeutic agent with respect to metastatic sites is unclear in advanced urothelial carcinoma (UC).

OBJECTIVE:

To investigate the metastatic organotropism differential treatment response in patients with advanced or metastatic UC.

EVIDENCE ACQUISITION:

A systematic search and network meta-analysis (NMA) was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement. The primary endpoints of interest were the objective response rate, overall survival (OS), and progression-free survival with respect to different metastatic sites.

EVIDENCE SYNTHESIS:

Twenty-six trials comprising 9082 patients met our eligibility criteria, and a formal NMA was conducted. Durvalumab plus tremelimumab as first-line systemic therapy was significantly associated with better OS than chemotherapy in visceral metastasis (hazard ratio [HR] 0.81, 95% confidence interval [CI] 0.67-0.98). Pembrolizumab as second-line systemic therapy was significantly associated with better OS than chemotherapy in patients with visceral metastasis (HR 0.75, 95% CI 0.60-0.95). Atezolizumab as second-line systemic therapy was significantly associated with better OS than chemotherapy in patients with liver metastasis (in the population of >5% of tumor-infiltrating immune cells) and lymph node metastasis (HR 0.51, 95% CI 0.28-0.96, and HR 0.59, 95% CI 0.37-0.96, respectively).

CONCLUSIONS:

Administration of immune-oncology treatments with respect to metastatic sites in patients with advanced or metastatic UC might have a positive impact on survival outcomes in both the first- and the second-line setting. Nevertheless, further investigations focusing on metastatic organotropism differential response with reliable oncological outcomes are needed to identify the optimal management strategy for these patients.

PATIENT SUMMARY:

Although the supporting evidence for oncological benefits of therapeutic systemic agents with respect to metastatic sites is not yet strong enough to provide a recommendation in advanced or metastatic urothelial carcinoma, clinicians may take into account tumor organotropism only in discussion with the patient fully informed on the optimal treatment decision to be taken.

2024-05-01·Plant biotechnology journal

Plant‐derived Durvalumab variants show efficient PD‐1/PD‐L1 blockade and therapeutically favourable FcR binding

Article

作者: Gumpelmair, Simon ; Kunnummel, Vinny ; Steinberger, Peter ; Duarte, Henrique O ; Castilho, Alexandra ; Coelho, Pedro ; Mach, Lukas ; Reis, Celso A ; Izadi, Shiva ; Gomes, Joana ; Leitner, Judith

Summary:

Immune checkpoint blocking therapy targeting the PD‐1/PD‐L1 inhibitory signalling pathway has produced encouraging results in the treatment of a variety of cancers. Durvalumab (Imfinzi®) targeting PD‐L1 is currently used for immunotherapy of several tumour malignancies. The Fc region of this IgG1 antibody has been engineered to reduce FcγR interactions with the aim of enhancing blockade of PD‐1/PD‐L1 interactions without the depletion of PD‐L1‐expressing immune cells. Here, we used Nicotiana benthamiana to produce four variants of Durvalumab (DL): wild‐type IgG1 and its ‘Fc‐effector‐silent’ variant (LALAPG) carrying further modifications to increase antibody half‐life (YTE); IgG4S228P and its variant (PVA) with Fc mutations to decrease binding to FcγRI. In addition, DL variants were produced with two distinct glycosylation profiles: afucosylated and decorated with α1,6‐core fucose. Plant‐derived DL variants were compared to the therapeutic antibody regarding their ability to (i) bind to PD‐L1, (ii) block PD‐1/PD‐L1 inhibitory signalling and (iii) engage with the neonatal Fc receptor (FcRn) and various Fcγ receptors. It was found that plant‐derived DL variants bind to recombinant PD‐L1 and to PD‐L1 expressed in gastrointestinal cancer cells and are able to effectively block its interaction with PD‐1 on T cells, thereby enhancing their activation. Furthermore, we show a positive impact of Fc amino acid mutations and core fucosylation on DL's therapeutic potential. Compared to Imfinzi®, DL‐IgG1 (LALAPG) and DL‐IgG4 (PVA)S228P show lower affinity to CD32B inhibitory receptor which can be therapeutically favourable. Importantly, DL‐IgG1 (LALAPG) also shows enhanced binding to FcRn, a key determinant of serum half‐life of IgGs.

2024-05-01·Clinical lung cancer

Plunging Into the PACIFIC: Outcomes of Patients With Unresectable KRAS-Mutated Non-Small Cell Lung Cancer Following Definitive Chemoradiation and Durvalumab Consolidation

Article

作者: Aggarwal, Charu ; Cohen, Roger B ; Cengel, Keith A ; Marmarelis, Melina E ; Yegya-Raman, Nikhil ; Ciunci, Christine A ; Sun, Lova ; Friedes, Cole ; Levin, William P ; Barsouk, Adam ; Kosteva, John A ; Iocolano, Michelle ; Langer, Corey J ; Doucette, Abigail ; Robinson, Kyle W ; Bradley, Jeffrey D ; Singh, Aditi P ; D'Avella, Christopher A ; Feigenberg, Steven J

BACKGROUND:

Immune checkpoint inhibitor (ICI) consolidation following concurrent chemoradiotherapy (CRT) substantially improved progression free survival (PFS) and overall survival (OS) in the PACIFIC trial becoming the standard of care in locally-advanced, unresectable NSCLC. KRAS mutation may influence response to ICI.

METHODS:

In this single-institution, retrospective analysis, we compared treatment outcomes for patients with unresectable KRAS mutated (KRAS-mt) and wild-type (KRAS-wt) NSCLC treated with CRT between October 2017 and December 2021. Kaplan-Meier analysis was conducted comparing median progression free survival and median overall survival from completion of radiotherapy in all KRAS-mt patients and KRAS-G12C-mutated patients. Outcomes were also compared with and without ICI consolidation.

RESULTS:

Of 156 patients, 42 (26.9%) were KRAS-mt and 114 (73.1%) were KRAS-wt. Baseline characteristics differed only in histology; KRAS-mt NSCLC more likely to be adenocarcinoma. KRAS-mt patients had worse PFS (median 6.3 vs. 10.7 months, P = .041) but similar OS (median 23.1 vs. 27.3 months, P = .237). KRAS-mt patients were more likely to not receive ICI due to rapid disease progression post-CRT (23.8% vs. 4.4%, P = .007). Among patients who received ICI (n = 114), KRAS-mt was not associated with inferior PFS (8.1 vs. 11.9 months, P = .355) or OS (30.5 vs. 31.7 months, P = .692). KRAS-G12C patients (n = 22) had similar PFS and OS to other KRAS-mt.

CONCLUSION:

In one of the largest post-CRT KRAS-mt cohort published, KRAS-mt was associated with inferior PFS, largely due to rapid progression prior to ICI consolidation, but did not affect OS. Among those who received ICI consolidation, outcomes were comparable regardless of KRAS-mt status.

1,292

项与度伐利尤单抗相关的新闻（医药）

9 小时之前

·GlobeNewswire-Health Care

AIM ImmunoTech Reports Positive Preliminary Data in Phase 1b/2 Study of Ampligen and Imfinzi as a Combination Therapy for Late-Stage Pancreatic Cancer

Preliminary finding of stable disease in two out of three patients at 6 months in the first subject cohort Combination of Ampligen and Imfinzi continues to be generally well-tolerated with no severe adverse events or dose-limiting toxicities OCALA, Fla., Sept. 19, 2024 (GLOBE NEWSWIRE) -- AIM ImmunoTech Inc. (NYSE American: AIM) (“AIM”) today announced positive preliminary data from the Phase 1b/2 study (“DURIPANC”) evaluating the combination of AIM’s Ampligen® (rintatolimod) and AstraZeneca’s anti-PD-L1 immune checkpoint inhibitor Imfinzi® (durvalumab) in the treatment of late-stage pancreatic cancer. DURIPANC is an investigator-initiated, exploratory, open-label, single-center study. AIM previously announced that investigators at Erasmus Medical Center (“Erasmus MC”) in the Netherlands had completed the safety evaluation of subjects enrolled in the first dose level of the dose escalation design, finding the combination therapy to be generally well-tolerated with no severe adverse events or dose-limiting toxicities. That first cohort has now reached the pre-determined 6-month stability assessment timepoint and AIM is pleased to announce that two of the three subjects remain stable. The subjects will continue to be treated and receive formal assessment of progression every three months. The standard for calculating median progression-free survival (“PFS”) requires that 50% or more of the subjects have seen disease progression. Because 67% of the patients in the cohort evaluated at 6 months have remained stable, AIM cannot yet report on PFS. Two of the three subjects in the higher-dose second cohort of subjects also have stable disease, although they have not yet reached the 6-month stability assessment timepoint. Investigators continue to treat and monitor these subjects. Prof. Casper H.J. van Eijck, MD, PhD, Pancreato-biliary Surgeon at Erasmus MC and Coordinating Investigator for the DURIPANC study, commented: “First of all, we have observed improvements in quality of life and we saw no toxicity at all — with ‘quality of life’ recognized as an indicator of stable disease. As a comparison, approximately 80% of patients at Erasmus with similar disease, but who did not receive the treatment, showed disease progression after only three months. While this new data is extremely preliminary, it is also highly encouraging. To have multiple patients with metastatic pancreatic cancer who still have stable disease after six or seven months of maintenance therapy is remarkable — as is having stable disease for 15 or more months after starting FOLFIRINOX. Based on the changes we have seen in immune infiltration into metastatic lesions, I am optimistic that there is a chance that these patients could still have partial or complete responses to this therapy.” “Ampligen continues to demonstrate its synergistic potential as a combination therapy with checkpoint inhibitors and these data — following the positive data from the Dutch-government approved Early Access Program — underscore Ampligen’s potential for the treatment of late-stage pancreatic cancer, where there remains a significant and lethal unmet need,” commented AIM Chief Executive Officer Thomas K. Equels. Read more at ClinicalTrials.gov NCT05927142 — “Combining anti-PD-L1 immune checkpoint inhibitor durvalumab with TLR-3 agonist rintatolimod in patients with metastatic pancreatic ductal adenocarcinoma for therapy effect” Learn more about the clinical collaboration between AIM, AstraZeneca and Erasmus MC. About AIM ImmunoTech Inc. AIM ImmunoTech Inc. is an immuno-pharma company focused on the research and development of therapeutics to treat multiple types of cancers, immune disorders and viral diseases, including COVID-19. The Company’s lead product is a first-in-class investigational drug called Ampligen® (rintatolimod), a dsRNA and highly selective TLR3 agonist immuno-modulator with broad spectrum activity in clinical trials for globally important cancers, viral diseases and disorders of the immune system. For more information, please visit aimimmuno.com and connect with the Company on X, LinkedIn, and Facebook. Cautionary Statement This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 (the “PSLRA”). Words such as “may,” “will,” “expect,” “plan,” “anticipate,” “continue,” “believe,” “potential,” “upcoming” and other variations thereon and similar expressions (as well as other words or expressions referencing future events or circumstances) are intended to identify forward-looking statements. Many of these forward-looking statements involve a number of risks and uncertainties. Data, pre-clinical success and clinical success seen to date does not guarantee that Ampligen will be approved as a combination therapy for late-stage pancreatic cancer. The Company urges investors to consider specifically the various risk factors identified in its most recent Form 10-K, and any risk factors or cautionary statements included in any subsequent Form 10-Q or Form 8-K, filed with the U.S. Securities and Exchange Commission. You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this press release. Among other things, for those statements, the Company claims the protection of the safe harbor for forward-looking statements contained in the PSLRA. The Company does not undertake to update any of these forward-looking statements to reflect events or circumstances that occur after the date hereof.

免疫疗法临床结果临床研究

14 小时之前

·drugs

Adjuvant Durvalumab Extends Survival in Small Cell Lung Cancer

THURSDAY, Sept. 19, 2024 -- For patients with limited-stage small cell lung cancer , adjuvant therapy with durvalumab leads to significantly longer overall and progression-free survival, according to a study published online Sept. 13 in the New England Journal of Medicine to coincide with the annual meeting of the European Society for Medical Oncology, held from Sept. 13 to 17 in Barcelona, Spain. Ying Cheng, M.D., from Jilin Cancer Hospital in Changchun, China, and colleagues conducted a phase 3 trial involving patients with limited-stage small cell lung cancer who did not have disease progression after standard concurrent platinum-based chemoradiotherapy. Participants were randomly allocated to receive durvalumab 1,500 mg (264 patients), durvalumab 1,500 mg plus tremelimumab 75 mg (four doses only; 200 patients), or placebo (266 patients) every four weeks for up to 24 months. The first planned interim analysis compared overall and progression-free survival for durvalumab versus placebo. The researchers observed significantly longer overall survival with durvalumab therapy versus placebo (median, 55.9 versus 33.4 months; hazard ratio for death, 0.73); in addition, significantly longer progression-free survival was seen (median, 16.6 versus 9.2 months; hazard ratio for progression or death, 0.76). The incidence of adverse events with a maximum grade of 3 or 4 was 24.4 and 24.2 percent among patients receiving durvalumab and placebo, respectively; adverse events led to discontinuation in 16.4 and 10.6 percent, respectively, and to death in 2.7 and 1.9 percent, respectively. "The incorporation of adjuvant durvalumab therapy led to significantly longer overall survival and progression-free survival among patients with limited-stage small cell lung cancer after definitive concurrent chemoradiotherapy," the authors write. Several authors disclosed ties to biopharmaceutical companies, including AstraZeneca, which manufactures durvalumab and funded the study.

临床3期临床结果ASCO会议

17 小时之前

·美通社

在HIMALAYA III期试验中，英飞凡联合曲美木单抗在晚期肝癌中展示前所未有的总生存期，近五分之一的患者生存达五年

这是迄今为止该类针对晚期肝癌的免疫治疗 III期试验中报告的最长生存期随访结果上海 2024年9月19日 /美通社/ -- HIMALAYA III期试验的更新结果表明，对于既往未接受过全身治疗且不适用局部治疗的不可切除性肝细胞癌（HCC）患者，阿斯利康的英飞凡(通用名：度伐利尤单抗)联合曲美木单抗在5年内显示出持续、具有临床意义的总生存期(OS)获益。这些HIMALAYA研究结果于9月16日在西班牙巴塞罗那举行的欧洲肿瘤内科学会（ESMO）2024 年会上展示（报告 947MO）。在5年随访的最新探索性分析中显示，与索拉非尼相比，在度伐利尤单抗加入曲美木单抗单次给药的STRIDE治疗方案（单次曲美木单抗，常规间隔度伐利尤单抗），死亡风险降低24%（基于风险比[HR]为0.76；95%置信区间[CI] 0.65-0.89）。接受STRIDE方案治疗的患者中有约有19.6%在5年内存活，而这一数字在接受索拉非尼治疗的患者中为9.4%。在试验中达到疾病控制（定义为完全或部分缓解或疾病稳定）的患者亚组分析中，28.7%接受STRIDE方案治疗的患者在5年内存活，而这一数字在接受索拉非尼治疗的患者中为12.7%。此外，缓解深度(DpR)的探索性分析显示，与索拉非尼相比，接受STRIDE方案治疗的患者获得程度更深的缓解，使生存期更长。医学博士、意大利米兰Humanitas大学和IRCC Humanitas研究医院医学肿瘤学副教授、HIMALAYA的主要研究者Lorenza Rimassa表示："度伐利尤单抗联合曲美木单抗治疗晚期肝癌患者使总生存在5年内翻倍，这是相较索拉非尼的显著生存优势，并且随着时间的推移，这种优势变得更加明显。这些研究数据强化了这种新型双免疫治疗方案的使用，对于患有这一令人绝望的疾病的患者来说，是一个重要里程碑。" 全球肝脏学会肝癌项目负责人Sarah Manes表示："达到五年生存期这一里程碑对晚期肝癌患者及其家人具有临床意义和情感意义。我们很高兴地看到，通过新疗法改善治疗结局取得了进展，这为我们患者社群的长期生存带来了新的希望。" 阿斯利康全球执行副总裁、肿瘤研发负责人Susan Galbraith表示："近20%的晚期肝癌患者接受STRIDE方案治疗后仍能存活5年，这一结果不同凡响，历史上仅约7%的患者能够存活5年。这是向前迈出的重要一步，树立了新的生存基准。这充分表明了我们致力与患者长期跟进，以帮助我们更好地塑造这种创新促发疗法的持久临床获益，即在PD-L1阻断剂中添加抗CTLA-4抗体。" 更新生存结果概要： HIMALAYA 总生存期 I,ii STRIDE 方案 (n=393) 索拉非尼 (n=389) 随访时间中位数（95% CI）（月） 62.5 (59.5-64.8) 59.9 (58.3-61.5) OS风险比（95% CI） 0.76 (0.65-0.89) p值（双边） iii 0.0008 60个月的OS率 iv （95% CI）（%） 19.6 9.4 60个月疾病控制（DC）患者数量 OS率，% 43 28.7 17 12.7 60个月 DpR v >75% 患者数量 OS率 iv ，% 27 72.7 3 33.3 60个月DpR v >50%–≤75% 患者数量 OS率 iv ，% 34 57.8 12 32.1 i.更新分析数据截止日期：2024年3月1日，OS数据成熟度为82% ii.采用校正治疗、病因、ECOG体力活动状态和大血管侵犯的Cox比例风险模型计算OS HR和95% CI iii.标称p值 iv.使用Kaplan-Meier方法估算60个月时的OS率。DpR表示最佳客观缓解评估时观察到的肿瘤相对基线缩小的百分比 STRIDE治疗方案的安全性特征与每种药物的已知特征一致，在延长的随访时间中，未观察到新的安全性信号。17.5%接受STRIDE方案治疗的患者和9.9%接受索拉非尼治疗的患者发生了严重治疗相关不良事件（定义为3级或4级，包括死亡），在STRIDE主要分析后未发生新的事件。度伐利尤单抗联合曲美木单抗用于治疗晚期或不可切除HCC成人患者已在美国、欧盟（一线治疗）、日本和其他几个国家地区获得批准。度伐利尤单抗单药治疗晚期或不可切除HCC成人患者已在日本获得批准。关于肝癌肝癌，其中HCC是最常见的类型，是第三大癌症致死病因，全世界每年有近900,000人确诊，在亚洲某些地区的发病率很高。 [1]-[2] 约80-90%的HCC患者患有肝硬化。如肝硬化的慢性肝病与炎症有关，随着时间的推移，炎症可导致HCC的发生。 [3] HCC晚期预后较差，5年生存率仅为7%。 [4] 超过一半的患者在疾病晚期确诊，这也通常是在症状首次出现时。 [5] 肝癌独特的免疫环境为利用免疫系统力量治疗HCC的药物研究提供了明确的依据。 [5] 关于 HIMALAYA 临床研究 HIMALAYA研究是一项随机、开放标签的全球多中心III期临床研究，该研究比较了度伐利尤单抗单药治疗和由300mg的单次启动剂量的曲美木单抗联用1500mg的度伐利尤单抗，随后每四周一次给药度伐利尤单抗组成的方案（STRIDE方案），与作为标准治疗的多激酶抑制剂索拉非尼单药治疗的效果。该研究共纳入1,324名不可切除HCC的成人患者。这些患者之前未接受过全身治疗，且不适合局部治疗（限于肝脏和周围组织的治疗）。该研究在16个国家地区的181个中心进行，包括美国、加拿大、欧洲、南美洲和亚洲。主要终点是联合治疗方案相比索拉非尼单药治疗的OS，关键次要终点包括度伐利尤单抗相比索拉非尼治疗的OS、联合治疗方案和度伐利尤单抗单独用药的客观缓解率和无进展生存期 (PFS)。关于度伐利尤单抗度伐利尤单抗是一种人源化的PD-L1单克隆抗体，能够阻断PD-L1与PD-1和CD80的结合，从而阻断肿瘤免疫逃逸策略并恢复被抑制的免疫反应。度伐利尤单抗被批准联合化疗（吉西他滨加顺铂）治疗局部晚期或转移性胆道癌、联合曲美木单抗治疗不可切除的肝细胞癌 (HCC)。在日本和欧盟，度伐利尤单抗也被批准单药治疗无法切除的HCC，以及用于与化疗（卡铂和紫杉醇）联用后再进行度伐利尤单抗单药维持治疗错配修复缺陷的一线晚期或复发性子宫内膜癌也在美国获得批准。除了消化道肿瘤的适应症外，度伐利尤单抗是放化疗后未出现疾病进展的III 期不可切除非小细胞肺癌（NSCLC）患者中以治愈为目的的全球标准治疗。度伐利尤单抗还获批用于治疗广泛期小细胞肺癌（SCLC），并与短疗程曲美木单抗和化疗联合用于治疗转移性NSCLC。针对SCLC，在ADRIATIC III期试验中，与安慰剂相比，度伐利尤单抗在同步放化疗的标准治疗后未出现进展的患者中，在OS和PFS的双重主要终点方面显示出具有显著统计学意义和临床意义的改善。度伐利尤单抗已在美国和其他多个国家地区获得批准，在手术前联合含铂化疗新辅助治疗和手术后单药辅助治疗，用于治疗可切除的NSCLC成人患者，且没有已知的表皮生长因子受体突变或间变性淋巴瘤激酶重排。度伐利尤单抗联合化疗后再进行度伐利尤单抗单药维持治疗一线晚期或复发性子宫内膜癌的错配修复缺陷患者的适应症最近在美国获批。此前欧盟不仅批准了该疗法，同时还批准了度伐利尤单抗联合化疗后再进行度伐利尤单抗联合奥拉帕维持治疗错配修复功能正常的一线晚期或复发性子宫内膜癌的适应症。在NIAGARA III期试验中，在肌层浸润性膀胱癌中，度伐利尤单抗联合化疗在无事件生存期的主要终点（EFS）和OS与新辅助化疗相比，关键次要终点方面显示出具有统计学意义和临床意义的改善。自2017年5月首次获批至今，已有超过22万名患者接受了度伐利尤单抗的治疗。作为整体研发计划的一部分，度伐利尤单抗正以单药或者联合其它抗肿瘤药物的方式，探索在小细胞肺癌、非小细胞肺癌、膀胱癌、乳腺癌、多种消化道肿瘤和妇科癌症以及其它实体瘤的治疗。关于曲美木单抗曲美木单抗是一种人单克隆抗体，靶向细胞毒性T淋巴细胞相关蛋白4(CTLA-4)的活性。曲美木单抗阻断CTLA-4的活性，促使T细胞活化，激发对癌症的免疫应答并促进癌细胞死亡。除了获批用于肝癌和肺癌的适应症外，曲美木单抗正在接受和度伐利尤单抗联合使用治疗多种肿瘤类型的评估，包括局部区域HCC(EMERALD-3)、SCLC(ADRIATIC)和膀胱癌（VOLGA和NILE）。关于阿斯利康在消化道肿瘤领域的研究阿斯利康在消化道肿瘤的治疗中拥有广泛的开发计划，涵盖多种肿瘤类型和疾病阶段的多种药物。2022年，消化道肿瘤共有约490万新发病例，导致约330万例病例死亡 [6] 。在该计划中，公司致力于改善胃癌、肝癌、胆道癌、食道癌、胰腺癌和结直肠癌的治疗效果。除了用于胆道癌和肝细胞癌的适应症外，公司正通过涵盖从早期到晚期疾病的广泛开发计划，评估度伐利尤单抗的联合用药方案，其中包含曲美木单抗，用于治疗肝癌、食管癌和胃癌。公司还在评估一种PD-1/TIGIT双特异性抗体rilvegostomig(AZD2936)，将该抗体作为辅助疗法联合化疗用于治疗胆道癌，以及一线治疗HER2阴性局部晚期不可切除或转移性食管胃结合部癌。德曲妥珠单抗是一款靶向HER2的抗体偶联药物，在美国、中国和其他几个国家获批用于治疗HER2阳性晚期胃癌，目前正在结直肠癌中接受评估。在DESTINY-PanTumor02 II期试验中，该药物已在包括胆道癌在内的多种消化道肿瘤中进行了评估，并且最近在美国获批用于治疗既往接受过全身治疗且无令人满意的替代治疗方案的不可切除或转移性HER2阳性实体瘤。德曲妥珠单抗由阿斯利康和第一三共共同开发和商业化。奥拉帕利是一种首创PARP抑制剂，在美国、欧盟和其他几个国家获批用于治疗BRCA突变的转移性胰腺癌。奥拉帕利由阿斯利康和默沙东联合开发和商业化。阿斯利康正在推进多种疗法，为靶向Claudin 18.2，一个有前景的胃癌治疗靶点，提供互补机制。其中包括AZD0901，一种潜在的同类首个抗体偶联药物，获得KYM Biosciences Inc.授权，目前处于III期开发阶段；AZD5863，获得和铂医药授权的一种新型Claudin 18.2/CD3 T细胞衔接双特异性抗体，目前处于I期开发阶段；以及AZD6422，一种装甲型自体嵌合抗原受体T细胞(CAR-T)疗法，目前正与西比曼合作在中国的一项由研究者发起的临床研究(IIT)中进行评估。在早期开发方面，阿斯利康正在开发两种针对HCC的Glypican 3(GPC3)装甲CAR-T疗法。AZD5851目前处于I期开发阶段，正在全球范围内进行开发，以及C-CAR031/AZD7003正与西比曼合作在中国联合开发，在IIT中进行评估。关于阿斯利康在肿瘤免疫治疗 (IO)的研究阿斯利康是将免疫疗法引入高度未被满足的临床医疗需求的先驱，拥有全面和多样化的免疫产品组合和管线，以免疫疗法为基础，旨在克服抗肿瘤免疫逃逸，并刺激人体免疫系统攻击肿瘤。阿斯利康旨在通过度伐利尤单抗单药治疗以及与曲美木单抗或其它创新免疫疗法和机制联合用药的方式重构癌症治疗，帮助患者改变治疗结局。公司也正在探索如双特异性抗体等下一代免疫疗法，利用免疫的不同特质来靶向癌症治疗，包括细胞疗法和T细胞衔接器。阿斯利康正在大胆追求创新的临床策略，将基于免疫的疗法引入各种类型的肿瘤治疗中，以期带来长期生存获益。公司专注于探索新型联合疗法，来帮助预防耐药问题并促进更长时间的免疫应答。凭借丰富的临床研究项目，公司还倡导疾病早期使用免疫治疗，因为在这个阶段有极大的潜力达到治愈。关于阿斯利康肿瘤领域的研究阿斯利康正引领着肿瘤领域的一场革命，致力提供多元化的肿瘤治疗方案，以科学探索肿瘤领域的复杂性，发现、研发并向患者提供改变生命的药物。阿斯利康专注于最具挑战性的肿瘤疾病，通过持续不断的创新，阿斯利康已经建立了领先全行业的多元化产品组合和管线，持续推动医疗实践变革，改变患者体验。阿斯利康以期重新定义癌症治疗并在未来攻克癌症。声明：本文涉及未在中国获批的产品或者适应症，阿斯利康不推荐任何未被批准的药品使用。参考文献 World Health Organization. Liver Cancer Fact Sheet. Available at: https://gco.iarc.who.int/media/globocan/factsheets/cancers/11-liver-and-intrahepatic-bile-ducts-fact-sheet.pdf . Accessed September 2024 . Liu Y, et al. Changes in the Epidemiology of Hepatocellular Carcinoma in Asia. Cancers ( Basel ) . 2022;14(18):4473. Tarao K, et al. Real impact of liver cirrhosis on the development of hepatocellular carcinoma in various liver diseases—meta–analytic assessment. Cancer Med . 2019;8(3):1054-1065. Sayiner M, et al. Disease Burden of Hepatocellular Carcinoma: A Global Perspective. Digestive Diseases and Sciences. 2019;64: 910-917. Colagrande S, et al. Challenges of advanced hepatocellular carcinoma. World J Gastroenterol . 2016;22(34):7645-7659. World Health Organization. Cancer factsheets: Digestive organs (oesophagus, anus, stomach, colon, rectum, liver and intrahepatic bile ducts, pancreas, gallbladder). Available at: https://gco.iarc.fr/today/en/fact-sheets-cancers. Accessed September 2024 .

临床3期临床结果免疫疗法

100 项与度伐利尤单抗相关的药物交易

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外链

KEGG	Wiki	ATC	Drug Bank
D10808	度伐利尤单抗	L01XC28	DB11714

研发状态

批准上市

10 条最早获批的记录,

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适应症	国家/地区	公司	日期
晚期子宫内膜癌	欧盟	AstraZeneca AB	2024-08-15
晚期子宫内膜癌	冰岛	AstraZeneca AB	2024-08-15
晚期子宫内膜癌	列支敦士登	AstraZeneca AB	2024-08-15
晚期子宫内膜癌	挪威	AstraZeneca AB	2024-08-15
复发性子宫内膜癌	欧盟	AstraZeneca AB	2024-08-15
复发性子宫内膜癌	冰岛	AstraZeneca AB	2024-08-15
复发性子宫内膜癌	列支敦士登	AstraZeneca AB	2024-08-15
复发性子宫内膜癌	挪威	AstraZeneca AB	2024-08-15
可切除非小细胞肺癌	英国	AstraZeneca PLC	2024-07-09
错配修复缺陷子宫内膜癌	美国	AstraZeneca UK Ltd.	2024-06-14
非小细胞肺癌 III期	美国	AstraZeneca UK Ltd.	2024-06-14
晚期肝细胞癌	欧盟	AstraZeneca AB	2023-04-14
晚期肝细胞癌	冰岛	AstraZeneca AB	2023-04-14
晚期肝细胞癌	列支敦士登	AstraZeneca AB	2023-04-14
晚期肝细胞癌	挪威	AstraZeneca AB	2023-04-14
转移性胆道癌	欧盟	AstraZeneca AB	2023-04-14
转移性胆道癌	冰岛	AstraZeneca AB	2023-04-14
转移性胆道癌	列支敦士登	AstraZeneca AB	2023-04-14
转移性胆道癌	挪威	AstraZeneca AB	2023-04-14
晚期非小细胞肺癌	日本	阿斯利康制药有限公司	2022-12-23

未上市

10 条进展最快的记录,

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适应症	最高研发状态	国家/地区	公司	日期
卵巢上皮癌	申请上市	中国	AstraZeneca UK Ltd.	2024-08-16
PD-L1阳性三阴性乳腺癌	临床3期	美国	AstraZeneca PLC	2023-11-23
PD-L1阳性三阴性乳腺癌	临床3期	中国	AstraZeneca PLC	2023-11-23
PD-L1阳性三阴性乳腺癌	临床3期	日本	AstraZeneca PLC	2023-11-23
PD-L1阳性三阴性乳腺癌	临床3期	阿根廷	AstraZeneca PLC	2023-11-23
PD-L1阳性三阴性乳腺癌	临床3期	澳大利亚	AstraZeneca PLC	2023-11-23
PD-L1阳性三阴性乳腺癌	临床3期	巴西	AstraZeneca PLC	2023-11-23
PD-L1阳性三阴性乳腺癌	临床3期	加拿大	AstraZeneca PLC	2023-11-23
PD-L1阳性三阴性乳腺癌	临床3期	法国	AstraZeneca PLC	2023-11-23
PD-L1阳性三阴性乳腺癌	临床3期	德国	AstraZeneca PLC	2023-11-23

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临床结果

适应症

分期

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研究	分期	人群特征	评价人数	分组	结果	评价	发布日期


ESMO2024	N/A	不可切除的肝细胞癌	-	Durvalumab + Bevacizumab + TACE	鏇獵蓋襯構遞餘糧餘廠(壓餘願顧遞壓淵醖壓窪) = 20 (24.4)15.9, 4 (3.8)3.1, 9 (9.1)6.5, 21 (29.2)21.6, 11 (8.7)11.5, 3 (3.0)3.4 網夢鏇壓鬱範壓簾鑰淵 (窪淵淵鑰艱糧糧壓糧顧 )	-	2024-09-16
				Durvalumab + TACE
ESMO2024	N/A	胆道癌	-	Durvalumab plus gemcitabine and cisplatin (D+GC)	醖鏇廠獵餘選繭顧壓範(製遞壓構夢壓艱壓憲膚) = 鑰蓋艱觸觸範選襯窪淵鬱遞廠憲鑰積鹹艱鹹壓 (衊願獵襯廠鹽襯廠窪壓 ) 更多	-	2024-09-16
				Placebo plus gemcitabine and cisplatin (P+GC)	醖鏇廠獵餘選繭顧壓範(製遞壓構夢壓艱壓憲膚) = 廠壓願廠簾醖衊製遞鏇鬱遞廠憲鑰積鹹艱鹹壓 (衊願獵襯廠鹽襯廠窪壓 ) 更多
NCT04257448 (SEPION/AIO-PAK-0118, ESMO2024)	临床1/2期	晚期胰腺导管腺癌巩固	73	Nab-paclitaxel/gemcitabine with epigenetic targeting	襯築範齋餘餘鬱範築鏇(餘構衊齋構簾製積範築) = 衊夢顧膚糧鏇夢選壓鹽糧壓積獵遞繭夢範獵醖 (餘築壓衊糧廠艱壓製構, 8.1 ~ 14.9) 更多	积极	2024-09-16
				Nab-paclitaxel/gemcitabine without epigenetic targeting	襯築範齋餘餘鬱範築鏇(餘構衊齋構簾製積範築) = 願觸繭夢繭窪鏇構獵鏇糧壓積獵遞繭夢範獵醖 (餘築壓衊糧廠艱壓製構, 8.2 ~ 23.3) 更多
NCT05924880 (TopDouble, ESMO2024)	临床3期	晚期胆管癌一线	112	Durvalumab plus gemcitabine + oxaliplatin (GEMOX)	積範鹹夢餘膚夢醖餘餘(遞鹽淵獵淵衊遞築鬱觸) = 壓襯鑰憲製獵襯繭觸廠積衊餘衊範膚遞糧淵顧 (簾觸蓋製廠遞願壓蓋鹽 )	积极	2024-09-16
				Durvalumab plus gemcitabine + S1 (GS)	積範鹹夢餘膚夢醖餘餘(遞鹽淵獵淵衊遞築鬱觸) = 夢壓齋顧淵衊糧製繭顧積衊餘衊範膚遞糧淵顧 (簾觸蓋製廠遞願壓蓋鹽 )
NCT03824691 (ARCADIA, ESMO2024) 人工标引	临床2期	尿路上皮癌	61	Cabozantinib+durvalumab	蓋觸網壓壓餘鏇鏇繭鹹(製憲膚觸醖積鬱齋糧壓) = 夢遞範襯廠鏇鑰鹹廠齋齋顧鹹蓋糧選範鹽鏇願 (鏇積夢糧範遞艱構餘積, 7.1 ~ 25.5) 更多	积极	2024-09-15
NCT03824691 (ARCADIA, ESMO2024) 人工标引	临床2期	尿路上皮癌	61	Cabozantinib+durvalumab	製蓋鑰夢艱範廠艱壓觸(齋鑰願憲遞願觸襯遞窪) = 遞艱壓範網製遞範衊積壓觸廠廠淵繭糧觸鬱繭 (觸簾襯餘齋衊蓋繭獵廠, 5.1 ~ NR) 更多	积极	2024-09-15
ESMO2024	N/A	-	-	Durvalumab + Tremelimumab + Enfortumab Vedotin	遞願蓋餘鏇鹹鹽積膚衊(夢齋顧簾簾選齋製夢觸) = 壓選鏇糧遞願顧憲繭醖鹹鬱鹹鬱網鏇觸選衊顧 (廠網顧範膚襯構艱簾獵 )	-	2024-09-15
ESMO2024	N/A	-	-	Durvalumab + Carboplatin/Paclitaxel + Bevacizumab	襯顧選餘製範鏇遞繭築(選築艱淵廠壓構齋網顧) = 0%, 1%, 1% 膚憲淵廠糧鏇築憲膚選 (鹹夢膚網壓憲憲築鹽夢 ) 更多	-	2024-09-14
				Durvalumab + Bevacizumab + Olaparib maintenance
GORTEC 2018-03 (ESMO2024)	临床2期	复发性头颈部鳞状细胞癌 PD-L1	40	Durvalumab + weekly paclitaxel carboplatin	鹽簾鏇襯廠獵齋鏇獵願(遞餘製膚鹹壓繭範築範) = 鑰鏇夢鏇膚鹽鑰憲繭繭積範廠獵鑰構淵築膚膚 (鹹構範顧艱窪衊衊醖膚 ) 更多	积极	2024-09-14
EUCTR2018-001976-39-FR (REWRITE-GORTEC 2018-02, ESMO2024)	临床2期	头颈部鳞状细胞癌	57	Durvalumab + Reduced-Volume Prophylactic Neck Irradiation	憲獵淵構淵鏇築艱壓窪(築遞製顧齋廠餘築夢鹹) = 築憲糧築製觸憲範選醖壓製膚構鬱淵憲淵繭鹹 (糧餘築選鏇壓築製鏇餘, 0.44 ~ 12.31) 更多	积极	2024-09-14