Patientenauswahl für die Immun-Checkpoint-Therapie bei fortgeschrittenem nicht kleinzelligem Lungenkarzinom: Bedeutungen für die klinische Praxis

W. Schütte, M. Möller
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Abstract

Immune checkpoint inhibitors targeting PD-1 or PD-L1 represent a standard treatment option for patients with advanced non-small-cell lung cancer. However, a substantial proportion of patients will not benefit from these treatments, and robust biomarkers are required to help clinicians select patients who are most likely to benefit. Here, we discuss the available evidence on the utility of clinical characteristics in the selection of patients with advanced non-small-cell lung cancer as potential candidates for single-agent anti-PD-1/PD-L1 therapy, and provide practical guidance to clinicians on identifying those patients who are most likely to benefit. Recommendations on the use of immune checkpoint inhibitor in clinically challenging populations are also provided.
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病人选择用于高等非体外肺肿瘤的免疫检测学治疗:临床用法的要点
针对PD-1或PD-L1的免疫检查点抑制剂是晚期非小细胞肺癌患者的标准治疗选择。然而,很大一部分患者不会从这些治疗中受益,需要强大的生物标志物来帮助临床医生选择最有可能受益的患者。在这里,我们讨论了临床特征在选择晚期非小细胞肺癌患者作为单药抗pd -1/PD-L1治疗的潜在候选人中的效用的现有证据,并为临床医生提供了确定最有可能受益的患者的实用指导。还提供了在临床挑战性人群中使用免疫检查点抑制剂的建议。
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