Progress of PD-1/PD-L1 inhibitor combination therapy in immune treatment for HER2-positive tumors.

IF 2.4 3区 医学 Q3 PHARMACOLOGY & PHARMACY European Journal of Clinical Pharmacology Pub Date : 2024-05-01 Epub Date: 2024-02-11 DOI:10.1007/s00228-024-03644-2
Sining Zhao, Yiwu Qiu, Meiqin Yuan, Zeng Wang
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Abstract

Background: Patients with HER2-positive cancers often face a poor prognosis, and treatment regimens containing anti-HER2 have become the first-line treatment options for breast and gastric cancers. However, these approaches are faced with significant challenges in terms of drug resistance. Hence, it is crucial to explore precise treatment strategies aimed at improving survival outcomes.

Advancements in treatment: Over the past few years, there has been rapid advancement in the realm of tumor therapy, particularly with the swift progress of immune checkpoint inhibitors, including PD-1/PD-L1 inhibitors. They exert anti-tumor effects by disrupting immune-suppressive factors within the tumor microenvironment. However, monotherapy with PD-1/PD-L1 inhibitors has several limitations. Consequently, numerous studies have explored combinatorial immunotherapeutic strategies and demonstrated highly promising avenues of development.

Objective: This article aims to review the clinical trials investigating PD-1/PD-L1 inhibitor combination therapy for HER2-positive tumors. Additionally, it provides a summary of ongoing trials evaluating the efficacy and safety of these combined treatments, with the intention of furnishing valuable insights for the clinical management of HER2-positive cancer.

Conclusion: Combinatorial immunotherapeutic strategies involving PD-1/PD-L1 inhibitors hold considerable promise in the treatment of HER2-positive tumors. Continued research efforts and clinical trials are warranted to elucidate optimal treatment regimens that maximize therapeutic benefits while minimizing adverse effects.

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PD-1/PD-L1抑制剂联合疗法在HER2阳性肿瘤免疫治疗中的进展。
背景:HER2 阳性癌症患者通常预后较差,含有抗 HER2 的治疗方案已成为乳腺癌和胃癌的一线治疗方案。然而,这些方法在耐药性方面面临着巨大挑战。因此,探索旨在改善生存结果的精确治疗策略至关重要:在过去几年中,肿瘤治疗领域取得了突飞猛进的发展,尤其是免疫检查点抑制剂(包括 PD-1/PD-L1 抑制剂)的迅速发展。它们通过破坏肿瘤微环境中的免疫抑制因子来发挥抗肿瘤作用。然而,PD-1/PD-L1 抑制剂的单药治疗存在一些局限性。因此,许多研究探索了组合免疫治疗策略,并展示了极具前景的发展途径:本文旨在回顾研究PD-1/PD-L1抑制剂联合疗法治疗HER2阳性肿瘤的临床试验。此外,文章还总结了正在进行的评估这些联合疗法疗效和安全性的试验,旨在为 HER2 阳性癌症的临床治疗提供有价值的见解:涉及 PD-1/PD-L1 抑制剂的组合免疫治疗策略在治疗 HER2 阳性肿瘤方面前景广阔。有必要继续开展研究和临床试验,以阐明最佳治疗方案,在最大限度地提高疗效的同时减少不良反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.40
自引率
3.40%
发文量
170
审稿时长
3-8 weeks
期刊介绍: The European Journal of Clinical Pharmacology publishes original papers on all aspects of clinical pharmacology and drug therapy in humans. Manuscripts are welcomed on the following topics: therapeutic trials, pharmacokinetics/pharmacodynamics, pharmacogenetics, drug metabolism, adverse drug reactions, drug interactions, all aspects of drug development, development relating to teaching in clinical pharmacology, pharmacoepidemiology, and matters relating to the rational prescribing and safe use of drugs. Methodological contributions relevant to these topics are also welcomed. Data from animal experiments are accepted only in the context of original data in man reported in the same paper. EJCP will only consider manuscripts describing the frequency of allelic variants in different populations if this information is linked to functional data or new interesting variants. Highly relevant differences in frequency with a major impact in drug therapy for the respective population may be submitted as a letter to the editor. Straightforward phase I pharmacokinetic or pharmacodynamic studies as parts of new drug development will only be considered for publication if the paper involves -a compound that is interesting and new in some basic or fundamental way, or -methods that are original in some basic sense, or -a highly unexpected outcome, or -conclusions that are scientifically novel in some basic or fundamental sense.
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