Navigating a paradigm shift; food and drug administration approved Tarlatamab-dlle redefining the landscape of small cell lung cancer therapy

Muhammad Hamza Gul, Abdul Baseer Wardak, Aiman Waheed
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Abstract

Small cell lung cancer (SCLC) constitutes 10% of lung cancer. It is the leading cause of death due to cancer in men and the second most prevalent cause of cancer related death in women worldwide. It is an extremely hostile tumor with early development, spread, and fatal as it is typically found too late. Early-stage patients are usually treated with chemotherapy and thoracic radiation and surgery is rarely used to treat this malignancy. The addition of immunotherapy to first-line chemotherapy has improved survival for the first time in the decennary. It has demonstrated promise in producing significant, long-lasting responses. The disease is still challenging to treat but adding radiation therapy to a patient's care at certain intervals may enhance illness control. Platinum-based chemotherapy is initially quite effective, eliciting prompt and often substantial responses, however, they are transient effects, and when SCLC recurs, treatment resistance is strong.
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引领范式转变;食品药品管理局批准的 Tarlatamab-dlle 重新定义了小细胞肺癌疗法的格局
小细胞肺癌(SCLC)占肺癌的 10%。它是全球男性因癌症死亡的首要原因,也是女性因癌症死亡的第二大原因。它是一种极其凶险的肿瘤,具有早期发展、扩散和致命的特点,因为通常发现得太晚。早期患者通常采用化疗和胸腔放疗,很少采用手术治疗这种恶性肿瘤。在一线化疗的基础上增加免疫疗法,十年来首次提高了患者的生存率。免疫疗法有望产生显著、持久的疗效。这种疾病的治疗仍然具有挑战性,但在病人的治疗中每隔一段时间加入放射治疗可能会加强病情控制。以铂为基础的化疗最初相当有效,能迅速产生反应,而且往往是实质性的反应,但这只是短暂的效果,当SCLC复发时,耐药性很强。
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