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How could histotripsy change cancer immunotherapy? 组织切片检查如何改变癌症免疫治疗?
IF 2.7 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-01-01 Epub Date: 2024-12-18 DOI: 10.1080/1750743X.2024.2442899
Heineken Queen, Clifford S Cho
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引用次数: 0
Effects of benralizumab in patients with severe eosinophilic asthma (SEA): A plain language summary of the ANANKE study. 苯拉利珠单抗对严重嗜酸性粒细胞性哮喘(SEA)患者的影响:ANANKE研究的简明摘要。
IF 2.8 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-09-17 DOI: 10.1080/1750743x.2024.2386899
G W Canonica,L Consani,L Malerba,G Pelaia,A Vultaggio,
WHAT IS THIS SUMMARY ABOUT?This summary outlines the findings from the ANANKE study on the treatment of patients with severe eosinophilic asthma (SEA) with benralizumab. SEA is an inflammatory disease of the lungs caused by eosinophils. Patients with SEA may experience asthma attacks (exacerbations) and decreased ability to breathe (lung function) despite taking medications. Benralizumab (Fasenra®) is a biologic therapy (a medicine produced using living cells) approved for the treatment of SEA.The ANANKE study was conducted in Italy and evaluated the characteristics of patients with SEA who received benralizumab as prescribed by their doctors. It also described the effects of benralizumab on participants in terms of frequency of exacerbations, lung function and overall control of asthma, and their need to take oral corticosteroids (OCS) to control symptoms. The effects of benralizumab have been observed in participants treated for: 1) an average of 10.3 months, and 2) up to 96 weeks (approximately 2 years). The effects were also compared between different groups: 1) participants with chronic rhinosinusitis with nasal polyps (CRSwNP) and those without, and 2) participants who received other biologics before benralizumab (bio-experienced) and those who started with benralizumab as their first biologic (naïve). CRSwNP is an inflammatory condition that makes breathing even more difficult.WHAT WERE THE KEY FINDINGS?Before receiving benralizumab, participants showed a high blood eosinophil count (the number of eosinophils in the bloodstream), frequent exacerbations, insufficient lung function, and poor disease control (symptom management). After 96 weeks, benralizumab almost eliminated exacerbations, improved lung function, reduced the use of OCS, and increased the control of SEA symptoms while lowering blood eosinophil count. Comparable effects were observed between participants with and without CRSwNP and between naïve and bio-experienced participants.WHAT WERE THE MAIN CONCLUSIONS REPORTED BY THE RESEARCHERS?The ANANKE study showed that participants had frequent exacerbations and were characterized by eosinophilic inflammation before starting benralizumab. Overall, benralizumab improved the control of the disease for up to 2 years and induced similar beneficial effects regardless of the presence of CRSwNP and the use of previous biologics. These findings highlight the long-lasting and broad action of benralizumab.Clinical Trial Registration: NCT04272463 (ANANKE) (ClinicalTrials.gov).
本摘要概述了苯拉利珠单抗治疗严重嗜酸性粒细胞性哮喘(SEA)患者的 ANANKE 研究结果。嗜酸性粒细胞性哮喘是一种由嗜酸性粒细胞引起的肺部炎症性疾病。嗜酸性粒细胞性哮喘患者可能会出现哮喘发作(病情恶化)和呼吸能力(肺功能)下降,尽管他们正在服用药物。Benralizumab (Fasenra®) 是一种生物疗法(一种利用活细胞生产的药物),已被批准用于治疗 SEA。ANANKE 研究在意大利进行,评估了按照医生处方接受 Benralizumab 治疗的 SEA 患者的特征。该研究还从哮喘加重的频率、肺功能、哮喘的总体控制以及口服皮质类固醇(OCS)来控制症状的需要等方面描述了苯拉利珠单抗对参与者的影响。在接受过以下治疗的参与者中观察到了贝那利珠单抗的效果1)平均 10.3 个月;2)长达 96 周(约 2 年)。疗效还在不同组别之间进行了比较:1)患有慢性鼻炎伴鼻息肉(CRSwNP)的患者和未患有慢性鼻炎伴鼻息肉的患者;2)在使用苯拉利珠单抗之前接受过其他生物制剂治疗的患者(生物制剂治疗经验丰富者)和首次使用苯拉利珠单抗作为生物制剂治疗的患者(生物制剂治疗经验不足者)。CRSwNP是一种炎症,会使呼吸变得更加困难。主要发现有哪些?在接受贝拉珠单抗治疗前,参与者的血嗜酸性粒细胞计数(血液中嗜酸性粒细胞的数量)较高,病情经常加重,肺功能不足,疾病控制(症状控制)较差。96 周后,苯拉利珠单抗几乎消除了病情恶化,改善了肺功能,减少了 OCS 的使用,提高了 SEA 症状的控制率,同时降低了血液中的嗜酸性粒细胞数量。研究人员报告的主要结论是什么?ANANKE 研究显示,在开始使用苯拉利珠单抗之前,参与者的病情经常加重,并以嗜酸性粒细胞炎症为特征。总体而言,贝拉珠单抗在长达两年的时间里改善了病情控制,而且无论是否存在CRSwNP以及之前是否使用过生物制剂,贝拉珠单抗都能产生类似的益处。这些发现凸显了benralizumab持久而广泛的作用:临床试验注册:NCT04272463 (ANANKE) (ClinicalTrials.gov)。
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引用次数: 0
The association between toxicity and efficacy of immune checkpoint inhibitors in older adults with NSCLC. 免疫检查点抑制剂对 NSCLC 老年患者的毒性与疗效之间的关联。
IF 2.8 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-09-13 DOI: 10.1080/1750743x.2024.2394382
Yiran Rong,Sujith Ramachandran,Kaustuv Bhattacharya,Yi Yang,Sally Earl,Yunhee Chang,John P Bentley
Aim: This cohort study evaluated the association between immune checkpoint inhibitors (ICIs)-induced immune-related adverse events (irAEs) and mortality as well as ICI discontinuation among older adults with NSCLC.Methods: 2007-2019 Surveillance, Epidemiology and End Results-Medicare linked database was used and survival analysis with time-varying exposure of irAEs was applied to estimate the associations.Results & conclusion: A total of 8,175 individuals were included, with 46.8% of whom developed an irAE. Cox regression models showed the occurrence of any irAEs was associated with increased risk of mortality (HR: 1.73, 95% CI: 1.63-1.82) and treatment discontinuation (HR: 1.87, 95% CI: 1.78-1.97). Some variability was observed in the effect on the two outcomes depending on the type of irAE.
目的:这项队列研究评估了免疫检查点抑制剂(ICIs)诱发的免疫相关不良事件(irAEs)与NSCLC老年患者的死亡率和ICI停药之间的关联。方法:使用2007-2019年监测、流行病学和最终结果--医保链接数据库,并应用irAEs暴露随时间变化的生存分析来估计关联。结果与结论:共纳入8175人,其中46.8%的人发生了irAE:共纳入了8175人,其中46.8%的人发生了虹膜AE。Cox回归模型显示,任何irAEs的发生都与死亡率(HR:1.73,95% CI:1.63-1.82)和中断治疗(HR:1.87,95% CI:1.78-1.97)风险的增加有关。根据虹膜睫状体异常的类型,对这两种结果的影响存在一定的差异。
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引用次数: 0
Symptomatic aseptic sinusitis induced by immune checkpoint inhibitors for metastatic melanoma treatment. 治疗转移性黑色素瘤的免疫检查点抑制剂诱发无菌性鼻窦炎。
IF 2.8 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-09-13 DOI: 10.1080/1750743x.2024.2399498
Sofia Tzoumpa,Béatrice Villette,Florence Granel-Brocard,Caroline Dutriaux,Alexandre Memmi,Geraldine Jeudy,Victor Tafani,Melanie Saint-Jean,Charlee Nardin,Elisa Funck-Brentan,Yannick Le Corre,Gaëlle Quereux,Eve Maubec
Immune-mediated sinusitis is poorly described and may easily go undiagnosed. We conducted a retrospective, multicenter, national study focusing on symptomatic immune-mediated sinusitis in patients receiving immune checkpoint inhibitors (ICIs) for melanoma treatment. Twelve patients were included (50% women, median age 58 years). Overall, the paraclinical assessment, the inefficacy of antibiotic/antihistaminic treatment, the improvement of symptoms on immunosuppressants and/or after ICI discontinuation, and the presence of multiple concomitant immune-related adverse-events, suggested a noninfectious etiology. Recognizing this toxicity is imperative for limitation of diagnostic wandering and appropriate treatment. However, additional epidemiological studies are needed to assess its prevalence as a potential immune-related adverse-event, and its prognostic value in patients treated with ICIs.
免疫介导的鼻窦炎很少被描述,很容易被漏诊。我们开展了一项全国性多中心回顾性研究,重点关注接受免疫检查点抑制剂(ICIs)治疗黑色素瘤的患者中出现的免疫介导的鼻窦炎症状。研究共纳入了 12 名患者(50% 为女性,中位年龄为 58 岁)。总体而言,临床旁评估、抗生素/抗组胺药治疗无效、使用免疫抑制剂和/或停用 ICI 后症状有所改善,以及同时存在多种免疫相关不良事件,均表明其病因为非感染性。认识到这种毒性对于限制诊断徘徊和适当治疗至关重要。然而,还需要进行更多的流行病学研究,以评估其作为一种潜在的免疫相关不良事件的发生率及其在接受 ICIs 治疗的患者中的预后价值。
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引用次数: 0
Combining immunotherapy with PARP inhibitors. Is it possible to find the way through? 将免疫疗法与 PARP 抑制剂相结合。有可能找到突破口吗?
IF 2.8 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-09-13 DOI: 10.1080/1750743x.2024.2398412
Georgios I Papageorgiou,Nikolaos Skouteris,Kleopatra Eleftheriou,Christos Kosmas
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引用次数: 0
A phase 1 study of the CD40 agonist MEDI5083 in combination with durvalumab in patients with advanced solid tumors. CD40 激动剂 MEDI5083 联合 durvalumab 治疗晚期实体瘤患者的 1 期研究。
IF 2.8 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-09-12 DOI: 10.1080/1750743x.2024.2359359
Ben Tran,Mark Voskoboynik,Johanna Bendell,Martin Gutierrez,Charlotte Lemech,Daphne Day,Sophia Frentzas,Ignacio Garrido-Laguna,Nathan Standifer,Fujun Wang,Charles Ferte,Yue Wang,Mayukh Das,Benedito A Carneiro
Aim: This first-in-human study evaluated safety and efficacy of CD40 agonist MEDI5083 with durvalumab in patients with advanced solid tumors.Methods: Patients received MEDI5083 (3-7.5 mg subcutaneously every 2 weeks × 4 doses) and durvalumab (1500 mg every 4 weeks) either sequentially (N = 29) or concurrently (N = 9). Primary end point was safety; secondary end points included efficacy.Results: Thirty-eight patients received treatment. Most common adverse events (AEs) were injection-site reaction (ISR; sequential: 86%; concurrent: 100%), fatigue (41%; 33%), nausea (20.7%; 55.6%) and decreased appetite (24.1%; 33.3%). Nine patients had MEDI5083-related grade ≥3 AEs with ISR being the most common. Two patients experienced dose limiting toxicities (ISR). One death occurred due to a MEDI5083-related AE. MEDI5083 maximum tolerated dose was 5 mg. Objective response rate was 2.8% (1 partial response and 11 stable disease).Conclusion: MEDI5083 toxicity profile limits its further development.
目的:这一首次人体试验评估了CD40激动剂MEDI5083与durvalumab在晚期实体瘤患者中的安全性和有效性:患者依次(29 例)或同时(9 例)接受 MEDI5083(3-7.5 毫克,每 2 周皮下注射一次 × 4 次)和 durvalumab(1500 毫克,每 4 周一次)治疗。主要终点是安全性,次要终点包括疗效:结果:38名患者接受了治疗。最常见的不良事件(AEs)为注射部位反应(ISR;序贯:86%;并发:100%)、疲劳(41%;33%)、恶心(20.7%;55.6%)和食欲下降(24.1%;33.3%)。9名患者出现了与MEDI5083相关的≥3级AE,其中最常见的是ISR。两名患者出现了剂量限制性毒性反应(ISR)。一名患者因 MEDI5083 相关 AE 死亡。MEDI5083的最大耐受剂量为5毫克。客观反应率为2.8%(1例部分反应和11例疾病稳定):结论:MEDI5083的毒性特征限制了其进一步发展。
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引用次数: 0
Profiling of autoantibodies in the sera of glioblastoma patients. 分析胶质母细胞瘤患者血清中的自身抗体。
IF 2.8 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-09-12 DOI: 10.1080/1750743x.2024.2390350
Johannes Low Jun Wei,Ammar Akram Kamarudin,Soon Bee Hong,Kamalanathan Palaniandy,Azizi Abu Bakar,Jegan Thanabalan,Ramesh Kumar Athi Kumar,Ainul Syahrilfazli Jaafar,Sanmugarajah Paramasvaran,Farizal Fadzil,Nadiah Abu
Aim: This study aimed to determine the expression pattern of autoantibody proteins from the serum of grade IV glioblastoma patients.Materials & methods: We performed high throughput antibody profiling via the Sengenics i-Ome® Protein Array to determine the differentially expressed autoantibodies.Results: The results portrayed that anti-COL4A3BP and anti-HSP90AA1 were among the upregulated autoantibodies in glioblastoma sera.Conclusion: The selected autoantibodies offer promising targets for future glioblastoma pathogenesis. However, further validation is required to elucidate the autoantibody signature in glioblastoma patients.
目的:本研究旨在确定IV级胶质母细胞瘤患者血清中自身抗体蛋白的表达模式:我们通过Sengenics i-Ome®蛋白质阵列进行了高通量抗体分析,以确定差异表达的自身抗体:结果:抗COL4A3BP和抗HSP90AA1是胶质母细胞瘤血清中上调的自身抗体之一:结论:所选自身抗体为未来胶质母细胞瘤的发病机制提供了有希望的靶点。结论:所选的自身抗体为未来胶质母细胞瘤的发病机制提供了有希望的靶点,然而,要阐明胶质母细胞瘤患者的自身抗体特征还需要进一步的验证。
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引用次数: 0
Case reports of immune-related cystitis and the antibody combination hypothesis. 免疫相关性膀胱炎病例报告与抗体组合假说。
IF 2.8 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-09-12 DOI: 10.1080/1750743x.2024.2389761
Peng Zhang,Chunyan Yin,Ming Yang
Immune-related cystitis is a rare condition, and its diagnostic criteria and pathogenesis are not yet fully understood. Here, we report two cases of immune-related cystitis. Both patients were previously diagnosed with lung squamous cell carcinoma and received combined treatment with immune checkpoint inhibitors and chemotherapy, leading to hemorrhagic cystitis. We reviewed the cystoscopic images and pathological features of previous cases and found that autoantibodies against hemidesmosomes may be the cause of immune-related cystitis, proposing the "antibody combination" hypothesis to explain the tissue specificity of the condition.
免疫相关性膀胱炎是一种罕见疾病,其诊断标准和发病机制尚未完全明了。在此,我们报告了两例免疫相关性膀胱炎病例。这两名患者之前都被诊断为肺鳞癌,并接受了免疫检查点抑制剂和化疗的联合治疗,导致出血性膀胱炎。我们回顾了以往病例的膀胱镜图像和病理特征,发现针对半球体的自身抗体可能是免疫相关性膀胱炎的病因,并提出了 "抗体组合 "假说来解释该病症的组织特异性。
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引用次数: 0
Occult checkpoint inhibitor myocarditis during adjuvant nivolumab plus ipilimumab: a smoldering but severe toxicity. 尼妥珠单抗加伊匹单抗辅助治疗期间的隐匿性检查点抑制剂心肌炎:一种隐匿但严重的毒性。
IF 2.8 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-09-11 DOI: 10.1080/1750743x.2024.2385286
Dimitrios Bafaloukos,Ioanna Gazouli,Aikaterini Bousmpoukea,Aristea Molfeta,Eleni Chatzichristou,George Samonis,Ioannis Vathiotis
Checkpoint inhibitor myocarditis is a rare but life-threatening toxicity of immunotherapy, occasionally manifesting as persistent troponin elevation. Dual checkpoint blockade with ipilimumab and nivolumab has been found to induce immune-related myocarditis in patients with metastatic melanoma. We herein report a case of smoldering immune-related myocarditis in a 54-year-old male after a single infusion of nivolumab plus ipilimumab as adjuvant treatment for completely resected stage IV melanoma. High-dose steroid treatment resulted in decrease in the levels of cardiac enzymes, without any major complications.
检查点抑制剂心肌炎是一种罕见但危及生命的免疫疗法毒性,偶尔表现为肌钙蛋白持续升高。在转移性黑色素瘤患者中,使用伊匹单抗和尼沃单抗的双重检查点阻断疗法可诱发免疫相关性心肌炎。我们在此报告了一例54岁男性患者在接受完全切除的IV期黑色素瘤的辅助治疗后,单次输注nivolumab和ipilimumab后出现的免疫相关性心肌炎。大剂量类固醇治疗导致心肌酶水平下降,但未出现任何重大并发症。
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引用次数: 0
Good response to cadonilimab as first-line treatment in superaged patient with advanced gastric cancer: a case report. 晚期胃癌超高龄患者对卡多尼单抗一线治疗的良好反应:病例报告。
IF 2.8 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-09-11 DOI: 10.1080/1750743x.2024.2394405
Jia Lun,Guikai Ma,Xuan Wang,Qian Wang
Gastric cancer remains a considerable global health burden, with limited treatment options available for advanced cases, especially for superaged patients. Cadonilimab, a first-in-class bi-specific antibody (BsAb), offer a promising immunotherapy approach by targeting PD-1/CTLA-4 simultaneously. Herein, we present a case report of an 85-year-old patient with HER2-negative advanced gastric cancer who received first-line treatment with cadonilimab combined with chemotherapy, but cadonilimab was discontinued due to the observation of immune-related pneumonitis during treatment. Despite these changes, the patient still exhibited a stable disease condition for a year until now. This case report highlights the potential of cadonilimab in the treatment of superaged patients with advanced gastric cancer, while the efficacy and safety of it need to be further evaluated.
胃癌仍然是一个相当大的全球健康负担,晚期病例,尤其是高龄患者的治疗方案有限。卡多尼单抗(Cadonilimab)是一种首创的双特异性抗体(BsAb),可同时靶向PD-1/CTLA-4,是一种前景广阔的免疫疗法。在此,我们报告了一例 85 岁 HER2 阴性晚期胃癌患者的病例,该患者接受了卡多尼单抗联合化疗的一线治疗,但由于在治疗期间观察到免疫相关性肺炎,卡多尼单抗被停用。尽管出现了这些变化,该患者一年来病情仍然稳定,直到现在。本病例报告凸显了卡多尼单抗治疗超高龄晚期胃癌患者的潜力,但其疗效和安全性仍有待进一步评估。
{"title":"Good response to cadonilimab as first-line treatment in superaged patient with advanced gastric cancer: a case report.","authors":"Jia Lun,Guikai Ma,Xuan Wang,Qian Wang","doi":"10.1080/1750743x.2024.2394405","DOIUrl":"https://doi.org/10.1080/1750743x.2024.2394405","url":null,"abstract":"Gastric cancer remains a considerable global health burden, with limited treatment options available for advanced cases, especially for superaged patients. Cadonilimab, a first-in-class bi-specific antibody (BsAb), offer a promising immunotherapy approach by targeting PD-1/CTLA-4 simultaneously. Herein, we present a case report of an 85-year-old patient with HER2-negative advanced gastric cancer who received first-line treatment with cadonilimab combined with chemotherapy, but cadonilimab was discontinued due to the observation of immune-related pneumonitis during treatment. Despite these changes, the patient still exhibited a stable disease condition for a year until now. This case report highlights the potential of cadonilimab in the treatment of superaged patients with advanced gastric cancer, while the efficacy and safety of it need to be further evaluated.","PeriodicalId":13328,"journal":{"name":"Immunotherapy","volume":"06 1","pages":"1-5"},"PeriodicalIF":2.8,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Immunotherapy
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