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1.上海长征医院呼吸与危重医学科,上海 200003
2.北京卫戍区海淀第四十离职干部休养所,北京 100076
韦坤辰,Email:w1501966523@outlook.com,研究方向:肺癌、免疫治疗。
唐 昊,Email:tanghao_0921@126.com。
收稿:2023-09-15,
修回:2023-03-02,
录用:2023-12-16,
纸质出版:2023-11-28
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韦坤辰,吴骏峰,唐昊.免疫治疗在EGFR突变非小细胞肺癌中的研究进展[J].重庆医科大学学报,2023,48(11):1282-1289.
Wei Kunchen,Wu Junfeng,Tang Hao.Advances in immunotherapy in EGFR-mutated non-small cell lung cancer[J].Journal of Chongqing Medical University,2023,48(11):1282-1289.
韦坤辰,吴骏峰,唐昊.免疫治疗在EGFR突变非小细胞肺癌中的研究进展[J].重庆医科大学学报,2023,48(11):1282-1289. DOI: 10.13406/j.cnki.cyxb.003365.
Wei Kunchen,Wu Junfeng,Tang Hao.Advances in immunotherapy in EGFR-mutated non-small cell lung cancer[J].Journal of Chongqing Medical University,2023,48(11):1282-1289. DOI: 10.13406/j.cnki.cyxb.003365.
表皮生长因子受体酪氨酸激酶(epidermal growth factor receptor,EGFR)驱动基因突变的非小细胞肺癌患者,使用EGFR抑制剂(epidermal growth factor receptor inhibitors,EGFR-TKIs)是标准治疗模式,但获得性耐药不可避免。对于一线EGFR-TKIs耐药的非小细胞肺癌(non-small cell lung cancer,NSCLC)患者,目前没有标准的治疗方式。免疫治疗联合含铂双药化疗、血管内皮生长因子(vascular endothelial growth factor,VEGF)抑制剂的治疗模式显示出了一定的疗效。本文通过综述不同程序性死亡蛋白1(programmed cell death 1,PD-1)/PD-1配体(PD-1 ligand,PD-L1)免疫检查点抑制剂在EGFR突变的NSCLC患者的研究现状,并探讨针对EGFR突变的NSCLC患者更加合适的治疗方式。
In patients with non-small cell lung cancer(NSCLC) with EGFR driver mutation,EGFR-TKIs is the standard treatment but acquired resistance is inevitable. There is currently no standard treatment for first-line EGFR-TKIs-resistant NSCLC patients. Immunotherapy combined with platinum-containing double-drug chemotherapy and vascular endothelial growth factor inhibitors has shown some efficacy. This paper reviews the research on different programmed cell death 1(PD-1)/PD-1 ligand(PD-L1) immune checkpoint inhibitors in the treatment of NSCLC patients with EGFR mutation,and explores improved treatment modalities for NSCLC patients with EGFR mutation.
Lim SM , Syn NL , Cho BC , et al . Acquired resistance to EGFR targeted therapy in non-small cell lung cancer:mechanisms and therapeutic strategies [J ] . Cancer Treat Rev , 2018 , 65 : 1 - 10 .
Jin R , Zhao J , Xia LX , et al . Application of immune checkpoint inhibitors in EGFR-mutant non-small-cell lung cancer:from bed to bench [J ] . Ther Adv Med Oncol , 2020 , 12 : 1758835920930333 .
Ichihara E , Harada D , Inoue K , et al . Characteristics of patients with EGFR-mutant non-small-cell lung cancer who benefited from immune checkpoint inhibitors [J ] . Cancer Immunol Immunother , 2021 , 70 ( 1 ): 101 - 106 .
Sun RZ , Hou ZS , Zhang YK , et al . Drug resistance mechanisms and progress in the treatment of EGFR-mutated lung adenocarcinoma [J ] . Oncol Lett , 2022 , 24 ( 5 ): 408 .
Mizuno T , Katsuya Y , Sato J , et al . Emerging PD-1/PD-L1 targeting immunotherapy in non-small cell lung cancer:current status and future perspective in Japan,US,EU,and China [J ] . Front Oncol , 2022 , 12 : 925938 .
Mussafi O , Mei J , Mao WJ , et al . Immune checkpoint inhibitors for PD-1/PD-L1 axis in combination with other immunotherapies and targeted therapies for non-small cell lung cancer [J ] . Front Oncol , 2022 , 12 : 948405 .
Chiang RS , Glover MJ , Khaki AR , et al . Immunotherapy for urothelial carcinoma:focus on clinical utility of nivolumab [J ] . Onco Targets Ther , 2022 , 15 : 1259 - 1269 .
Wu YL , Lu S , Cheng Y , et al . Nivolumab versus docetaxel in a predominantly Chinese patient population with previously treated advanced NSCLC:checkmate 078 randomized phase Ⅲ clinical trial [J ] . J Thorac Oncol , 2019 , 14 ( 5 ): 867 - 875 .
Brahmer J , Reckamp KL , Baas P , et al . Nivolumab versus docetaxel in advanced squamous-cell non-small-cell lung cancer [J ] . N Engl J Med , 2015 , 373 ( 2 ): 123 - 135 .
Hellmann MD , Rizvi NA , Goldman JW , et al . Nivolumab plus ipilimumab as first-line treatment for advanced non-small-cell lung cancer(CheckMate 012):results of an open-label,phase 1,multicohort study [J ] . Lancet Oncol , 2017 , 18 ( 1 ): 31 - 41 .
Mok TSK , Nakagawa K , Park K , et al . LBA8 Nivolumab(NIVO)+ chemotherapy(chemo) vs chemo in patients(pts) with EGFR-mutated metastatic non-small cell lung cancer(mNSCLC) with disease progression after EGFR tyrosine kinase inhibitors(TKIs) in CheckMate 722 [J ] . Ann Oncol , 2022 , 33 : S1561 - S1562 .
Hayashi H , Sugawara S , Fukuda Y , et al . A randomized phase Ⅱ study comparing nivolumab with carboplatin-pemetrexed for EGFR-mutated NSCLC with resistance to EGFR tyrosine kinase inhibitors(WJOG8515L) [J ] . Clin Cancer Res . 2022 , 28 ( 5 ): 893 - 902 .
Shi CY , Wang Y , Xue JX , et al . Immunotherapy for EGFR-mutant advanced non-small-cell lung cancer:current status,possible mechanisms and application prospects [J ] . Front Immunol , 2022 , 13 : 940288 .
Reck M , Rodríguez-Abreu D , Robinson AG , et al . Pembrolizumab versus chemotherapy for PD-L1-positive non-small-cell lung cancer [J ] . N Engl J Med , 2016 , 375 ( 19 ): 1823 - 1833 .
Yang JC , Gadgeel SM , Sequist LV , et al . Pembrolizumab in combination with erlotinib or gefitinib as first-line therapy for advanced NSCLC with sensitizing EGFR mutation [J ] . J Thorac Oncol , 2019 , 14 ( 3 ): 553 - 559 .
Gubens MA , Sequist LV , Stevenson JP , et al . Pembrolizumab in combination with ipilimumab as second-line or later therapy for advanced non-small-cell lung cancer:keynote-021 cohorts D and H [J ] . Lung Cancer , 2019 , 130 : 59 - 66 .
Herbst RS , Baas P , Kim DW , et al . Pembrolizumab versus docetaxel for previously treated,PD-L1-positive,advanced non-small-cell lung cancer(KEYNOTE-010):a randomised controlled trial [J ] . Lancet , 2016 , 387 ( 10027 ): 1540 - 1550 .
Chen Y , Chen ZJ , Chen R , et al . Immunotherapy-based combination strategies for treatment of EGFR-TKI-resistant non-small-cell lung cancer [J ] . Future Oncol , 2022 , 18 ( 14 ): 1757 - 1775 .
Antonia SJ , Villegas A , Daniel D , et al . Durvalumab after chemoradiotherapy in stage Ⅲ non-small-cell lung cancer [J ] . N Engl J Med , 2017 , 377 ( 20 ): 1919 - 1929 .
Faivre-Finn C , Vicente D , Kurata T , et al . Four-year survival with durvalumab after chemoradiotherapy in stage Ⅲ NSCLC-an update from the PACIFIC trial [J ] . J Thorac Oncol , 2021 , 16 ( 5 ): 860 - 867 .
Garassino MC , Cho BC , Kim JH , et al . Durvalumab as third-line or later treatment for advanced non-small-cell lung cancer(ATLANTIC):an open-label,single-arm,phase 2 study [J ] . Lancet Oncol , 2018 , 19 ( 4 ): 521 - 536 .
Oxnard GR , Yang JCH , Yu H , et al . TATTON:a multi-arm,phase Ib trial of osimertinib combined with selumetinib,savolitinib,or durvalumab in EGFR-mutant lung cancer [J ] . Ann Oncol , 2020 , 31 ( 4 ): 507 - 516 .
Yang JCH , Shepherd FA , Kim DW , et al . Osimertinib plus durvalumab versus osimertinib monotherapy in EGFR T790M-positive NSCLC following previous EGFR TKI therapy:CAURAL brief report [J ] . J Thorac Oncol , 2019 , 14 ( 5 ): 933 - 939 .
Havel JJ , Chowell D , Chan TA . The evolving landscape of biomarkers for checkpoint inhibitor immunotherapy [J ] . Nat Rev Cancer , 2019 , 19 ( 3 ): 133 - 150 .
Fehrenbacher L , Spira A , Ballinger M , et al . Atezolizumab versus docetaxel for patients with previously treated non-small-cell lung cancer(POPLAR):a multicentre,open-label,phase 2 randomised controlled trial [J ] . Lancet , 2016 , 387 ( 10030 ): 1837 - 1846 .
West H , McCleod M , Hussein M , et al . Atezolizumab in combination with carboplatin plus nab-paclitaxel chemotherapy compared with chemotherapy alone as first-line treatment for metastatic non-squamous non-small-cell lung cancer(IMpower130):a multicentre,randomised,open-label,phase 3 trial [J ] . Lancet Oncol , 2019 , 20 ( 7 ): 924 - 937 .
Socinski MA , Jotte RM , Cappuzzo F , et al . Atezolizumab for first-line treatment of metastatic nonsquamous NSCLC [J ] . N Engl J Med , 2018 , 378 ( 24 ): 2288 - 2301 .
Reck M , Mok T , Socinski MA , et al . 1293P IMpower150:updated efficacy analysis in patients with EGFR mutations [J ] . Ann Oncol , 2020 , 31 : S837 - S838 .
Chu TQ , Zhong RB , Zhong H , et al . Phase 1b study of sintilimab plus anlotinib as first-line therapy in patients with advanced NSCLC [J ] . J Thorac Oncol , 2021 , 16 ( 4 ): 643 - 652 .
Lu S , Wu L , Jian H , et al . VP9-2021:orient-31:phase Ⅲ study of sintilimab with or without IBI305 plus chemotherapy in patients with EGFR mutated nonsquamous NSCLC who progressed after EGFR-TKI therapy [J ] . Ann Oncol , 2022 , 33 ( 1 ): 112 - 113 .
Ren S , Zhang J , Zhao Y , et al . A multi‑center phase Ⅱ study of toripalimab with chemotherapy in patients with EGFR mutant advanced NSCLC patients resistant to EGFR TKIs: Efficacy and biomarker analysis [J ] . Am Soc Clin Oncol , 2020 , 6 ( 2 ): 355 - 367 .
Liu SY , Wu YL . Tislelizumab:an investigational anti-PD-1 antibody for the treatment of advanced non-small cell lung cancer(NSCLC) [J ] . Expert Opin Investig Drugs , 2020 , 29 ( 12 ): 1355 - 1364 .
Wang J , Lu S , Yu XM , et al . Tislelizumab plus chemotherapy vs chemotherapy alone as first-line treatment for advanced squamous non-small-cell lung cancer:a phase 3 randomized clinical trial [J ] . JAMA Oncol , 2021 , 7 ( 5 ): 709 - 717 .
Ren SX , He JX , Fang Y , et al . Camrelizumab plus apatinib in treatment-naive patients with advanced nonsquamous NSCLC:a multicenter,open-label,single-arm,phase 2 trial [J ] . JTO Clin Res Rep , 2022 , 3 ( 5 ): 100312 .
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