Department of Oncologic Sciences, Morsani College of Medicine, University of South Florida,Tampa, FL.
Department of Thoracic Oncology, Moffitt Cancer Center and Research Institute, Tampa, FL.
Am Soc Clin Oncol Educ Book. 2021 Mar;41:1-23. doi: 10.1200/EDBK_321483.
The treatment paradigm for patients with advanced non-small cell lung cancer has substantially changed with the discovery of immunotherapy. The incorporation of immunotherapy into treatment algorithms has resulted in better outcomes for patients, with fewer side effects compared with classic chemotherapeutic agents. Multiple treatment options are now available for patients with advanced non-small cell lung cancer, ranging from single-agent immunotherapy to quadruple therapy, which involves dual immune checkpoint inhibitor plus chemotherapy or immune checkpoint inhibitor plus chemotherapy plus anti-vascular endothelial growth factor drugs. This article will review landmark studies that have led to U.S. Food and Drug Administration approval of immunotherapy agents alone or in combination with chemotherapy or other immunotherapy drugs to treat advanced non-small cell lung cancer.
随着免疫疗法的发现,晚期非小细胞肺癌患者的治疗模式发生了重大变化。与经典化疗药物相比,将免疫疗法纳入治疗方案可使患者获得更好的疗效,且副作用更少。目前,晚期非小细胞肺癌患者有多种治疗选择,包括单药免疫治疗到四联治疗,其中包括双重免疫检查点抑制剂加化疗或免疫检查点抑制剂加化疗加抗血管内皮生长因子药物。本文将回顾导致美国食品和药物管理局批准免疫治疗药物单独或与化疗或其他免疫治疗药物联合治疗晚期非小细胞肺癌的标志性研究。