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度伐利尤单抗:成功故事与临床试验述评。

Dostarlimab: Review on success story and clinical trials.

机构信息

Department of Pharmacology, All India Institute of Medical Sciences, Rishikesh 249203, India; Department of Pharmacology, ESIC Medical College and Hospital, Faridabad 121001, India.

Indian Pharmacopoeia Commission, Ghaziabad 201002, India.

出版信息

Crit Rev Oncol Hematol. 2024 Jun;198:104374. doi: 10.1016/j.critrevonc.2024.104374. Epub 2024 Apr 26.

Abstract

The PD-1/PD-L1 pathway plays a significant role in inhibiting, escaping from immune response, and promoting self-tolerance of the tumour. Dostarlimab is a selective humanized monoclonal antibody designed to target PD-1 and block its activity with PD-L1, which further prevents the escape of tumour cells from immune surveillance. It got accelerated approval from the FDA for treating adults with mismatch repair deficient, recurrent, or advanced endometrial cancer, and studies confirmed its beneficial effects. A recently published clinical trial reported 100 % remission of advanced rectal cancer without significant side effects in the participants. This clinical trial is still going on and enrolling patients with different types of cancer, including ovarian cancer, melanoma, head and neck cancer, and breast cancer therapy. The clinical trial result gave hope and proof to the medical fraternity and patients for better treatment. The focus of this review is to summarise pre-clinical and clinical studies of Dostarlimab.

摘要

PD-1/PD-L1 通路在抑制、逃避免疫反应和促进肿瘤自身耐受方面发挥着重要作用。Dostarlimab 是一种选择性的人源化单克隆抗体,旨在靶向 PD-1 并阻断其与 PD-L1 的活性,从而进一步防止肿瘤细胞逃避免疫监视。它获得了 FDA 的加速批准,用于治疗错配修复缺陷、复发性或晚期子宫内膜癌的成年人,研究证实了其有益的效果。最近发表的一项临床试验报告称,在参与者中,晚期直肠癌的缓解率达到 100%,且无明显副作用。该临床试验仍在进行中,并招募了包括卵巢癌、黑色素瘤、头颈部癌和乳腺癌治疗在内的不同类型癌症的患者。临床试验结果为医学界和患者带来了更好治疗的希望和证据。本综述的重点是总结 Dostarlimab 的临床前和临床研究。

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