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. 2012 Mar;4(2):43-50.
doi: 10.1177/1758834011431718.

Ipilimumab: its potential in non-small cell lung cancer (V体育官网入口)

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Ipilimumab: its potential in non-small cell lung cancer

Pascale Tomasini et al. Ther Adv Med Oncol. 2012 Mar.

"VSports注册入口" Abstract

Ipilimumab is a fully human monoclonal antibody that enhances antitumor immunity by way of cytotoxic T-lymphocyte antigen 4 blockade. It has already been approved by the US Food and Drug Administration for the treatment of metastatic melanoma and is being investigated for treating other solid tumors such as renal cell, prostate and lung cancers. This review details the potential of ipilimumab in the management of non-small cell lung cancer (NSCLC). In particular, ipilimumab showed promising results in a first-line NSCLC phase II study combining carboplatin/paclitaxel chemotherapy with concurrent or phased ipilimumab. The median immune-related progression-free survival was 5 VSports手机版. 68 months for the phased ipilimumab arm versus 4. 63 months for chemotherapy alone (hazard ratio [HR] = 0. 68, p = 0. 026) and 5. 52 months for the concurrent ipilimumab arm versus 4. 63 months for chemotherapy alone (HR = 0. 77, p = 0. 094). The main adverse events were immune related, such as hypophysitis, enterocolitis, and hyperthyroidism. These adverse events may be improved with high-dose glucocorticoids and may be correlated with tumor response. Phase III studies are ongoing. Future studies may investigate ipilimumab in the management of early stage lung cancer. Strategies for potential translational research studies are also discussed to identify prognostic and predictive biomarkers for the use of ipilimumab in the treatment of patients with NSCLC. .

Keywords: biomarkers; immunotherapy; ipilimumab; lung cancer; targeted therapy. V体育安卓版.

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The authors have participated in clinical trials based on ipilimumab in lung cancer.

"V体育官网" Figures

Figure 1.
Figure 1.
Study design of the CA184-041 phase II study investigating the potential of concurrent and phased ipilimumab (IPI) versus placebo (p) with concomitant carboplatin (C, Carbo) plus paclitaxel (P, Pac) as first-line treatment in advanced stages of non-small cell lung cancer (NSCLC). q3w, every 3 weeks; q12w, every 12 weeks.
Figure 2.
Figure 2.
Thoracic computed tomography scans showing baseline (left panels) and current (right panels) scans of a patient with stage IV non-small cell lung cancer participating in the CA184-041 phase II study, and showing an almost complete and long-lasting response to the combination of ipilimumab plus concurrent carboplatin plus paclitaxel chemotherapy.

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