Current clinical trials testing the combination of immunotherapy with radiotherapy.

Current clinical trials testing the combination of immunotherapy with radiotherapy.
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DOI:
10.1186/s40425-016-0156-7
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发表时间:
2016
影响因子:
10.9
通讯作者:
Formenti S
Formenti S
中科院分区:
医学2区
文献类型:
--
作者:
Kang J;Demaria S;Formenti S

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越来越多的证据表明,辐射作为一种免疫刺激,招募免疫介质,在辐射场内外实现抗肿瘤反应。利用放射来增强抗肿瘤免疫的临床试验数量迅速增加。如果是积极的,这些试验的结果将导致放疗使用的范式转变。在这篇综述中,我们讨论了放疗与各种免疫疗法联合试验的基本原理,提供了最新的临床试验结果,并重点介绍了目前正在进行的试验。我们还讨论了有关免疫治疗与放射治疗的最佳结合的问题,包括治疗顺序、放射剂量和临床试验终点的评估。
Increasing evidence demonstrates that radiation acts as an immune stimulus, recruiting immune mediators that enable anti-tumor responses within and outside the radiation field. There has been a rapid expansion in the number of clinical trials harnessing radiation to enhance antitumor immunity. If positive, results of these trials will lead to a paradigm shift in the use of radiotherapy. In this review, we discuss the rationale for trials combining radiation with various immunotherapies, provide an update of recent clinical trial results and highlight trials currently in progress. We also address issues pertaining to the optimal incorporation of immunotherapy with radiation, including sequencing of treatment, radiation dosing and evaluation of clinical trial endpoints.
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