Outcome of Initial Progression During Nivolumab Treatment for Hepatocellular Carcinoma: Should We Use iRECIST?

Outcome of Initial Progression During Nivolumab Treatment for Hepatocellular Carcinoma: Should We Use iRECIST?
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DOI:
10.3389/fmed.2021.771887
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发表时间:
2021
影响因子:
3.9
通讯作者:
Park JW
Park JW
中科院分区:
医学3区
文献类型:
--
作者:
Lee DH;Hwang S;Koh YH;Lee KH;Kim JY;Kim YJ;Yoon JH;Lee JH;Park JW

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由于存在假性进展的可能性,在免疫检查点抑制剂(ICIs)治疗期间建议采用实体瘤免疫反应评估标准(iRECIST)。我们评估了肝细胞癌 (HCC) 患者假性进展的频率。这项回顾性多中心研究涉及 158 名在韩国接受纳武单抗治疗 HCC 的连续患者。在初步评估中,94 名患者出现免疫未证实的进展性疾病,22 名患者继续接受纳武单抗治疗。在第二次评估时,22 名患者中有 21 名 (95.5%) 确诊进展,未观察到假性进展。考虑到假进展的可能性较低,HCC 可能不需要 iRECIST。
Immune response evaluation criteria in solid tumors (iRECIST) is recommended during immune checkpoint inhibitors (ICIs) treatment, due to the possibility of pseudoprogression. We evaluated the frequency of pseudoprogression in hepatocellular carcinoma (HCC) patients. This retrospective multicenter study involved 158 consecutive patients who underwent nivolumab treatment for HCC in Korea. At the initial evaluation, 94 patients presented with immune unconfirmed progressive disease, and 22 continued nivolumab. At the second evaluation, 21 of the 22 patients (95.5%) had confirmed progression and no pseudoprogression was observed. Considering low possibility of pseudoprogression, iRECIST may not be required for HCC.
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