Pembrolizumab in the adjuvant treatment of melanoma: efficacy and safety.

Pembrolizumab in the adjuvant treatment of melanoma: efficacy and safety.
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DOI:
10.1080/14737140.2021.1882856
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发表时间:
2021-06
影响因子:
3.3
通讯作者:
Johnson DB
Johnson DB
中科院分区:
医学3区
文献类型:
--
作者:
Nebhan CA;Johnson DB

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黑色素瘤的区域或远处转移可以手术切除,但仍有复发的高风险。在过去的几年里,已经批准了几种治疗方法来减轻这种风险。这些药物包括抗PD-1药物,特别是pembrolizumab和nivolumab。在这里,我们将讨论培溴利珠单抗在高危切除黑色素瘤辅助治疗中的安全性和有效性。我们把这个放在其他可用的辅助治疗的背景下,并讨论亚组分析。Pembrolizumab或nivolumab的抗PD-1治疗已成为切除III或IV期黑色素瘤患者的标准治疗方案。在我们的实践中,我们通常向切除的IIIb-IV期黑色素瘤患者提供这些药物(具有类似的安全性和有效性),而不考虑BRAF突变状态。
Regional or distant metastases from melanoma may be surgically resected, but remain at high-risk of recurrence. Over the last few years, several treatments have been approved to mitigate this risk. These include anti-PD-1 agents, specifically pembrolizumab and nivolumab. Herein, we will discuss the landscape of pembrolizumab safety and efficacy used in the adjuvant setting for high-risk, resected melanoma. We place this in context with other available adjuvant therapies, and discuss subgroup analyses. Anti-PD-1 therapy with either pembrolizumab or nivolumab has become a standard of care for patients with resected stage III or IV melanoma. In our practice, we generally offer these agents (which have comparable safety and efficacy profiles) to patients with resected stage IIIb – IV melanoma regardless of BRAF mutation status.
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发表时间: 2017-06-08
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