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文献速递纳武利尤单抗对食管癌或胃食管结 [复制链接]

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文章题目:AdjuvantNivolumabinResectedEsophagealorGastroesophagealJunctionCancer

研究人员:RonanJ.Kelly,etal.

发表时间:April1,

期刊名称:NEJM

影响因子:74.

1、核心亮点

Amongpatientswithresectedesophagealorgastroesophagealjunctioncancerwhohadreceivedneoadjuvantchemoradiotherapy,disease-freesurvivalwassignificantlylongeramongthosewhoreceivednivolumabadjuvanttherapythanamongthosewhoreceivedplacebo.

在接受过新辅助放化疗的食管癌或胃食管结合部癌切除术后患者中,接受纳武利尤单抗辅助治疗的患者的无病生存期显著超过接受安慰剂的患者。

2、Abstract:

BACKGROUND

Noadjuvanttreatmenthasbeenestablishedforpatientswhoremainathighriskforrecurrenceafterneoadjuvantchemoradiotherapyandsurgeryforesophagealorgastroesophagealjunctioncancer.

METHODS

WeconductedCheckMate,aglobal,randomized,double-blind,placebo-controlledphase3trialtoevaluateacheckpointinhibitorasadjuvanttherapyinpatientswithesophagealorgastroesophagealjunctioncancer.Adultswithresected(R0)stageIIorIIIesophagealorgastroesophagealjunctioncancerwhohadreceivedneoadjuvantchemoradiotherapyandhadresidualpathologicaldiseasewererandomlyassignedina2:1ratiotoreceivenivolumab(atadoseofmgevery2weeksfor16weeks,followedbynivolumabatadoseofmgevery4weeks)ormatchingplacebo.Themaximumdurationofthetrialinterventionperiodwas1year.Theprimaryendpointwasdisease-freesurvival.

RESULTS

Themedianfollow-upwas24.4months.Amongthepatientswhoreceivednivolumab,themediandisease-freesurvivalwas22.4months(95%confidenceinterval[CI],16.6to34.0),as

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