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1帕博利珠单抗治疗伴脑转移NSCLC患者的一项非随机、开放Ⅱ期试验的长期随访结果和生物标志物分析显示文摘背景与目的我们开展了一项帕博利珠单抗用于伴未治疗脑转移的非小细胞肺癌(non-small cell lung cancer,NSCLC)或黑色素瘤患者的疗效和安全性的II期试验,旨在评估程序性死亡受体1(programmed cell death 1,PD-1)抑制剂在中枢神经系统(central nervous system,CNS)中的疗效。中期结果已发表,现报道对NSCLC队列的更新分析结果。方法这是一项开放性、单中心、II期试验。纳入标准:年龄≥18岁,诊断为晚期NSCLC并伴有≥1个5 mm-20 mm脑转移病灶,既往从未治疗或之前放疗后进展,无神经系统症状,不需要激素治疗且美国东部肿瘤协作组(Eastern Cooperative Oncology Group,ECOG)<2分。患者每2周接受一次帕博利珠单抗(10 mg/kg)治疗。队列1为程序性死亡配体1(programmed cell death ligand 1,PD-L1)≥1%的患者,队列2为PD-L1<1%或未评估的患者。主要终点是脑转移患者缓解比例。所有经治患者均纳入疗效与安全性终点的分析。该研究已结束入组,并于Clinicaltrials.gov登记注册,注册号为NCT02085070。结果2014年3月31日-2018年5月21日,共42例患者接受治疗。中位随访时间为8.3个月(IQR:4.5个月-26.2个月)。队列1的37例患者中11例有脑转移缓解[29.7%(95%CI:15.9%-47.0%)]。队列2未观察到缓解。治疗相关的3级-4级不良事件(adverse events,AEs)包括2例肺炎、1例全身症状、1例结肠炎、1例肾上腺皮质功能不全、1例高血糖症和1例低钾血症。6例(14%)患者发生了治疗相关的严重不良事件,包括肺炎、急性肾损伤、低钾血症和肾上腺皮质功能不全。没有观察到治疗相关死亡病例。结论帕博利珠单抗治疗PD-L1≥1%的NSCLC伴脑转移患者有效,且对所有纳入的未经治疗的脑转移患者安全。需要进一步探索免疫治疗用于NSCLC合并CNS转移。Sarah B GOLDBERG Kurt A SCHALPER Scott N GETTINGER Amit MAHAJAN Roy S HERBST Anne C CHANG Rogerio LILENBAUM Frederick H WILSON Sacit Bulent OMAY James B YU Lucia JILAVEANU Thuy TRAN Kira PAVLIK Elin ROWEN Heather GERRSH Annette KOMLO Richa GUPTA Hailey WYATT Matthew RIBEIRO Yuval KLUGER Geyu ZHOU Wei WEI Veronica L CHANG Harriet M KLUGER 董晓荣(翻译/校对) 2021中国肺癌杂志2021,24,9:34
2鱼、蛋、牛奶、坚果、蔬菜和水果摄入量大,以及低盐膳食模式与高血压的患病率和控制率相关显示文摘食物对高血压患病率和控制率的影响尚不清晰。本文旨在中国人群中调查鱼、蛋、牛奶、坚果、蔬菜和水果摄入量大以及低盐膳食模式是否与高血压有关。方法:从2012年9月到2014年12月共招募15303名受试者进行病例对照研究,分为高血压组(n=1604)和正常血压组(n=13660),其中高血压组又分为血压控制亚组(n=397)和血压未控制亚组(n=1207)。收集过去1 年里每周平均鱼、蛋、牛奶、坚果、蔬菜、水果和盐摄入量数据。鱼、蛋、牛奶、坚果、蔬菜、水果和盐的平均摄入量分别为117、150、35、20、2100、300和58g/周。Yu G Fu H Huang W Zhang N Deng D Li G Lei H 2019中华高血压杂志2019,27,5:2
3Growth inhibition of prostate cancer cells by epigallocatechin gallate in the presence of Cu^2+显示文摘Yu H N Yin J J Shen S R 2004J Agric Food Chem2004,52,3:1
4Inertially coupled galloping of iced conductors 显示文摘Yu P Shah A H Popplewell N 1992ASME Journal of Applied Mechanics1992,59,1:1
5Inertially Coupled Galloping of Iced Conductors显示文摘Yu P Shah A H Popplewell N 1992Journal of Applied Mechanics Transactions ASME1992,59,1:1
6Discovery of (2E) -3-2- butyl- 1 - - 1H-benzimidazol-5 -yl } -N- hydroxyacrylamide (SB939), an orally active historic deace- tylase inhibitor with a superior preelinical Profile 显示文摘Wang H Yu N Chen D 2011J Med Chem2011,54,13:1
7Effects of covalent surface modifications on the electrical and electrochemical properties of graphene using sodium 4-aminoazobenzene-4'-sulfonate 显示文摘Yu D S Kuila T Kim N H 2013Carbon2013,54,:1
8Efficient High-power Self-frequency-doubling Nd: GdCOB Laser at 545 and 530 nm显示文摘Yu H H Zong N Pan Z B 2011Optics letters2011,36,9:1
9Potential magnesium alloys for high temperature die cast automotive applications: a review 显示文摘Hu H Yu A Li N 2003Materials and ManufacturingProcesses2003,18,5:1
10Intergrowth and coexistence effects of Ti O2-Sn O2nanocomposite with excellent photocatalytic activity显示文摘Huang M N Yu J H Li B 2015J Alloys Compd2015,629,25:1
11Molecular structures and metabolic characteristics of protein in brown and yellow flaxseed with altered nutrient traits显示文摘KHAN N A BOOKER H YU P 2014J Agric Food Chem2014,62,28:1
12LIGHT, a New Member of the TNF Superfamily, and Lymphotoxin α Are Ligands for Herpesvirus Entry Mediator显示文摘Davide N Mauri Reinhard Ebner Rebecca I Montgomery Kristine D Kochel Timothy C Cheung Guo-Liang Yu Steve Ruben Marianne Murphy Roselyn J Eisenberg Gary H Cohen Patricia G Spear Carl F Ware 1998Immunity1998,,:1
13Effect of Shenkang granules on the progression of chronic renal failure in 5/6nephrectomized rats显示文摘Zhang YU Zhou N Wang H 2015Exp Ther Med2015,9,6:1
14Silicon nanowires prepared by laser ablation at high temperature 显示文摘Zhang Y F Tang Y H Wang N Yu D P Lee C S Bello I Lee S T 1998Applied Physics Letters1998,72,15:1
15Diesel fuel desulfurization with hydrogen peroxide promoted by formic acid and catalyzed by activated carbon显示文摘YU G X LU S X CHEN H ZHU Z N 2005Carbon2005,43,11:1
16Global landscape of protein complexes in the yeast Saccharomyces cerevisiae显示文摘KROGAN N J CAGNEY G YU H 2006Nature2006,440,:1
17Microstructure,chemical and tribological investigations of MoxW1-xSy co-sputtered composite films显示文摘YIN G L HUANG P H YU Z HE D N TU J P 2006Tribology Letters2006,22,1:1
18A novel density-tunable nanoeomposites of CdTe quantum dots linked to dendrimer-tethered multiwall carbon nanotubes显示文摘Zeng Y L Tang C R Wang H W Jiang J H Tian M N Shen G L Yu R Q 2008Spectrochimica Acta Part A:Molecular and Biomolecular Spectroscopy2008,70,5:1
19Mesoporous Fe2O3-doped TiO2 nanostructured fibers with higher photocatalytic activity显示文摘Zhan S H Yang J Y Liu Y Wang N Dai J J Yu H B Gao X C Li Y 2011Journal of Colloid and Interface Science2011,355,2:1
20Modification of lignin biosynthesis in transgenic Nicotiana through expression of an antisense O-methyltransferase gene from Populus显示文摘Dwivedi U N Campbell W H Yu J 1994Plant Mo Bio1994,26,:1
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