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奥拉帕利联合曲美木单抗治疗复发性卵巢癌胚系BRCA1/2突变女性的I/II期研究

Olaparib plus tremelimumab in women with recurrent ovarian cancer and a germline BRCA1 or BRCA2 mutation: a phase I/II study

PubMed · CNS/大子刊/四大医学刊(生殖相关) · Nat Commun 大子刊 IF 14.7 · 文献 · 2026-10-08
Adams SF, Gimotty PA, Rutledge TL, O'Malley DM, Ring K, Wenham RM, Finkelstein K, Lokich E, Falcon DM, Yeckes A 等 25 人
DOI 10.1038/s41467-026-78395-y · PMID 42982866 · 原文链接 ↗ · Scholar
综合 60.0 模型 52.0 · deepseek/deepseek-flash · 强度 low 已入选 期刊加权 +8 卵母细胞与卵泡生物学 生殖干细胞与体外配子发生
新颖 60严谨 70影响 45领域相关 20转化 30

摘要

该多中心单臂I/II期研究纳入50例携带胚系BRCA1或BRCA2突变的复发性上皮性卵巢癌女性,评估PARP抑制剂奥拉帕利联合CTLA4免疫检查点抑制剂曲美木单抗的安全性与疗效。I期未见新毒性;联合安全队列中57%发生3/4级非血液学毒性,34.7%停用曲美木单抗。II期主要终点客观缓解率为32.7%,疾病控制率47.7%,中位无进展生存3.0个月,总生存24.3个月。探索性分析提示VSTM5或IFIT1B低表达与治疗获益及PFS改善相关,结论需生物标志物筛选获益人群。

原文摘要

Response rates to immune checkpoint blockade (ICB) in ovarian cancer are low. In preclinical studies, poly(ADP-ribose) polymerase inhibition (PARPi) synergized with CTLA4 ICB to achieve long-term survival in Brca1-deficient ovarian cancer models. Here we evaluated the safety and efficacy of combined treatment with the PARPi olaparib and the CTLA4 ICB tremelimumab for recurrent epithelial ovarian cancer in a multi-site single-arm phase I/II study enrolling 50 women with germline BRCA1 or BRCA2 mutations (NCT02571725). In phase I, no new toxicities were identified (n = 3). In the combined phase I and II safety cohort (n = 49), 57% of subjects experienced grade 3 or 4 non-hematologic toxicity, with tremelimumab discontinuation in 34.7%. The primary phase II endpoint, overall response rate was 32.7% (95% CI 19.5-45.8%), and disease control rate was 47.7% (95% CI 33.0-62.5%). Secondary outcomes were progression-free survival (PFS, 3.0 months, 95% CI 2.7-5.9), and overall survival (24.3 months, CI 14.9-30.4). In exploratory post-hoc biomarker analyses, low VSTM5 or IFIT1B expression was associated with treatment benefit and improved PFS (p 12 months in 6 subjects among this heavily pre-treated cohort highlight the need for biomarkers to select regimens for patients with recurrent ovarian cancer.

推荐理由:研究设计规范、来自高影响力期刊,但主题为卵巢癌肿瘤免疫联合治疗,与生殖医学/辅助生殖核心实践距离较远,仅对关注胚系BRCA相关生殖遗传咨询者有一定参考价值。

关键词:卵巢癌 · BRCA1/2 · PARP抑制剂 · CTLA4抑制剂 · 胚系突变

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所属事件:奥拉帕利联合曲美木单抗治疗复发性卵巢癌胚系BRCA1/2突变女性的I/II期研究 热度 0.0 · 0 个来源

条目 #347 · 入库 2026-11-08 11:44 · JSON · Journal Article, Clinical Trial, Phase I, Clinical Trial, Phase II, Multicenter Study