Are anti-PD1 and anti-PD-L1 alike? The non-small-cell lung cancer paradigm

被引:41
作者
Banna, Giuseppe Luigi [1 ]
Cantale, Ornella [1 ]
Bersanelli, Melissa [2 ]
Del Re, Marzia [3 ]
Friedlaender, Alex [4 ]
Cortellini, Alessio [5 ]
Addeo, Alfredo [4 ]
机构
[1] Portsmouth Hosp NHS Trust, Deparment Med Oncol, Portsmouth, Hants, England
[2] Univ Parma, Med & Surg Dept, Med Oncol Unit, Parma, Italy
[3] Univ Pisa, Dept Clin & Expt Med, Unit Clin Pharmacol & Pharmacogenet, Pisa, Italy
[4] Geneva Univ Hosp, Oncol Dept, Geneva, Switzerland
[5] Univ Aquila, Dept Biotechnol & Appl Clin Sci, Med Oncol Unit, St Salvatore Hosp, Laquila, Italy
关键词
Immune-checkpoint inhibitor; PD1; PD-L1; lung cancer; immune-related adverse events; IMMUNE-CHECKPOINT INHIBITORS; ACQUIRED-RESISTANCE; SQUAMOUS-CELL; SOLID TUMORS; OPEN-LABEL; DOCETAXEL; NIVOLUMAB; PD-1; PEMBROLIZUMAB; CHEMOTHERAPY;
D O I
10.4081/oncol.2020.490
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Anti-PD1 and anti-PD-L1 agents may have intrinsic and clinically relevant differences in the treatment of non-small cell lung cancer (NSCLC) patients. By reviewing currently available indirect evidence on these agents for NSCLC treatment, highlighting possible inter- and intra-class dissimilarities, anti-PD1 agents showed a higher response rate and a better outcome when combined with chemotherapy for the first-line treatment of patients with squamous and PD-L1 low advanced NSCLC, as compared to anti-PD-L1 agents. Conversely, anti-PD-L1 agents were responsible for less severe adverse events (AEs), particularly, immune-related AEs. These differences could be explained by their different specific properties. Considering possible differences between anti-PD1 and anti-PD-L1 agents could be clinically relevant for treatment tailoring and inspiring new investigational approaches.
引用
收藏
页码:135 / 143
页数:9
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