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Molecular characterization of clinical responses to PD-1/PD-L1 inhibitors in non-small cell lung cancer: Predictive value of multidimensional immunomarker detection for the efficacy of PD-1 inhibitors in Chinese patients

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单位: [1]Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Resp Med, 1 Shuaifuyuan, Beijing 100730, Peoples R China [2]Chinese Acad Med Sci, 1 Shuaifuyuan, Beijing 100730, Peoples R China [3]Third Mil Med Univ, Xinqiao Hosp, Dept Resp Dis, Chongqing, Peoples R China [4]Third Mil Med Univ, Southwest Hosp, Dept Resp Med, Chongqing, Peoples R China [5]Southeast Univ, Zhongda Hosp, Dept Resp, Nanjing, Jiangsu, Peoples R China [6]Air Force Med Univ, Xijing Hosp, Dept Resp Med, Xian, Shaanxi, Peoples R China [7]Air Force Med Univ, Tangdu Hosp, Dept Resp Med, Xian, Shaanxi, Peoples R China [8]Huazhong Univ Sci & Technol,Div Resp Dis,Dept Internal Med,Tongji Hosp,Tongji Med Coll,Wuhan,Hubei,Peoples R China [9]Guangzhou Med Univ, State Key Lab Resp Dis, Natl Clin Res Ctr Resp Dis, Guangzhou Inst Resp Dis,Affiliated Hosp 1, Guangzhou, Guangdong, Peoples R China [10]Sun Yat Sen Univ, Affiliated Hosp 1, Dept Resp Med, Guangzhou, Guangdong, Peoples R China [11]Henan Prov Peoples Hosp, Dept Pulm Med, Zhengzhou, Henan, Peoples R China [12]Zhejiang Univ, Affiliated Hosp 2, Dept Pulm Med, Hangzhou, Zhejiang, Peoples R China [13]Dalian Med Univ, Hosp 2, Dept Pulm Med, Dalian, Peoples R China [14]GloriousMed Technol Co Ltd, Shanghai, Peoples R China [15]Fudan Univ, Zhongshan Hosp, Dept Resp Med, 180 Fenglin Rd, Shanghai 200032, Peoples R China
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关键词: Multi-omics NSCLC PD-1 PD-L1 inhibitor predictive biomarker

摘要:
According to multiple studies, the objective response rate of PD-1/PD-L1 inhibitors in the second-line treatment of unscreened non-small cell lung cancer (NSCLC) is only approximately 20%. Predictive biomarkers of treatment efficacies are still under investigation. In selected NSCLC patients with PD-L1 expression >= 50%, the response rate of pembrolizumab in first-line treatment can reach 44.8%. Moreover, patients with a higher tumor mutation burden (TMB) tend to achieve a better response with nivolumab. Besides PD-L1 expression and TMB, taking all these indicators into consideration would hypothetically maximize the clinical response in a specific subgroup of patients. Our study aims to accumulate large and complete samples and clinical data to verify the biomarkers and their cutoff values related to the efficacy of PD-1/PD-L1 inhibitors in Chinese NSCLC patients, and to construct a comprehensive predictive model by combining multi-omics data with contemporary machine learning techniques. NSCLC patients administered treatment of anti-PD-1/PD-L1 antibodies or a combination with other drugs have been enrolled. The estimated enrollment is 250 participants. A sophisticated predictive model of immunotherapy response in the Chinese population has not yet been developed. It is clinically and practically imperative to comprehensively evaluate the possible indicators of Chinese NSCLC patients through multiple test platforms, such as next generation sequencing, PCR, or immunohistochemistry. This study is registered in the Chinese Clinical Trial Registry (ChiCTR1900021395).

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出版当年[2018]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学 4 区 呼吸系统
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学 4 区 呼吸系统
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出版当年[2017]版:
Q3 RESPIRATORY SYSTEM Q3 ONCOLOGY
最新[2023]版:
Q2 RESPIRATORY SYSTEM Q3 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者单位: [1]Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Resp Med, 1 Shuaifuyuan, Beijing 100730, Peoples R China [2]Chinese Acad Med Sci, 1 Shuaifuyuan, Beijing 100730, Peoples R China
通讯作者:
通讯机构: [1]Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Resp Med, 1 Shuaifuyuan, Beijing 100730, Peoples R China [2]Chinese Acad Med Sci, 1 Shuaifuyuan, Beijing 100730, Peoples R China
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