最新临床试验:达布拉非尼和曲美替尼联合伊普利单抗和尼伐单抗或伊普利单抗和尼伐单抗联合达布拉非尼和曲美替尼治疗Ⅲ-Ⅳ期BRAFV600黑色素瘤

马萨诸塞州总医院(Massachusetts General Hospital, Boston, Mass.)
2018年12月3日
名医:Dr. Denise Adams, MD(Cincinnati Children’s Hospital Medical Center)
2018年12月4日
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This randomized phase III trial studies how well initial treatment with ipilimumab and nivolumab followed by dabrafenib and trametinib works and compares it to initial treatment with dabrafenib and trametinib followed by ipilimumab and nivolumab in treating patients with stage III-IV melanoma that contains a mutation known as BRAFV600 and cannot be removed by surgery. Immunotherapy with monoclonal antibodies, such as ipilimumab and nivolumab, may help the body’s immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Dabrafenib and trametinib may block tumor growth by targeting the BRAFV600 gene. It is not yet known whether treating patients with ipilimumab and nivolumab followed by dabrafenib and trametinib is more effective than treatment with dabrafenib and trametinib followed by ipilimumab and nivolumab.

Trial IDs

Primary ID EA6134
Secondary IDs NCI-2014-01747
Clinicaltrials.gov ID NCT02224781
这个随机III期临床试验的目的是研究依匹利莫单抗和尼体积单抗继达布拉尼和曲美替尼的初步治疗后作用如何,并将其与达布拉尼和曲美替尼继依匹利莫单抗和尼体积单抗初步治疗的III-IV期黑色素瘤患者进行比较。患者要求包含一个称为BRAFV600的突变,且不能通过手术切除。用单克隆抗体免疫治疗可以帮助身体的免疫系统攻击癌症,并可能干扰肿瘤细胞的生长和扩散能力,如伊比利单抗和尼体积单抗。达布拉非尼和曲美替尼可能通过靶向BRAFV600基因阻断肿瘤生长。目前尚不清楚,与达布拉尼和曲美替尼相比,依匹利莫单抗和尼体积单抗联合达布拉尼和曲美替尼治疗是否更有效。

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