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A randomized Phase II trial reported by Zamarin et al. at memorial Sloan Kettering Cancer Center in the United States showed that patients with endotile ovarian cancer (EOC) had a higher rate of remission, a longer (albeit limited) non-progressive lifetime (PFS), and that the combined program was as toxic as previously reported.
other joint studies are needed to confirm the long-lasting efficacy of the double therapy.
(J Clin Oncol. doi: 10.1200/JCO.19.02059.) single-drug PD-1 blockers have limited efficacy in EOC.
the study evaluated the efficacy of the Ipidan anti-combined Narvulyu monoanti-drug Narvulyu monoantigen in women with persistent or relapsed EOC.
group of patients includes measurable diseases, 1 to 3 past treatment options, and non-platinum interstitium (PFI) and 12 months.
participants were randomly assigned 4 doses (once every 2 weeks) or Navuliyu monoantigen induction treatment (once every 3 weeks) to receive intravenous drug Narvulyu monoanti (once every 2 weeks), followed by a maximum of 42 doses of Navuliyu monoantigen maintenance therapy every 2 weeks.
initial invalid assumption is that the objective mitigation rate is equivalent after 6 months of random allocation for each group.
100 patients were assigned to navuliyu monoanti (49 cases) or Navuliyu monoanti (51 cases), and 62% of patients were treated with PFI -lt;6 months.
six months, 6 cases (12.2%) of the Navuliyu monoantigen group and 16 cases (31.4%) of the Navuliyu single resistance group (OR=3.28,85% CI 1.54 to ∞, P=0.034).
the mid-PFS of the Navuliyu single resistance group and the Navuliyu single resistance group were 2 months and 3.9 months, respectively, and the risk ratio of PFI stratifist was 0.53 (95% CI0.34 to 0.82);
33% of patients in the Navuliyu monoantigroup and 49% of patients in the joint group had ≥3-level adverse events and no treatment-related deaths.
in both treatment groups, there was no significant correlation between PD-L1 expression and response.
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