[Efficacy and safety of PD-1 inhibitor combined with chemotherapy in the primary treatment of phase Ⅲ/Ⅳ extranodal nasal-type natural killer/T cell lymphoma]

Zhonghua Yi Xue Za Zhi. 2021 Apr 27;101(16):1178-1181. doi: 10.3760/cma.j.cn112137-20201207-03281.
[Article in Chinese]

Abstract

The data of 9 patients with stage Ⅲ/Ⅳ extranodal nasal-type natural killer/T cell lymphoma from August 2019 to August 2020 in People's Hospital of Zhengzhou University was retrospectively analyzed. All the patients were treated with the programmed cell death-1 (PD-1) inhibitor combined with P-GemoX-DEX (gemcitabine+oxaliplatin+dexamethasone+peraspartase) regimen as the first-line treatment. After 4 cycles of treatment, positron emission tomography/computed tomography (PET/CT) was used to evaluate the curative effect, and adverse reactions were also observed. The median follow-up time was 7 months. The overall response rate, complete and partial remission rate was 9/9, 6/9 and 3/9, respectively. The main adverse event was hematological toxicity, with 6 cases of grade Ⅰ/Ⅱ neutropenia, and no immune-related adverse events were reported.

回顾性分析郑州大学人民医院2019年8月至2020年8月初治Ⅲ/Ⅳ期结外NK/T细胞淋巴瘤(ENKTL)患者资料。9例患者采用了程序性死亡受体1(PD-1)抑制剂联合P-Gemox-Dex(吉西他滨+奥沙利铂+地塞米松+培门冬酶)方案作为一线治疗方案,4周期治疗结束后,采用正电子发射计算机断层扫描(PET/CT)评估疗效,并观察不良反应。9例患者中位随访时间为7个月,总有效率为9/9,完全缓解6例,部分缓解3例。主要不良事件为血液学毒性,6例患者出现Ⅰ~Ⅱ度中性粒细胞减少,未见免疫相关的不良事件。.

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Humans
  • Immune Checkpoint Inhibitors
  • Killer Cells, Natural
  • Lymphoma, Extranodal NK-T-Cell* / drug therapy
  • Neoplasm Staging
  • Positron Emission Tomography Computed Tomography
  • Retrospective Studies
  • Treatment Outcome

Substances

  • Immune Checkpoint Inhibitors