Emotional distress (ED) upfront neoadjuvant ipilimumab + nivolumab (IPI+NIVO) is associated with lower pathological response and toxicity
https://esmocongress.esmo.org
ESMO 2026
2026 年 10 月 23–27 日 · Madrid · 共 2946 条
nivolumab
★★★晚破31 人 · 37 条 · 5 篇摘要
本事件热度走势
当前热度 8·可比范围峰值 8(10月25日 00:00)·近 24 小时可比范围变化 –·当前参与者 14
纳武利尤单抗作为PD-1抑制剂的类别地位由一组已发表的III期研究奠定:在经治晚期非鳞非小细胞肺癌中,中位总生存12.2个月对多西他赛组的9.4个月(HR 0.73)[1];鳞癌人群为9.2对6.0个月(HR 0.59)[2];在初治晚期黑色素瘤中,纳武利尤单抗联合伊匹木单抗的中位PFS为11.5个月,对照伊匹木单抗单药仅2.9个月[3],BRAF野生型人群单药一年生存率72.9%对达卡巴嗪的42.1%[5];在经治晚期肾细胞癌中为25.0对19.6个月[4],铂类治疗后头颈部鳞癌中为7.5对5.1个月[6]。
本次ESMO26上该药有两条主要读数,一正一负。Chalabi报告的NICHE-2长期随访:111例局部进展期dMMR结肠癌,仅接受6周纳武利尤单抗+伊匹木单抗新辅助治疗后手术,随访5年零复发、总生存率100%,且其中不少为高危III期疾病。Necchi报告的ENERGIZE(CA017-078)III期最终结果:肌层浸润性膀胱癌(N=653)围手术期纳武利尤单抗+吉西他滨/顺铂对比单纯化疗,pCR为39.1%对29.6%但未达统计学阈值,EFS HR 0.94(p=0.67),OS HR 0.88仅为描述性,≥3级不良事件73%对56%;ctDNA清除对EFS和OS有很强预后价值,但无论基线状态还是清除与否,均未识别出从纳武利尤单抗额外获益的人群。
同一会议上还有若干含该药的数据点:HBI-8000联合纳武利尤单抗对比其单药治疗晚期黑色素瘤的III期研究,mPFS 11.7对7.4个月(HR 0.73),ORR 41.4%对32.3%(p=0.0569),但3/4级治疗相关不良事件为54.8%对17.9%,HBI-8000组有4例治疗相关死亡;INSPIRE研究中dMMR型mCRPC亚组接受纳武+伊匹后ORR 75%、PSA50 86%、中位PFS 32.7个月,但总体人群≥3级治疗相关不良事件为48%;EVOLUTION(ANZUP2001)中177Lu-PSMA-617联合纳武/伊匹对比单药,12个月rPFS 47%对23%、中位rPFS 12.0对8.5个月,代价是3-4级不良事件75%对29%、联合组治疗相关心肌炎7%,试验提前停止入组。Postow还将于10月24日以海报形式报告可切除III期黑色素瘤新辅助纳武利尤单抗+relatlimab或纳武利尤单抗+伊匹木单抗的真实世界结局,具体数据未披露。
整体看,NICHE-2把短程双免新辅助在dMMR结肠癌的获益从病理缓解层面延伸到5年零复发与100%总生存的层面;而CA017-078则表明,在未经选择的肌层浸润性膀胱癌围手术期化疗基础上叠加纳武利尤单抗,pCR的数值提升并未转化为EFS改善且毒性明显增加。局限同样清楚:NICHE-2为单臂设计、无对照组;CA017-078的OS为描述性;HBI-8000组合的ORR差异未达显著且OS未披露;EVOLUTION与其它Lu-PSMA组合数据属跨试验描述性比较,不构成任何联合方案优于VISION的证据。
- 1.Nivolumab versus Docetaxel in Advanced Nonsquamous Non-Small-Cell Lung Cancer · N Engl J Med 2015
- 2.Nivolumab versus Docetaxel in Advanced Squamous-Cell Non-Small-Cell Lung Cancer · N Engl J Med 2015
- 3.Combined Nivolumab and Ipilimumab or Monotherapy in Untreated Melanoma · N Engl J Med 2015
- 4.Nivolumab versus Everolimus in Advanced Renal-Cell Carcinoma · N Engl J Med 2015
- 5.Nivolumab in previously untreated melanoma without BRAF mutation · N Engl J Med 2015
- 6.Nivolumab for Recurrent Squamous-Cell Carcinoma of the Head and Neck · N Engl J Med 2016
Results from a phase 3 trial of neoadjuvant (neoadj) chemotherapy alone vs in combination with nivolumab followed by postsurgical adjuvant nivolumab in patients (pts) with muscle-invasive bladder cancer (MIBC)
https://esmocongress.esmo.orgFinal pathological and radiological outcomes and initial EFS from a blinded, exploratory phase 2 trial of nivolumab ± visugromab in MIBC (GDFather-NEO)
https://esmocongress.esmo.orgPrimary analysis of HBI-8000-303: A randomized phase 3 trial of nivolumab plus HBI-8000 or placebo in advanced melanoma
https://esmocongress.esmo.org- **标题 / Title:** Efficacy of Tedopi Plus Docetaxel or Tedopi Plus Nivolumab as Second-line Therapy in Metastatic Non-small-cell Lung Cancer Progressing After First-line Chemo-immunotherapy (Combi-TED)
https://esmocongress.esmo.orgNicholas Hornstein@GIMedOnc Dra. María Natalia Gandur Quiroga@nataliagandur Dra. María Natalia Gandur Quiroga@nataliagandur OncoAlert@OncoAlert Yüksel Ürün@DrYukselUrun 引用@📢 #ESMO26 concomitant paper - Neoadjuvant nivolumab + gem/cis followed by postsurgical adjuvant nivolumab vs neoadjuvant gem/cis in pts with muscle-invasive bladder cancer: final results from the phase III CA017-078 trial. 🔗https://shorturl.at/XxETb @sonpavde @AndreaNecchi
Annals of Oncology@Annals_Oncology UT MD Anderson@UTMDAnderson Sara Coca Membribes@scocmem Mario Balsa@MarioBalsaMD Memorial Sloan Kettering Cancer Center@MSKCancerCenter Julian Chavarriaga@chavarriagaj ATarhiniMDPhD@ATarhiniMDPhD Dra. María Natalia Gandur Quiroga@nataliagandur 引用@OncoAlert 4Sight Abstracts to be Presented at #ESMO26 Results From a Phase 3 Trial of Neoadjuvant Chemotherapy Alone vs in Combination With Nivolumab Followed by Postsurgical Adjuvant Nivolumab in Patients With Muscle-Invasive Bladder Cancer (MIBC) 🔬 Phase 3 (n=653): neoadjuvant nivolumab + gemcitabine/cisplatin then adjuvant nivolumab vs neoadjuvant GC in MIBC. Primary endpoints: EFS and pCR. ➡️ EFS HR 0.94 (95.74% CI 0.71–1.25); P=0.67 ➡️ pCR 39.1% vs 29.6%; OR 1.54 (99.91% CI 0.88–2.69) ➡️ OS immature: HR 0.88 (0.64–1.21); grade ≥3 TRAEs 45.9% vs 49.5% ✅ No statistically significant differences in EFS or pCR; safety of nivolumab + GC consistent with the individual agents. 🎙️ Andrea Necchi (4Sight Made from Abstracts publicly available at the ESMO website) Pinging Our Faculty @DrChoueiri, @tompowles1, @apolo_andrea, @neerajaiims, @montypal, @Silke_Gillessen, @AOmlin, @brian_rini, @PGrivasMDPhD, @TiansterZhang, @amerseburger, @DrDanielHeng, @HHammersMD, @scocmem, @AndreaNecchi, @AmandaNizamMD, @drenriquegrande, @nataliagandur, @AlbigesL, @cdanicas, @declangmurphy, @seanmmcbride, @shilpaonc, @DrRanaMcKay, @scserendipity1, @DrYukselUrun, @ravikanesvaran, @BraunMDPhD, @EfstathiouEleni, @mzugman, @crisbergerot, @niklas_kluemper @Markuseckstein3
AACR@AACR Stephen V Liu, MD@StephenVLiu AACR 2026 现场信号@ Annals of Oncology@Annals_Oncology OncoDaily IO@OncoDailyIO Martin ZapataLaguado@zapatalaguadomd LUNGevity Foundation@LUNGevity Raffaele Di Giacomo, PhD@sciqst #AACR26 上关于利用基因组标记物和 ctDNA 理解 nivolumab 治疗 NSCLC 疗效的洞见令人着迷。这可能对制定肿瘤学个性化治疗策略具有重大意义。我很好奇这些发现将如何影响未来
ScienceLink@sciencelinkonco CancerTherapyAdvisor@CancerTherAdvsr Marco A@aurelioassad Martin ZapataLaguado@zapatalaguadomd ScienceLink@sciencelinkonco OncoDaily IO@OncoDailyIO Juan Pablo Rojas Manrique@JPRojasUroOnco AACR 官方会议报道 Clinical Trial Results: Intralesional Nivolumab for Precancerous Oral Lesions
Phase I trial led by Moran Amit (MD Anderson): direct nivolumab injection shrank treated lesions by about 60% on average in 25 of 29 patients, spared surgery, and kept 82.13% of lesions cancer-free at 12 months.
同题 nivolumab · 28 人还没有互动Sidney Kimmel Comprehensive Cancer Center@KimmelCancerCtr