After transient benefit from first-line doxorubicin plus ifosfamide chemotherapy, the disease progressed despite second-line PD-1 inhibitor combined with anlotinib. Treatment was subsequently switched to cadonilimab, a PD-1/CTLA-4 bispecific antibody, in combination therapy, resulting in a progression-free survival of more than 24 months. This outcome appears encouraging compared with previously reported CCS benchmarks; however, given the single-case nature and combined treatment strategy, the specific contribution of cadonilimab should be interpreted with caution.
3 days ago
Journal
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CTLA4 (Cytotoxic T-Lymphocyte Associated Protein 4)
The TMEp phase integrated stereotactic body radiotherapy (SBRT), low-dose etoposide, and anlotinib, followed by CI with the programmed death 1 (PD-1)/cytotoxic T lymphocyte antigen 4 (CTLA-4) bispecific antibody cadonilimab and concurrent probiotic supplementation...The TMEp-CI-M platform may enhance the efficacy of immunotherapy in ES-SCLC, enabling durable responses even in patients with brainstem metastases. Although this platform has demonstrated promise across multiple tumor types, further prospective and mechanistic studies are warranted to confirm its clinical utility.
8 days ago
Journal
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PD-L1 (Programmed death ligand 1) • PD-1 (Programmed cell death 1) • CTLA4 (Cytotoxic T-Lymphocyte Associated Protein 4)
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PD-L1 negative
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Focus V (anlotinib) • etoposide IV • Kaitanni (cadonilimab)
Baseline differentially methylated fragments scores show a significant correlation with PFS, with low-risk patients demonstrating a longer median PFS compared to high-risk patients (11.4 months versus 6.9 months). Overall, first-line cadonilimab plus chemotherapy shows an encouraging efficacy with a manageable safety profile for challenging-to-treat PD-L1-negative advanced NSCLC, warranting further evaluation in controlled studies.
13 days ago
P2 data • Journal • PD(L)-1 Biomarker • IO biomarker
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CTLA4 (Cytotoxic T-Lymphocyte Associated Protein 4)
P1/2, N=36, Completed, Sun Yat-sen University | Trial completion date: Feb 2025 --> Mar 2026 | Trial primary completion date: Feb 2024 --> Mar 2026 | Active, not recruiting --> Completed
15 days ago
Trial completion • Trial completion date • Trial primary completion date
P2, N=29, Active, not recruiting, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University | Recruiting --> Active, not recruiting | Trial completion date: Oct 2027 --> Apr 2029