食管癌免疫检查点抑制剂临床应用专家共识

标题: 食管癌免疫检查点抑制剂临床应用专家共识
title: Expert Consensus on Immune Checkpoint Inhibitors for for Esophageal Cancer
版本: 原创版
version: Original
分类: 专家共识
classification: Experts consensus
领域: 治疗
field: Treatment
国家和地区: 中国
Country and region: China
指南使用者: 从事食管癌治疗的各级医务工作者
Guide users: Healthcare personnel at all levels involved in treatment of esophageal cancer.
证据分级方法: GRADE System
Evidence grading method: GRADE System
制定单位: 中国抗癌协会食管肿瘤整合康复专业委员会
Formulating unit: China Anti-cancer Association Esophageal Tumor Integration Rehabilitation Professional Committee
注册时间: 2024-02-29
Registration time:
注册编号: PREPARE-2024CN333
Registration number:
指南制订的目的: 食管癌是全球范围内常见的恶性肿瘤之一,2020年全球有超过60万例的新发食管癌。其中,53%的新发食管癌病例和55.3%的食管癌死亡病例发生在中国。根据国家癌症中心发布2022年中国恶性肿瘤疾病负担情况显示,食管癌发病率和死亡率在我国恶性肿瘤中分居第七和第五位。随着免疫治疗的发展,免疫检查点抑制剂(ICIs),尤其是程序性死亡分子-1(PD-1)/程序性死亡分子配体-1(PD-L1)抗体对食管癌显示出良好的疗效,并在食管癌二线治疗到一线免治疗再到围手术期治疗中,多项临床试验证实了ICIs的疗效与安全性,逐步改写食管癌的治疗格局。 随着越来越多的ICIs在国内获批食管癌适应证,中国抗癌协会食管肿瘤整合康复专业委员会牵头,组织该领域的专家,参考最新国内外文献、临床研究数据及系统评价,在专家共同讨论的基础上,达成统一意见并制定本共识,为国内同行更好地应用ICIs治疗食管癌提供参考意见。
Purpose of the guideline: Esophageal cancer is one of the common malignant tumors in the world. In 2020, there will be more than 600,000 new cases of esophageal cancer in the world. Among them, 53% of new cases of esophageal cancer and 55.3% of esophageal cancer deaths occurred in China. According to the cancer burden of China in 2022 released by the National Cancer Center, the incidence and mortality of esophageal cancer ranked seventh and fifth among malignant tumors in China. With the development of immunotherapy, immune checkpoint inhibitors (ICIs), especially programmed death molecule-1 (PD-1)/programmed death molecule ligand -1(PD-L1) antibody, have shown good curative effect on esophageal cancer. In the second-line treatment of esophageal cancer, from first-line exemption treatment to perioperative treatment, many clinical trials have confirmed the efficacy and safety of ICIs, gradually rewriting the treatment pattern of esophageal cancer. With more and more ICIs being approved for indications of esophageal cancer in China, the Professional Committee of Integrated Rehabilitation of Esophageal Cancer of China Anti-Cancer Association took the lead in organizing experts in this field, referring to the latest domestic and foreign literature, clinical research data and systematic evaluation, and on the basis of experts' joint discussion, reaching a unified opinion and formulating this consensus, so as to provide reference for domestic colleagues to better apply ICIs to treat esophageal cancer.