
ãã€ãã£ãŒã»ã¡ãã£ã·ã³ãæã®çæ²»çãçåçã2åã«ãããšããæ³šç®ã®ç ç©¶ãæ€å
2026幎2æ2æ¥ãNature Medicineã¯ãèºããæ£è ã®è»¢åž°ãæ¹åããæãç°¡åã§å®äŸ¡ãªæ¹æ³ãšæãããè«æãçºè¡šãããããã¯ãååŸ3æãŸã§ã«æ²»çãè¡ããšãããã®ã ã£ããLungTIME-C01詊éšã§ã¯ãé²è¡æ§éå°çްèèºããæ£è ãååäžãŸãã¯ååŸæ©ãæéã«å ç«ååŠçæ³ãåããå Žåãå šçåæéäžå€®å€ã¯28.0ã¶æã§ãããååŸ3æä»¥éã«æ²»çãåããæ£è ã®16.8ã¶æãšæ¯èŒããŠãæ»äº¡ãªã¹ã¯ã58ïŒ æžå°ãããšå ±åããããããã¯ãè¬å€ãæäžããæé垯ãå€ããã ãã§éæãããçµæã§ããã 2026幎6æ24æ¥ãNature Medicineã¯4ã¶æã®èª¿æ»ã®çµæãåèªããçµæã®å®å šæ§ã«èªä¿¡ãæãŠãªããªã£ãããšçµè«ã¥ããåœè©²è«æãæ€åããã è«æã®äž»åŒµ ClinicalTrials.govïŒNCT05549037ïŒã«ç»é²ããããã®è©Šéšã§ã¯ãé²è¡æ§NSCLCæ£è ãç¡äœçºã«å²ãä»ããPD-1å ç«ãã§ãã¯ãã€ã³ãé»å®³å€ïŒMerckã®KeytrudaãŸãã¯Innoventã®TyvytïŒãšãã©ããããŒã¹ã®ååŠçæ³ã®äœµçšãã15æä»¥åãŸãã¯ä»¥éã«æäžãããæåã®4ãµã€ã¯ã«ã¯æéæå®ããã以éã®ãµã€ã¯ã«ã¯æå®ãããªãã£ãã å ±åãããæ°å€ã¯è¡æçã ã£ãïŒ ç¡å¢æªçåæéäžå€®å€ïŒ æ©ææäžçŸ€11.3ã¶æãåŸææäžçŸ€5.7ã¶æããã¶ãŒãæ¯0.40ã墿ªãŸãã¯æ»äº¡ãªã¹ã¯60ïŒ æžã å šçåæéäžå€®å€ïŒ æ©ææäžçŸ€28.0ã¶æãåŸææäžçŸ€16.8ã¶æããã¶ãŒãæ¯0.42ã 客芳çå¥å¹çïŒ 69.5ïŒ å¯Ÿ56.2ïŒ ã ã¡ã«ããºã ççžé¢ãšããŠãæ©ææ²»ç矀ã§ã¯æã®åŸªç°CD8+ TçŽ°èæ°ãå€ããæŽ»æ§åCD8+ T现èãšç²åŒCD8+ T现èã®æ¯ãè¯å¥œã§ãããããã¯æ¢ç¥ã®å ç«æ©èœã®ãµãŒã«ãã£ã¢ã³å¶åŸ¡ãšäžèŽããŠããã ãã®è«æã¯ç¬ãéã«åœ±é¿åãç²åŸãããäž»èŠã¡ãã£ã¢ã§åãäžãããããªã³ã³ããžã¹ãã«ãã£ãŠãœãŒã·ã£ã«ã¡ãã£ã¢äžã§å®è·µãå€ããææãšããŠåŒçšãããæé垯ãå ç«çæ³ã«åœ±é¿ããããšã瀺ãåã®ååãã©ã³ãã åãšããã³ã¹ãšããŠæ³šç®ãããã äœãåé¡ã ã£ãã®ã åºçããæ°é±é以å ã«ãå±éºä¿¡å·ãæµ®äžãããDana-Farber/Harvardã®ãªã³ã³ããžã¹ãPaolo TarantinoãšUCSFã®å ç§å»Anil MakamãPubPeerããœãŒã·ã£ã«ã¡ãã£ã¢ã«æ¹å€çã³ã¡ã³ããæçš¿ããè€æ°ã®ç°åžžãææãããåèªã¯2026幎2æ19æ¥ã«ç·šéè æ³šãæ²èŒãã調æ»ãéå§ããã 調æ»ã«ãããäžé£ã®åé¡ãæããã«ãªã£ãïŒ ãããã³ã«ã®äžæŽåã ClinicalTrials.govãžã®ç»é²ã§ã¯ããšã³ããã€ã³ãã驿 Œåºæºããµã³ãã«ãµã€ãºã詊éšãã¶ã€ã³ã«è©Šéšéäžã§ã®å€§å¹ ãªå€æŽãèŠãããããããã¯äžè²«æ§ãªãå ±åãããæéãšãšãã«ä¿®æ£ãããŠãããåèè ã忬ã®ãããã³ã«ãæåºããããæ±ããããéã2022幎ä»ãã®è±èªç¿»èš³çãæåºããããããã«ã¯2023幎ãš2024幎ã«çºè¡šãããç ç©¶ãžã®åèæç®ãå«ãŸããŠããã翻蚳ããããããã³ã«ã¯æä»£é¯èª€ã ã£ããèè ãã¯ãããã管çäžã®èª€ãããšããææžåãããååãä¿®æ£æ¡ãæåºããªãã£ãã äžèªç¶ã«ããããªããŒã¿ã ç¡å¢æªçåæ²ç·ã¯ãçµ±èšåŠè ã«ãã£ãŠãåèŠæš¡ã®å€§èŠæš¡ç¬¬3çžè©Šéšã§æãäžè¬çã«èгå¯ããããã®ãããæ»ããããšè©ãããåºå®ééã®ç»åè©äŸ¡ããçããéæ®µç¶ã®äœäžãæ¬ åŠããŠããã远跡æé1幎ç®ã®æã¡åãã¯ãŒãã§ãè±èœããæ£è ã¯äžäººãããªãã£ãã詊éšå šäœãéããŠããããã®çŸ€ã§ãæå®³äºè±¡ã«ããæ²»çäžæ¢ã¯ãŒãã ã£ããåèŠæš¡ã®æ¯èŒè©Šéšã§ã¯éåžžãæå®³äºè±¡ã«ããäžæ¢çã¯çŽ4.5ïŒ ã§ãããå ç«é¢é£æå®³äºè±¡ã®çºççã¯äž¡çŸ€ã§é¡äŒŒããŠããã倧ããªæå¹æ§ã®å·®ããã£ãã«ãããããããçç©åŠçã«éå žåçãªæèŠã§ãã£ãã æ¹æ³è«çæžå¿µã ã»ãšãã©ãã¹ãŠã®æ£è ã«ãããŠãæ²»çåœæ¥ã«ã©ã³ãã åãè¡ãããŠãããããã¯äžè¬çã§ã¯ãªãæ¹æ³ã§ãã£ããCOVID-19ã«ããé å»¶ãšãµã€ã¯ã«ããŒã¹ã®ã¿ã€ãã³ã°ã«ããåºå®ã«ã¬ã³ããŒRECISTç»åã¹ã±ãžã¥ãŒã«ããã®éžè±ãããããªãäžæŽåãçã¿åºããã ç·šéè ãã¯ããããã®åé¡ã环ç©çã«éãªããçµæã®ä¿¡é Œæ§ãæãªããšçµè«ã¥ãããæ€åã¯èè ã§ã¯ãªãããžã£ãŒãã«ã®ç·šéè ã«ãã£ãŠçœ²åãããã èè ãã®åå¿ 28åã®èè ã®ãã¡17åïŒäž»èè ã®Zhe HuangãšLiang Zengãäžåžèè ã®Tony MokãFrancis LeviãChristoph ScheiermannãYongchang Zhangãå«ãïŒãæ€åã«åæããã11åã®èè ã¯ç·šéè ããã®é£çµ¡ã«å¿çããªãã£ããæ€åæç¹ã§ãæ¹åçç é¢ãäžåœåœå±ã«ããæ£åŒãªæ©é¢èª¿æ»ã¯å ¬è¡šãããŠããªãã£ãã æéæ²»çã«ãšã£ãŠã®æå³ æéæ²»çã®æŠå¿µãããªãã¡è¬ç©æäžããµãŒã«ãã£ã¢ã³ãªãºã ã«åãããŠèª¿æŽããããšã¯ãçç©åŠçã«åŠ¥åœã§ãããå ç«æ©èœã®ãµãŒã«ãã£ã¢ã³å¶åŸ¡ã¯ååã¬ãã«ã§ç¢ºç«ãããŠãããè€æ°ã®ã¬ããã¹ãã¯ãã£ãç ç©¶ããé»è²è «ã«ãããMEMOIRç ç©¶ïŒQianããLancet Oncologyã2021幎ïŒãæ°åäººã®æ£è ãããŒã«ããã¡ã¿ã¢ããªã·ã¹ãå«ããååäžã®å ç«çæ³ã®å©çã瀺åããŠããã ããããä»åã®æ€åã«ãããä»®èª¬ãæ¯æããå¯äžã®ååãã©ã³ãã å詊éšã倱ããããPaolo Tarantinoãè¿°ã¹ãããã«ããæé垯ãå ç«çæ³ã«éèŠã§ãããšããå¯äžã®ååããšããã³ã¹ã¯ãä»ã倱ããããã æã匷åãªå蚌ã¯ãããŒã¶ã³ã倧åŠç é¢ã®Solange Petersã«ãã2026幎欧å·èºçåŠäŒã§çºè¡šãããi-TIMESç ç©¶ããåŸãããŠãããããã¯3,060人ã®èºããæ£è ã察象ãšãã8ã€ã®åœéã©ã³ãã 忝èŒè©Šéšã®å€§èŠæš¡ããŒã«è§£æã§ãã£ããåŸåã¹ã³ã¢ãããã³ã°ãçšããŠå ç«ãã§ãã¯ãã€ã³ãé»å®³å€ã®æ©ææäžãšåŸææäžãæ¯èŒããçµæãi-TIMESã¯å šçåæéã«èšåºçã«æå³ã®ããå·®ãèªãããäžå€®å€17.3ã¶æïŒæ©æïŒå¯Ÿ16.1ã¶æïŒåŸæïŒã§ãé壿§ããŒãžã³ã«ããéããªãã£ãã ãã®åéã¯çŸåšãåä»ãªç«å Žã«ãããã¬ããã¹ãã¯ãã£ãããŒã¿ã«æ¯ããããçç©åŠçã«é åçãªä»®èª¬ããå¯äžã®ååãªæ€åºåãæã€ååãåæã«ãã£ãŠççŸããããŸãã«ãããããããŠä¿¡ææ§ã«æ¬ ããçµæãæã€æ€åãããç ç©¶ã«ãã£ãŠä¿¡çšã倱å¢ãããããã®ã§ããã ã¯ããå ç«çæ³ã®ããã€ãã®ååã詊éšã¯çŸåšãé²è¡äžã§ããããã®çµæã«ãããæéæ²»çãçå£ãªèšåºççåãšããŠçãæ®ãããå®éšçæ€èšŒã«èããããªãã£ããã£ãšããããã¢ã€ãã¢ã®ã«ããŽãªãŒã«è¿œãããããããæ±ºãŸãã ããã ãã¢ã¬ãã¥ãŒã®åé¡ ä»åã®æ€åã¯ããã€ã€ã³ãã¯ããžã£ãŒãã«ã«ããããã¢ã¬ãã¥ãŒã®åŠ¥åœæ§ã«é¢ããé·å¹Žã®è°è«ãåçããããTarantinoãã¯ãå±éºä¿¡å·ã§ããäžèªç¶ã«æ»ãããªçåæ²ç·ãè±èœè ãŒããæä»£é¯èª€ãªãããã³ã«ã¯ãåºçåã«çºèŠãããã¹ãã ã£ããšææãããTarantinoã¯ãééåŽåã®ç¡çµŠãã©ã³ãã£ã¢ã§ã¯ãªããæçµŠã®å°éãã¢ã¬ãã¥ã¯ãŒãæ±ãã声ãäžããçŸåšã®ã·ã¹ãã ã¯æå³çãªããŒã¿æé ãæ€åºããã«ã¯äžååã ãšäž»åŒµããŠããã é å èš³ åºå žïŒ [æ€åããŒã] Nature Medicine [âŠ]










