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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/2079-701X-2019-10-10-14</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-3047</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ИММУНОТЕРАПИЯ В ОНКОЛОГИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Immunotherapy in oncology</subject></subj-group></article-categories><title-group><article-title>Псевдопрогрессирование на фоне иммунотерапии</article-title><trans-title-group xml:lang="en"><trans-title>Pseudoprogression in patients on immunotherapy</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0620-2696</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Юдин</surname><given-names>Д. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Yudin</surname><given-names>D. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., старший научный сотрудник отделения клинических биотехнологий Федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр онкологии имени Н.Н. Блохина» Министерства здравоохранения Российской Федерации.</p></bio><bio xml:lang="en"><p>Cand. of Sci. (Med), Senior Researcher at the Clinical Biotechnologies Department of the Federal State Budgetary Institution «Blokhin Russian Cancer Research Center» of the Ministry of Health of the Russian Federation.</p></bio><email xlink:type="simple">yudinden@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лактионов</surname><given-names>К. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Laktionov</surname><given-names>K. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., заместитель директора по лечебной работе Научно-исследовательского института клинической онкологии, заведующий отделением химиотерапии № 1 торакоабдоминального отдела (клинических биотехнологий) Федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр онкологии имени Н.Н. Блохина» Министерства здравоохранения Российской Федерации.</p></bio><bio xml:lang="en"><p>Dr. of Sci. (Med), Deputy Director for Medical Work of the Research Institute of Clinical Oncology, Head of the Department of Chemotherapy No. 1 of the Thoracoabdominal Department (Clinical Biotechnologies) of the Federal State Budgetary Institution «Blokhin Russian Cancer Research Center» of the Ministry of Health of the Russian Federation.</p></bio><email xlink:type="simple">lkoskos@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Саранцева</surname><given-names>К. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Sarantseva</surname><given-names>K. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., врач-онколог Федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр онкологии имени Н.Н. Блохина» Министерства здравоохранения Российской Федерации.</p></bio><bio xml:lang="en"><p>Cand. of Sci. (Med), oncologist of the Federal State Budgetary Institution «Blokhin Russian Cancer Research Center» of the Ministry of Health of the Russian Federation.</p></bio><email xlink:type="simple">sarantsevaka@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бредер</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Breder</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., ведущий научный сотрудник отделения химиотерапии № 1 торакоабдоминального отдела (клинических биотехнологий) Федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр онкологии имени Н.Н. Блохина» Министерства здравоохранения Российской Федерации.</p></bio><bio xml:lang="en"><p>Dr. of Sci. (Med), Leading Researcher of the Department of Chemotherapy No. 1 of the Thoracoabdominal Department (Clinical Biotechnologies) of the Federal State Budgetary Institution «Blokhin Russian Cancer Research Center» of the Ministry of Health of the Russian Federation.</p></bio><email xlink:type="simple">vbreder@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Реутова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Reutova</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., старший научный сотрудник хирургического отделения № 13 (клинических биотехнологий) Федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр онкологии имени Н.Н. Блохина» Министерства здравоохранения Российской Федерации.</p></bio><bio xml:lang="en"><p>Cand. of Sci. (Med), Senior Researcher at the Surgical Department No. 13 (Clinical Biotechnologies) of the Federal State Budgetary Institution «Blokhin Russian Cancer Research Center» of the Ministry of Health of the Russian Federation.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Борисова</surname><given-names>О. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Borisova</surname><given-names>O. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач-онколог Федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр онкологии имени Н.Н. Блохина» Министерства здравоохранения Российской Федерации.</p></bio><bio xml:lang="en"><p>Oncologist of the Federal State Budgetary Institution «Blokhin Russian Cancer Research Center» of the Ministry of Health of the Russian Federation.</p></bio><email xlink:type="simple">dr_borisova@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ардзинба</surname><given-names>М. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Ardzinba</surname><given-names>M. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., врач-онколог, Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр онкологии имени Н.Н. Блохина» Министерства здравоохранения Российской Федерации.</p></bio><bio xml:lang="en"><p>Cand. of Sci. (Med), Oncologist, Federal State Budgetary Institution «Blokhin Russian Cancer Research Center» of the Ministry of Health of the Russian Federation.</p></bio><email xlink:type="simple">merabii@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр онкологии имени Н.Н. Блохина» Министерства здравоохранения Российской Федерации.</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Institution «Blokhin Russian Cancer Research Center» of the Ministry of Health of the Russian Federation.</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>22</day><month>06</month><year>2019</year></pub-date><volume>0</volume><issue>10</issue><fpage>10</fpage><lpage>14</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Юдин Д.И., Лактионов К.К., Саранцева К.А., Бредер В.В., Реутова Е.В., Борисова О.И., Ардзинба М.С., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Юдин Д.И., Лактионов К.К., Саранцева К.А., Бредер В.В., Реутова Е.В., Борисова О.И., Ардзинба М.С.</copyright-holder><copyright-holder xml:lang="en">Yudin D.I., Laktionov K.K., Sarantseva K.A., Breder V.V., Reutova E.V., Borisova O.I., Ardzinba M.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/3047">https://www.med-sovet.pro/jour/article/view/3047</self-uri><abstract><p>В настоящий момент растет число пациентов, получающих иммунотерапию ингибиторами контрольных точек. Вместе с этим все чаще клиницисты встречают такой клинический феномен, как псевдопрогрессирование. Рентгенологические признаки псевдопрогрессирования отсутствуют. Каждый такой случай требует индивидуального решения.</p></abstract><trans-abstract xml:lang="en"><p>Now the number of patients receiving immunotherapy with checkpoint inhibitors is growing. At the same time, clinicians increasingly encounter such a clinical phenomenon as pseudoprogression. Nowadays we have no radiological evidences of pseudoprogression. The every such case requires an individual decision.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>псевдопрогрессирование</kwd><kwd>иммунотерапия</kwd><kwd>PD-1</kwd><kwd>антиPD-1/PD-L1</kwd></kwd-group><kwd-group xml:lang="en"><kwd>pseudoprogression</kwd><kwd>immunotherapy</kwd><kwd>анти-CTLA4</kwd><kwd>анти-PD-L1</kwd><kwd>anti PD-1</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Chiou V.L., Burotto M. Pseudoprogression and Immune-Related Response in Solid Tumors. J Clin Oncol. 2015 Nov 1;33(31):3541-3.</mixed-citation><mixed-citation xml:lang="en">Chiou V.L., Burotto M. Pseudoprogression and Immune-Related Response in Solid Tumors. J Clin Oncol. 2015 Nov 1;33(31):3541-3.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Eisenhauer E.A., Therasse P., Bogaerts J. et al. New response evaluation criteria in solid tumours: revised RECIST guideline (version 1.1). Eur. J. Cancer. 2009 Januar;45(2):228–47.</mixed-citation><mixed-citation xml:lang="en">Eisenhauer E.A., Therasse P., Bogaerts J. et al. New response evaluation criteria in solid tumours: revised RECIST guideline (version 1.1). Eur. J. Cancer. 2009 Januar;45(2):228–47.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Wolchok J.D., Hoos A., Bohnsack O. et al. Guidelines for the Evaluation of Immune Therapy Activity in Solid Tumors: Immune-</mixed-citation><mixed-citation xml:lang="en">Wolchok J.D., Hoos A., Bohnsack O. et al. Guidelines for the Evaluation of Immune Therapy Activity in Solid Tumors: Immune-</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Related Response Criteria. Clin Cancer Res. 2009;15(23) December 1, 2009.</mixed-citation><mixed-citation xml:lang="en">Related Response Criteria. Clin Cancer Res. 2009;15(23) December 1, 2009.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Nishino M., Gargano M., Suda M., Ramaiya N.H., Hodi F.S. Optimizing immune-related tumor response assessment: does reducing the number of lesions impact response assessment in melanoma patients treated with ipilimumab? J Immuno ther Cancer. 2014; 2: 17. doi:10.1186/2051-1426-2-17.</mixed-citation><mixed-citation xml:lang="en">Nishino M., Gargano M., Suda M., Ramaiya N.H., Hodi F.S. Optimizing immune-related tumor response assessment: does reducing the number of lesions impact response assessment in melanoma patients treated with ipilimumab? J Immuno ther Cancer. 2014; 2: 17. doi:10.1186/2051-1426-2-17.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Nishino M. et al. Developing a common language for tumor response to immunotherapy: immune-related response criteria using unidimensional measurements. Clin Cancer Res. 2013 Jul 15;19(14):3936-43.</mixed-citation><mixed-citation xml:lang="en">Nishino M. et al. Developing a common language for tumor response to immunotherapy: immune-related response criteria using unidimensional measurements. Clin Cancer Res. 2013 Jul 15;19(14):3936-43.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Nishino M., Ramaiya N.H., Chambers E.S. et al. Immune-related response assessment during PD-1 inhibitor therapy in advanced non-small-cell lung cancer patients. J Immunother Cancer. 2016;4:84.</mixed-citation><mixed-citation xml:lang="en">Nishino M., Ramaiya N.H., Chambers E.S. et al. Immune-related response assessment during PD-1 inhibitor therapy in advanced non-small-cell lung cancer patients. J Immunother Cancer. 2016;4:84.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Seymour L., Bogaerts J., Perrone A. et al. iRECIST: guidelines for response criteria for use in trials testing immunotherapeutics. Lancet Oncol. 2017;18:e143–52.</mixed-citation><mixed-citation xml:lang="en">Seymour L., Bogaerts J., Perrone A. et al. iRECIST: guidelines for response criteria for use in trials testing immunotherapeutics. Lancet Oncol. 2017;18:e143–52.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Hodi F., Ballinger M., Lyons B. et al. Immune- Modified Response Evaluation Criteria In Solid Tumors (imRECIST): Refining Guidelines to Assess the Clinical Benefit of Cancer Immunotherapy. J Clin Oncol. 2018;36:850-858.</mixed-citation><mixed-citation xml:lang="en">Hodi F., Ballinger M., Lyons B. et al. Immune- Modified Response Evaluation Criteria In Solid Tumors (imRECIST): Refining Guidelines to Assess the Clinical Benefit of Cancer Immunotherapy. J Clin Oncol. 2018;36:850-858.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Brahmer J.R., Tykodi S.S., Chow L.Q. et al. Safety and activity of anti-PD-L1 antibody in patients with advanced cancer. N Engl J Med. 2012;366:2455–2465</mixed-citation><mixed-citation xml:lang="en">Brahmer J.R., Tykodi S.S., Chow L.Q. et al. Safety and activity of anti-PD-L1 antibody in patients with advanced cancer. N Engl J Med. 2012;366:2455–2465</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Topalian S.L., Hodi F.S., Brahmer J.R. et al. Safety, activity, and immune correlates of anti- PD-1 antibody in cancer. N Engl J Med. 2012;366:2443–2454.</mixed-citation><mixed-citation xml:lang="en">Topalian S.L., Hodi F.S., Brahmer J.R. et al. Safety, activity, and immune correlates of anti- PD-1 antibody in cancer. N Engl J Med. 2012;366:2443–2454.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Topalian S.L., Sznol M., McDermott D.F. et al. Survival, durable tumor remission, and longterm safety in patients with advanced melanoma receiving nivolumab. J Clin Oncol. 2014;32:1020–1030.</mixed-citation><mixed-citation xml:lang="en">Topalian S.L., Sznol M., McDermott D.F. et al. Survival, durable tumor remission, and longterm safety in patients with advanced melanoma receiving nivolumab. J Clin Oncol. 2014;32:1020–1030.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Wolchok J.D., Kluger H., Callahan M.K. et al. Nivolumab plus ipilimumab in advanced melanoma. N Engl J Med. 2013;369:122–133.</mixed-citation><mixed-citation xml:lang="en">Wolchok J.D., Kluger H., Callahan M.K. et al. Nivolumab plus ipilimumab in advanced melanoma. N Engl J Med. 2013;369:122–133.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Hodi F.S., Ribas A., Daud A. et al. Evaluation of immune-related response criteria (irRC) in patients (pts) with advanced melanoma (MEL) treated with the anti-PD-1 monoclonal antibody MK-3475. J Clin Oncol. 2014;(suppl 15s):32. abstr 3006.</mixed-citation><mixed-citation xml:lang="en">Hodi F.S., Ribas A., Daud A. et al. Evaluation of immune-related response criteria (irRC) in patients (pts) with advanced melanoma (MEL) treated with the anti-PD-1 monoclonal antibody MK-3475. J Clin Oncol. 2014;(suppl 15s):32. abstr 3006.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Wolchok J.D., Hamid O., Ribas A. Atypical patterns of response in patients (pts) with metastatic melanoma treated withpembrolizumab (MK-3475) in KEYNOTE-001. J Clin Oncol. 2015;33(15 supplement):3000. doi: 10.1200/jco.2015.33.15_suppl.3000.</mixed-citation><mixed-citation xml:lang="en">Wolchok J.D., Hamid O., Ribas A. Atypical patterns of response in patients (pts) with metastatic melanoma treated withpembrolizumab (MK-3475) in KEYNOTE-001. J Clin Oncol. 2015;33(15 supplement):3000. doi: 10.1200/jco.2015.33.15_suppl.3000.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Nishino M., Dahlberg S., Adeni A. et al. Tumor Response Dynamics of Advanced Non–small Cell Lung Cancer Patients Treated with PD-1 Inhibitors: Imaging Markers for Treatment Outcome. Clin Cancer Res. 2017 October 1;23(19). doi: 10.1158/1078-0432.CCR-17-1434.</mixed-citation><mixed-citation xml:lang="en">Nishino M., Dahlberg S., Adeni A. et al. Tumor Response Dynamics of Advanced Non–small Cell Lung Cancer Patients Treated with PD-1 Inhibitors: Imaging Markers for Treatment Outcome. Clin Cancer Res. 2017 October 1;23(19). doi: 10.1158/1078-0432.CCR-17-1434.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Gettinger S.N., Horn L., Gandhi L., Spigel D.R., Antonia S.J., Rizvi N.A. et al. Overall survival and long-term safety of nivolumab (Anti- Programmed Death 1 Antibody, BMS-936558, ONO-4538) in patients with previously treated advanced non-small-cell lung cancer. J Clin Oncol. 2015;33: 2004–12.</mixed-citation><mixed-citation xml:lang="en">Gettinger S.N., Horn L., Gandhi L., Spigel D.R., Antonia S.J., Rizvi N.A. et al. Overall survival and long-term safety of nivolumab (Anti- Programmed Death 1 Antibody, BMS-936558, ONO-4538) in patients with previously treated advanced non-small-cell lung cancer. J Clin Oncol. 2015;33: 2004–12.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Grierson P., Crites D., Ruzinova M. et al. Distinct Clinical and Magnetic Resonance Features of Metastatic Hepatocellular Carcinoma Treated With Pembrolizumab: A Case Report of Late Response After Pseudoprogression. Hepatology Communications. 2018;2:148-151.</mixed-citation><mixed-citation xml:lang="en">Grierson P., Crites D., Ruzinova M. et al. Distinct Clinical and Magnetic Resonance Features of Metastatic Hepatocellular Carcinoma Treated With Pembrolizumab: A Case Report of Late Response After Pseudoprogression. Hepatology Communications. 2018;2:148-151.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Sweis R., Zha Y. et al. Pseudoprogression manifesting as recurrent ascites with anti-PD-1 immunotherapy in urothelial bladder cancer. Journal for ImmunoTherapy of Cancer. 2018;6:24. doi: 10.1186/s40425-018-0334-x.</mixed-citation><mixed-citation xml:lang="en">Sweis R., Zha Y. et al. Pseudoprogression manifesting as recurrent ascites with anti-PD-1 immunotherapy in urothelial bladder cancer. Journal for ImmunoTherapy of Cancer. 2018;6:24. doi: 10.1186/s40425-018-0334-x.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Kolla B.C., Patel M.R. Recurrent pleural effusions and cardiac tamponade as possible manifestations of pseudoprogression associated with nivolumab therapy – a report of two cases. J Immunother Cancer. 2016;4:80.</mixed-citation><mixed-citation xml:lang="en">Kolla B.C., Patel M.R. Recurrent pleural effusions and cardiac tamponade as possible manifestations of pseudoprogression associated with nivolumab therapy – a report of two cases. J Immunother Cancer. 2016;4:80.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
