선택지 정리됨

메르켈세포암: 국가별 치료 선택지

이 페이지는 한국어 임상 치료 설명을 새로 쓰지 않습니다. 권위 출처, 진료 전 정리 질문, 임상시험 검색어, 구축 상태를 보여주는 안전한 시작점입니다.

선택지 정리됨고형암최종 확인 2026.06

국가별 선택지

국가별 치료 선택지

공식 규제·평가 기관 출처를 바탕으로 한 국가별 승인·접근 상태입니다. 무엇이 어디에 존재하는지를 보여줄 뿐, 추천이 아닙니다.

European Union

  • Avelumab (Bavencio)[1]EMA authorisedNo biomarker requirement stated in fetched EMA Bavencio page; Adult metastatic Merkel cell carcinoma. · EMA central authorization does not establish reimbursement or availability in Germany, France, or other EU member states. No claim is made for localized MCC or pediatric use in the EU from this fetched source. Confidence/conflicts: High for EMA authorization text; member-state access remains a gap.

United Kingdom

  • Avelumab (Bavencio)[2]ApprovedNo biomarker requirement stated in fetched NICE recommendation; Adults with untreated metastatic MCC who have not had chemotherapy for metastatic disease; post-chemotherapy routine NHS availability noted by NICE. · NICE recommendation is an England/Wales NHS appraisal context and includes a commercial arrangement. It does not establish MHRA label wording, Scotland/Northern Ireland status, or individual suitability. Confidence/conflicts: High for NICE recommendation text; devolved UK and MHRA label specifics remain active gaps.

출처

  1. European Medicines Agency (EMA) — regulator EPAR · regulator EPAR
  2. NICE — technology appraisal recommendation · technology appraisal recommendation

위 내용은 공식 규제·접근 상태일 뿐, 의학적 조언이나 추천이 아니고, 적격성을 판단하지도 않습니다. 어떤 선택지가 적합한지는 환자의 상황과 종양내과 팀에 달려 있습니다. 규제 상태는 바뀔 수 있으니 표시된 출처에서 확인하세요. 임상 세부 내용은 영문이 정본입니다. 최종 확인 2026.06.

승인된 치료 너머

임상시험 및 신흥 선택지

환자가 거주하는 국가에서 아직 승인된 표준 치료가 아닌 선택지입니다 — 연구, 임상시험, 허가 외 사용, 담당 종양내과 의사가 먼저 언급하지 않을 수 있는 초기 근거입니다. 각 항목은 근거의 강도에 따라 구분됩니다. 여기에 실린 항목은 조사하고 의료진과 상의할 정보일 뿐, 효과가 입증되었거나 안전하거나 현재 이용 가능하다는 의미가 아닙니다. 임상 세부 내용은 영문이 정본입니다.

임상시험 진행 중

  • Immune checkpoint inhibitors including avelumab (Bavencio), pembrolizumab (Keytruda), retifanlimab-dlwr (Zynyz); surgery; radiation therapy; chemotherapy; palliative surgery/radiation임상시험임상시험InvestigationalUnited States · Merkel cell polyomavirus (MCPyV) and PD-L1 status discussed by NCI as biologic/evidence context; no biomarker required in fetched FDA approval notices; Advanced MCC first-line systemic context; recurrent locally advanced or metastatic MCC; metastatic MCC; neoadjuvant/adjuvant immunotherapy under clinical evaluation. · NCI PDQ is an evidence summary, not a payer source. FDA accelerated approvals may depend on ongoing confirmatory evidence. This finding does not establish individual eligibility, toxicity suitability, or sequencing among checkpoint inhibitors. Confidence/conflicts: High for U.S. evidence-summary and approvals; accelerated-approval and payer details remain caveats. DailyMed / U.S. FDA label — official drug label
  • Pembrolizumab; avelumab; AZD6750; rilvegostomig; INCB099280임상시험 · NCT07302347임상시험Trial only (registry)Japan · MSI-H/dMMR and PD-L1 amplification apply to selected broad solid-tumor cohorts; no MCC biomarker requirement stated for Japan pembrolizumab or avelumab records; Japanese adult MCC; metastatic MCC in JAVELIN Merkel 200; advanced/metastatic solid tumors including MCC. · Registry records do not establish PMDA approval, reimbursement, routine access, or individual eligibility. Broad solid-tumor studies do not prove MCC-specific enrollment at every Japan site. Some studies are completed or active only in specific cohorts. Confidence/conflicts: High for Japan registry-listed MCC-related studies; local approval/access unverified. ClinicalTrials.gov — clinical-trial registry
  • Navtemadlin (KRT-232) with or without anti-PD-1/anti-PD-L1 therapy including avelumab; AZD6750 plus rilvegostomig; MDNA11 plus pembrolizumab임상시험 · NCT03787602임상시험Trial only (registry)Korea · MSI-H, dMMR, or high tumor mutational burden may apply to some broad IL-2 study cohorts; no MCC-specific biomarker requirement stated in KRT-232/avelumab record; MCC; advanced or metastatic solid tumors including MCC; advanced/unresectable solid tumor cohorts including MCC. · Registry records do not establish MFDS approval, reimbursement, routine access, or individual eligibility. Some study statuses are unknown or active-not-recruiting at South Korea sites. Confidence/conflicts: High for Korea registry-listed MCC activity; regulator/access status unverified. ClinicalTrials.gov — clinical-trial registry
  • Cosibelimab (CK-301)임상시험 · NCT03212404임상시험Trial only (registry)Thailand · No biomarker requirement stated in fetched cosibelimab record for MCC cohort; Advanced cancers including Merkel cell carcinoma. · This is a broad advanced-cancer phase 1 record and does not establish MCC-specific enrollment at each Thailand or Russia site. It does not establish Thai FDA or Russian regulator approval, reimbursement, routine access, or current enrollment. Confidence/conflicts: Medium-high for Thailand/Russia broad advanced-cancer registry activity including MCC; MCC-specific site enrollment and local access unverified. ClinicalTrials.gov — clinical-trial registry

임상시험이나 초기 보고에 실렸다는 것은 해당 선택지가 연구되고 있다는 의미일 뿐, 효과가 있거나 특정 환자에게 안전하거나 현재 등록 가능하다는 뜻은 아닙니다. 어떤 선택지가 적합한지는 담당 종양내과 팀과 임상시험 팀이 함께 상의할 문제입니다. 최종 확인 2026.06.

현재 제공

국가별 선택지를 정리합니다

국가별로 출처가 연결된 선택지와 함께, 진단명·단계·검사 결과·진료과·임상시험 검색어를 정리합니다.

아직 하지 않음

치료 선택을 지시하지 않습니다

이 페이지는 치료 순위, 권장, 적합성 판단을 하지 않습니다.

출처

공신력 있는 출처 기반

모든 선택지는 규제·평가·지침 등 공신력 있는 출처에 연결되며, 새 출처가 검증되면 계속 확장됩니다.

진료 전 정리할 정보

  • Is the MCC localized, stage III, recurrent locally advanced, or metastatic?
  • Is systemic treatment being considered as first-line, after prior therapy, or in a clinical-trial setting?
  • Which checkpoint inhibitor is approved or accessible through the treating center and payer?
  • Is the MCC metastatic and is the patient an adult under the EMA indication?

임상시험 검색어