Cancer immunotherapy: Opportunities and challenges in the rapidly evolving clinical landscape.
Identifieur interne : 001054 ( Main/Curation ); précédent : 001053; suivant : 001055Cancer immunotherapy: Opportunities and challenges in the rapidly evolving clinical landscape.
Auteurs : Leisha A. Emens [États-Unis] ; Paolo A. Ascierto [Italie] ; Phillip K. Darcy [Australie] ; Sandra Demaria [États-Unis] ; Alexander M M. Eggermont [France] ; William L. Redmond [États-Unis] ; Barbara Seliger [Allemagne] ; Francesco M. Marincola [Qatar]Source :
- European journal of cancer (Oxford, England : 1990) [ 1879-0852 ] ; 2017.
Descripteurs français
- KwdFr :
- MESH :
- antagonistes et inhibiteurs : Antigène CTLA-4, Récepteur-1 de mort cellulaire programmée.
- traitement médicamenteux : Tumeurs.
- usage thérapeutique : Antinéoplasiques.
- Association thérapeutique, Humains, Immunothérapie, Thérapie moléculaire ciblée.
English descriptors
- KwdEn :
- MESH :
- chemical , antagonists & inhibitors : CTLA-4 Antigen, Programmed Cell Death 1 Receptor.
- chemical , therapeutic use : Antineoplastic Agents.
- drug therapy : Neoplasms.
- methods : Immunotherapy, Molecular Targeted Therapy.
- Combined Modality Therapy, Humans.
Abstract
Cancer immunotherapy is now established as a powerful way to treat cancer. The recent clinical success of immune checkpoint blockade (antagonists of CTLA-4, PD-1 and PD-L1) highlights both the universal power of treating the immune system across tumour types and the unique features of cancer immunotherapy. Immune-related adverse events, atypical clinical response patterns, durable responses, and clear overall survival benefit distinguish cancer immunotherapy from cytotoxic cancer therapy. Combination immunotherapies that transform non-responders to responders are under rapid development. Current challenges facing the field include incorporating immunotherapy into adjuvant and neoadjuvant cancer therapy, refining dose, schedule and duration of treatment and developing novel surrogate endpoints that accurately capture overall survival benefit early in treatment. As the field rapidly evolves, we must prioritise the development of biomarkers to guide the use of immunotherapies in the most appropriate patients. Immunotherapy is already transforming cancer from a death sentence to a chronic disease for some patients. By making smart, evidence-based decisions in developing next generation immunotherapies, cancer should become an imminently treatable, curable and even preventable disease.
DOI: 10.1016/j.ejca.2017.01.035
PubMed: 28623775
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pubmed:28623775Le document en format XML
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<front><div type="abstract" xml:lang="en">Cancer immunotherapy is now established as a powerful way to treat cancer. The recent clinical success of immune checkpoint blockade (antagonists of CTLA-4, PD-1 and PD-L1) highlights both the universal power of treating the immune system across tumour types and the unique features of cancer immunotherapy. Immune-related adverse events, atypical clinical response patterns, durable responses, and clear overall survival benefit distinguish cancer immunotherapy from cytotoxic cancer therapy. Combination immunotherapies that transform non-responders to responders are under rapid development. Current challenges facing the field include incorporating immunotherapy into adjuvant and neoadjuvant cancer therapy, refining dose, schedule and duration of treatment and developing novel surrogate endpoints that accurately capture overall survival benefit early in treatment. As the field rapidly evolves, we must prioritise the development of biomarkers to guide the use of immunotherapies in the most appropriate patients. Immunotherapy is already transforming cancer from a death sentence to a chronic disease for some patients. By making smart, evidence-based decisions in developing next generation immunotherapies, cancer should become an imminently treatable, curable and even preventable disease.</div>
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