Enhancing anti-tumour efficacy with immunotherapy combinations.


Journal

Lancet (London, England)
ISSN: 1474-547X
Titre abrégé: Lancet
Pays: England
ID NLM: 2985213R

Informations de publication

Date de publication:
13 03 2021
Historique:
received: 19 02 2020
revised: 11 08 2020
accepted: 24 08 2020
pubmed: 8 12 2020
medline: 12 11 2021
entrez: 7 12 2020
Statut: ppublish

Résumé

Several tumour types are responsive to immunotherapy, as shown by regulatory approvals for immune checkpoint inhibitors. However, many patients either do not respond or do not have durable clinical benefit. Thus, there is great interest in developing predictors of response to immunotherapy and rational combination therapies that can enhance efficacy by overcoming primary and acquired resistance. In this Review, we provide an assessment of immunotherapy response biomarkers that can identify patients who will benefit from monotherapy rather than from combinations. We review the rationale for combination therapy and different strategies, including combinations with chemotherapy, targeted therapy, radiation therapy, intratumoural therapies, other immunomodulators, and adaptive cell therapy, including chimeric antigen T-cell receptors and other novel T-cell receptor-based therapies. There are many combination partners in development; therefore, a programmatic approach is needed to develop a framework for biomarker-driven combination therapy selection.

Identifiants

pubmed: 33285141
pii: S0140-6736(20)32598-8
doi: 10.1016/S0140-6736(20)32598-8
pii:
doi:

Substances chimiques

Antineoplastic Agents, Immunological 0
Biomarkers, Tumor 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1010-1022

Informations de copyright

Copyright © 2021 Elsevier Ltd. All rights reserved.

Auteurs

Funda Meric-Bernstam (F)

Department of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. Electronic address: fmeric@mdanderson.org.

James Larkin (J)

Cancer Services, Royal Marsden NHS Foundation Trust, London, UK.

Josep Tabernero (J)

Medical Oncology Department, Vall d'Hebron Institute of Oncology, Barcelona, Spain.

Chiara Bonini (C)

Experimental Hematology Unit, Vita-Salute San Raffaele University, Milan, Italy; Experimental Hematology Unit, IRCCS Ospedale San Raffaele Scientific Institute, Milan, Italy.

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Classifications MeSH