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Potentiation of Anticancer Antibody Efficacy by Antineoplastic Drugs: Detection of Antibody-drug Synergism Using the Combination Index Equation
Published on: January 19, 2019
Combining immunotherapy and targeted therapies in cancer treatment
Matthew Vanneman1, Glenn Dranoff
1Department of Medical Oncology and Cancer Vaccine Center, Dana-Farber Cancer Institute and Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts 02215, USA.
Abstract:
During the past two decades, the paradigm for cancer treatment has evolved from relatively nonspecific cytotoxic agents to selective, mechanism-based therapeutics. Cancer chemotherapies were initially identified through screens for compounds that killed rapidly dividing cells. These drugs remain the backbone of current treatment, but they are limited by a narrow therapeutic index, significant toxicities and frequently acquired resistance. More recently, an improved understanding of cancer pathogenesis has given rise to new treatment options, including targeted agents and cancer immunotherapy. Targeted approaches aim to inhibit molecular pathways that are crucial for tumour growth and maintenance; whereas, immunotherapy endeavours to stimulate a host immune response that effectuates long-lived tumour destruction. Targeted therapies and cytotoxic agents also modulate immune responses, which raises the possibility that these treatment strategies might be effectively combined with immunotherapy to improve clinical outcomes.
Insights
Cancer treatment has shifted from cytotoxic agents to targeted therapies and immunotherapy. Combining these approaches may improve patient outcomes by enhancing immune responses against tumors.
Area of Science:
- Oncology
- Immunology
- Pharmacology
Background:
- Cancer treatment has evolved from non-specific cytotoxic agents to targeted therapies and immunotherapy.
- Traditional chemotherapy has limitations including toxicity and resistance.
- Newer approaches leverage a deeper understanding of cancer biology.
Purpose of the Study:
- To review the evolution of cancer treatment paradigms.
- To discuss targeted agents and cancer immunotherapy.
- To explore the potential of combining treatment strategies.
Main Methods:
- Literature review of cancer treatment evolution.
- Analysis of targeted therapy mechanisms.
- Examination of immunotherapy principles.
- Discussion of drug interactions and immune modulation.
Main Results:
- Cancer treatment has progressed to mechanism-based therapeutics.
- Targeted therapies inhibit crucial tumor pathways.
- Immunotherapy stimulates anti-tumor immune responses.
- Cytotoxic agents and targeted therapies influence immune systems.
Conclusions:
- Combination therapies integrating targeted agents, cytotoxic drugs, and immunotherapy hold promise.
- Modulation of immune responses by current treatments suggests synergistic potential.
- Further research into combination strategies may improve clinical outcomes in cancer care.
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