Immune checkpoint inhibitors: making immunotherapy a reality for the treatment of lung cancer

Julie R Brahmer1, Drew M Pardoll

  • 1Authors' Affiliation: The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland.

Insights

Immunotherapies are now effective in non-small cell lung cancer, challenging the belief that only melanoma and renal cancers respond. This breakthrough opens doors for treating previously inaccessible cancer types with immune modulation.

Area of Science:

  • Oncology
  • Immunology
  • Cancer Research

Background:

  • Historically, only melanoma and renal cancer showed significant response to immunotherapy.
  • This led to the perception that most solid tumors were not immunogenic.
  • Immunotherapies, including biologics and vaccines, had limited success in broader cancer treatment.

Purpose of the Study:

  • To challenge the long-held notion of cancer immunogenicity.
  • To explore the potential of immune modulation in previously unresponsive cancer types.
  • To highlight the impact of recent immunotherapy advancements.

Main Methods:

  • Review of clinical responses to immunotherapies.
  • Analysis of treatment outcomes in melanoma and renal cancer.
  • Evaluation of novel immunotherapy approaches in non-small cell lung cancer.

Main Results:

  • Significant and durable responses observed in non-small cell lung cancer patients treated with PD-1 checkpoint inhibitors.
  • This success contradicts the traditional view of cancer immunogenicity.
  • Immunotherapy is now a viable treatment strategy for a wider range of cancers.

Conclusions:

  • The success of PD-1 blockade in lung cancer shatters previous beliefs about cancer immunogenicity.
  • This opens new avenues for developing immune-based therapies for diverse cancer types.
  • Immunotherapy holds promise for cancers once considered untreatable.

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