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Targeted Antibody Blocking by a Dual-Functional Conjugate of Antigenic Peptide and Fc-III Mimetics (DCAF)
Published on: September 17, 2019
Masterful Antibodies: Checkpoint Blockade
1Bristol-Myers Squibb, Biologics Discovery California, Redwood City, California. nils.lonberg@bms.com.
Abstract:
Cancer therapeutics that target the immune system rather than the cancer cell itself are becoming standard of care in a growing number of different malignancies. Although cancer immunotherapy is not a new concept, the potential importance of this class of drugs was probably not fully appreciated as recently as a decade ago when much of the focus of cancer drug discovery was on cancer cell-targeted medicines. The authors were lucky enough to be able to witness and participate in the discovery and development of ipilimumab and nivolumab, two relatively early examples of immune system-targeted drugs. The challenges associated with discovering and developing these molecules may be of historical interest and instructive for moving cancer immunotherapy forward for greater numbers of patients. Cancer Immunol Res; 5(4); 275-81. ©2017 AACR.
Insights
Cancer immunotherapy, which harnesses the immune system to fight cancer, is increasingly vital. Early successes with drugs like ipilimumab and nivolumab highlight challenges and offer lessons for future cancer treatment advancements.
Area of Science:
- Immunology
- Oncology
- Pharmacology
Background:
- Cancer immunotherapy represents a paradigm shift from traditional cancer cell-targeted therapies.
- The significance of immune system-targeted drugs was underestimated until recently.
- Early development focused heavily on cytotoxic agents targeting cancer cells directly.
Purpose of the Study:
- To provide historical context on the discovery and development of early cancer immunotherapies.
- To highlight the challenges encountered during the development of ipilimumab and nivolumab.
- To offer insights for advancing future cancer immunotherapy research and patient treatment.
Main Methods:
- Retrospective analysis of early-stage cancer immunotherapy development.
- Case study approach focusing on ipilimumab and nivolumab.
- Review of historical challenges in drug discovery and clinical translation.
Main Results:
- Ipilimumab and nivolumab emerged as pioneering immune system-targeted cancer therapeutics.
- The development journey revealed significant scientific and clinical hurdles.
- These early successes paved the way for broader adoption of immunotherapy.
Conclusions:
- Cancer immunotherapy is now a standard of care for numerous malignancies.
- Understanding the historical challenges is crucial for optimizing future immunotherapy development.
- Continued innovation in targeting the immune system promises greater patient benefit.
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