Strategies for Predicting Response to Checkpoint Inhibitors

Roberta Zappasodi1,2, Jedd D Wolchok1,2,3,4, Taha Merghoub5,6,7

  • 1Ludwig Collaborative and Swim Across America Laboratory, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.

Abstract

Insights

Identifying biomarkers for immune checkpoint blockade response is crucial for patient treatment. This review categorizes biomarkers into tumor-intrinsic, immune microenvironmental, host-related, and dynamic factors to predict therapy success.

Area of Science:

  • Oncology
  • Immunology
  • Biomarker Discovery

Background:

  • Immune checkpoint blockade (ICB) therapies have shown success in various cancers.
  • However, many patients exhibit primary resistance or develop acquired resistance to ICBs.
  • Understanding the molecular basis of ICB response is essential for personalized treatment strategies.

Purpose of the Study:

  • To review and categorize biomarkers associated with response to immune checkpoint blockade.
  • To provide a framework for assessing biomarkers to predict clinical outcomes.
  • To enhance the rational and personalized application of ICB therapies.

Main Methods:

  • Systematic review and classification of existing biomarkers for ICB activity.
  • Categorization into four major groups: tumor-intrinsic, immune microenvironmental, host-related, and dynamic factors.
  • Proposed model for assessing baseline and dynamic biomarkers in relation to patient outcomes.

Main Results:

  • Identified and classified key biomarkers influencing ICB response.
  • Highlighted the importance of integrating diverse biomarker types for accurate prediction.
  • Emphasized the role of both baseline and dynamic factors in determining treatment efficacy.

Conclusions:

  • Biomarker-driven stratification is critical for optimizing ICB therapy.
  • A comprehensive understanding of tumor-immune interactions and dynamics can guide personalized treatment.
  • Further research and systematic biomarker assessment will improve patient outcomes in cancer immunotherapy.

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