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Therapeutic Monoclonal Antibodies Targeting Immune Checkpoints for the Treatment of Solid Tumors
Nicholas Gravbrot1, Kacy Gilbert-Gard2, Paras Mehta3
1Division of Hematology-Oncology, Department of Medicine, University of Arizona Cancer Center, Tucson, AZ 85724, USA. ngravbrot@email.arizona.edu.
Abstract:
Recently, modulation of immune checkpoints has risen to prominence as a means to treat a number of solid malignancies, given the durable response seen in many patients and improved side effect profile compared to conventional chemotherapeutic agents. Several classes of immune checkpoint modulators have been developed. Here, we review current monoclonal antibodies directed against immune checkpoints that are employed in practice today. We discuss the history, mechanism, indications, and clinical data for each class of therapies. Furthermore, we review the challenges to durable tumor responses that are seen in some patients and discuss possible interventions to circumvent these barriers.
Insights
Immune checkpoint inhibitors, a new cancer therapy, offer durable responses with fewer side effects than chemotherapy. This review covers current antibody treatments, their challenges, and strategies for better tumor control.
Area of Science:
- Immunology
- Oncology
- Pharmacology
Background:
- Immune checkpoint modulation is a significant advancement in treating solid tumors.
- This approach offers improved patient outcomes and a better side effect profile compared to traditional chemotherapy.
Purpose of the Study:
- To review current monoclonal antibody therapies targeting immune checkpoints.
- To discuss their history, mechanisms, clinical applications, and supporting data.
- To explore challenges in achieving durable tumor responses and potential solutions.
Main Methods:
- Literature review of existing clinical data and research on immune checkpoint inhibitors.
- Analysis of monoclonal antibodies currently used in cancer treatment.
- Examination of factors limiting treatment efficacy and proposed interventions.
Main Results:
- Monoclonal antibodies targeting immune checkpoints are established cancer therapies.
- These therapies have demonstrated efficacy in various solid malignancies.
- Challenges remain in overcoming treatment resistance and enhancing durable responses.
Conclusions:
- Immune checkpoint inhibitors represent a key therapeutic strategy in oncology.
- Understanding their mechanisms and limitations is crucial for optimizing patient care.
- Further research is needed to address barriers to sustained tumor regression.
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