PD-1 and PD-L1 inhibitors in oesophago-gastric cancers

Tugba Akin Telli1, Giacomo Bregni1, Silvia Camera1

  • 1Gastrointestinal Unit, Department of Medical Oncology, Institut Jules Bordet - Université Libre de Bruxelles (ULB), Brussels, Belgium.

Cancer Letters
|November 1, 2019
PubMed

Insights

Immune checkpoint inhibitors (ICIs) show promise for oesophago-gastric cancers (OGCs). Research is exploring their use in various settings and combinations to improve patient outcomes for these aggressive tumours.

Area of Science:

  • Oncology
  • Immunotherapy

Background:

  • Oesophago-gastric cancers (OGCs) are aggressive malignancies with limited treatment options.
  • While advancements in chemotherapy and targeted therapy have improved survival, novel approaches are needed.
  • Immune checkpoint inhibitors (ICIs) represent a promising new frontier in cancer treatment.

Purpose of the Study:

  • To discuss the biological rationale for using ICIs in OGCs.
  • To review current data on PD-1 and PD-L1 monoclonal antibodies in OGC treatment.
  • To present ongoing clinical trials that may shape future OGC therapy.

Main Methods:

  • Review of biological mechanisms underlying ICI efficacy in OGC.
  • Analysis of clinical trial data for PD-1 and PD-L1 inhibitors in OGC.
  • Summary of ongoing and future clinical trials involving ICIs in OGC.

Main Results:

  • ICIs have demonstrated efficacy in refractory OGC settings, with regulatory approval in some regions.
  • Evidence supports the potential benefit of modulating the anti-cancer immune response in OGC patients.
  • Ongoing trials are investigating ICIs in early-stage disease and combination therapies.

Conclusions:

  • ICIs are emerging as a significant treatment modality for oesophago-gastric cancers.
  • Further research and clinical trials are crucial to optimize ICI use and combination strategies.
  • ICIs hold the potential to transform the treatment landscape for OGC patients.

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