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Identifying PD-1/PD-L1 Inhibitors with Surface Plasmon Resonance Technology
Published on: May 2, 2025
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.
Abstract:
Oesophago-gastric cancers (OGCs) are aggressive tumours. While better peri-operative strategies, increased number of cytotoxic agents and availability of targeted therapies have improved survival, there remains an unmet need for novel treatment approaches. Immune checkpoint inhibitors (ICIs) have marked a new era in cancer management with unprecedented results in several malignancies. Although OGC lagged behind other solid tumours, evidence has increasingly accumulated supporting the contention that modulation of the anti-cancer host immune response may be beneficial for at least some patients. Many trials have been completed in Eastern and Western countries, some of these leading to the approval of ICIs in the refractory setting, and favorable opinion from regulatory agencies is expected also in treatment-naïve, advanced OGC. Furthermore, studies are evaluating ICIs in the early stage setting and exploring the potential of combination treatments. In this article we discuss the biological bases underlying the successful development of ICIs in OGC and review the available data on PD-1 and PD-L1 monoclonal antibodies in this disease. Also, we present ongoing clinical trials of these ICIs that could shape the future treatment landscape of OGC.
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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