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Related Concept Videos

Tumor Immunotherapy01:27

Tumor Immunotherapy

1.7K
Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
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Cancer Vaccines01:30

Cancer Vaccines

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Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
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Related Experiment Video

Updated: Dec 30, 2025

In Vitro Tumor Cell Rechallenge For Predictive Evaluation of Chimeric Antigen Receptor T Cell Antitumor Function
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Challenges of evaluating immunotherapy efficacy in solid tumors.

Rilan Bai1, Wenqian Li1, Nawen Du1

  • 1Cancer Center, the First Hospital of Jilin University, Jilin 130021, China.

Chinese Journal of Cancer Research = Chung-Kuo Yen Cheng Yen Chiu
|January 18, 2020
PubMed
Summary

Immunotherapy shows promise for various cancers, leading to unique response patterns. New evaluation methods are needed to accurately assess treatment efficacy beyond tumor size, incorporating survival data for better outcomes.

Keywords:
Neoplasmsimmunotherapymilestone analysispseudoprogressionresponse evaluation criteria

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Area of Science:

  • Oncology
  • Immunology
  • Clinical Trial Methodology

Background:

  • Immunotherapy offers significant clinical benefits and durable responses across multiple tumor types.
  • Unique immune-related clinical response patterns emerge with immunotherapy, differing from cytotoxic agents.
  • Challenges exist in evaluating immunotherapy efficacy, particularly concerning tumor size and long-term survival.

Purpose of the Study:

  • To review current immune-related response criteria for evaluating immunotherapy efficacy in solid tumors.
  • To discuss the limitations of imaging-based assessments in capturing immunotherapy response heterogeneity.
  • To explore survival-based evaluation methods as complementary tools for immunotherapy trials.

Main Methods:

  • Analysis of existing immune-related Response Criteria (irRC, irRECIST, iRECIST, imRECIST).
  • Review of survival-based evaluation methods, including milestone analysis and restricted mean survival time.
  • Discussion on the identification of response patterns like pseudoprogression and hyperprogressive disease.

Main Results:

  • Current immune-related criteria can identify response heterogeneity, including pseudoprogression and hyperprogressive disease.
  • Imaging-based assessments have limitations in fully evaluating immunotherapy efficacy.
  • Survival-based methods, such as milestone analysis, complement conventional survival measures.

Conclusions:

  • Established immune-related criteria aid in assessing immunotherapy response patterns but have limitations.
  • Survival-based evaluations are valuable complementary tools for interpreting immunotherapy trial results.
  • A standardized gold-standard evaluation method is needed to improve imaging and survival-based efficacy assessment in solid tumors.