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Updated: Dec 12, 2025

Intramucosal Inoculation of Squamous Cell Carcinoma Cells in Mice for Tumor Immune Profiling and Treatment Response Assessment
Published on: April 22, 2019
Immuno-oncology for esophageal cancer
1Department of Head & Neck Medical Oncology/Department of Gastrointestinal Medical Oncology, National Cancer Center Hospital, Tokyo, Japan.
Abstract:
Esophageal cancer (EC) is the seventh most common cancer, with a poor prognosis for metastatic EC patients and limited effective drugs for treatment. Nivolumab and pembrolizumab, monoclonal antibodies that inhibit interactions of PD-1 and its ligand (PD-L1), which induce lymphocyte activation, have antitumor activity. The ATTRACTION-3 trial compared nivolumab with taxane after first-line chemotherapy and demonstrated superior overall survival (OS) for esophageal squamous cell carcinoma. The KEYNOTE-181 trial that compared pembrolizumab with chemotherapy demonstrated superior OS for EC with a PD-L1 combined positive score ≥10. Trials to evaluate efficacy of combined cytotoxic agents and immune checkpoint inhibitors (ICI) as first-line chemotherapies, ICI-containing chemoradiotherapy, and pre/postoperative chemotherapy are ongoing and might provide important data to improve clinical outcomes.
Insights
Immune checkpoint inhibitors like nivolumab and pembrolizumab show promise for advanced esophageal cancer. These therapies improve overall survival in specific patient groups, offering new treatment avenues.
Area of Science:
- Oncology
- Immunotherapy
Background:
- Esophageal cancer (EC) has a poor prognosis, especially in metastatic stages, with limited treatment options.
- Immune checkpoint inhibitors targeting PD-1/PD-L1 pathways demonstrate antitumor activity by activating lymphocytes.
Purpose of the Study:
- To review the efficacy of immune checkpoint inhibitors (ICIs) in esophageal cancer treatment.
- To highlight the impact of PD-1 inhibitors on overall survival (OS) in esophageal cancer patients.
Main Methods:
- Analysis of clinical trial data, including the ATTRACTION-3 and KEYNOTE-181 trials.
- Comparison of ICI efficacy against standard treatments like taxane and chemotherapy.
Main Results:
- The ATTRACTION-3 trial showed superior OS for nivolumab versus taxane in esophageal squamous cell carcinoma.
- The KEYNOTE-181 trial demonstrated superior OS for pembrolizumab in EC with PD-L1 expression (≥10).
Conclusions:
- Nivolumab and pembrolizumab offer improved survival for specific esophageal cancer populations.
- Ongoing trials are investigating combination therapies and neoadjuvant/adjuvant approaches with ICIs for better clinical outcomes.
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