Finding predictive factors for immunotherapy in metastatic renal-cell carcinoma: What are we looking for?

Annalisa Guida1, Roberto Sabbatini2, Lara Gibellini3

  • 1Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy; Medical Oncology, Azienda Ospedaliera Santa Maria, Terni, Italy.

Cancer Treatment Reviews
|February 19, 2021
PubMed

Insights

Immune checkpoint inhibitors show promise for metastatic renal cell carcinoma (mRCC) by restoring T-cell responses. This review explores immune biomarkers to predict and enhance patient benefits from immunotherapy.

Area of Science:

  • Oncology
  • Immunology
  • Biomarkers

Background:

  • Monoclonal antibodies targeting immune checkpoint proteins represent a breakthrough in cancer immunotherapy.
  • These therapies have shown significant antitumor activity and efficacy in metastatic renal cell carcinoma (mRCC).
  • Immune checkpoint inhibitors restore anti-tumour T-cell responses, improving survival and response rates in many mRCC patients.

Purpose of the Study:

  • To review immune biomarkers for predicting response to immunotherapy in mRCC patients.
  • To identify strategies for increasing the number of patients who benefit from immune checkpoint therapy.
  • To address the challenge of non-response in a subset of mRCC patients.

Main Methods:

  • Literature review of studies on immune biomarkers in mRCC treated with immunotherapy.
  • Synthesis of data on predictive and prognostic immune markers.
  • Analysis of factors influencing clinical benefit from immune checkpoint inhibitors.

Main Results:

  • Immune checkpoint inhibitors offer significant clinical benefits for a majority of mRCC patients.
  • A subset of patients does not respond to current immunotherapy regimens.
  • Various immune biomarkers are being investigated for their potential to predict treatment response.

Conclusions:

  • Predictive immune biomarkers are crucial for optimizing immunotherapy in mRCC.
  • Further research is needed to identify reliable biomarkers for patient stratification.
  • Personalizing immunotherapy based on immune profiles may enhance long-term clinical benefits for mRCC patients.

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