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Current Progress and Future Perspectives of Immune Checkpoint Inhibitors in Biliary Tract Cancer
Poshita-Kumari Seesaha1, Kang-Xin Wang2, Guo-Qun Wang2
1Department of Oncology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, 210029, People's Republic of China.
Abstract:
Biliary tract cancer (BTC) is an uncommon and aggressive neoplasm, with most patients presenting in an advanced stage. Systemic chemotherapy is the limited treatment available but is unsatisfactory, while targeted therapy is still awaiting validation from clinical trials. Given the potential effect of immune checkpoint inhibitors (ICIs) in the treatment of BTC, this review aims to summarize the evidence-based benefits and predictive biomarkers for using inhibitors of cytotoxic T-lymphocyte-associated protein-4 (CTLA-4) ligand, or programmed cell death protein-1 and its ligand (PD-1 and PD-L1) as monotherapy or combined with other anti-tumor therapies, while also pointing out certain pitfalls with the use of ICIs which need to be addressed.
Insights
Immune checkpoint inhibitors (ICIs) show promise for biliary tract cancer (BTC) treatment. This review explores their benefits, predictive biomarkers, and challenges for advanced BTC patients.
Area of Science:
- Oncology
- Immunotherapy
Background:
- Biliary tract cancer (BTC) is aggressive and often diagnosed at advanced stages.
- Current treatments like chemotherapy offer limited efficacy for BTC.
- Targeted therapies for BTC are still under clinical investigation.
Purpose of the Study:
- To review the evidence for immune checkpoint inhibitors (ICIs) in BTC treatment.
- To identify predictive biomarkers for ICI efficacy in BTC.
- To discuss the combination of ICIs with other anti-tumor therapies for BTC.
Main Methods:
- Systematic review of existing literature on ICIs for BTC.
- Analysis of data on programmed cell death protein-1 (PD-1) and cytotoxic T-lymphocyte-associated protein-4 (CTLA-4) inhibitors.
- Evaluation of predictive biomarkers and combination therapy strategies.
Main Results:
- ICIs targeting PD-1/PD-L1 and CTLA-4 demonstrate potential in treating advanced BTC.
- Specific biomarkers are being investigated to predict patient response to ICIs.
- Combination therapies involving ICIs show promise but require further validation.
Conclusions:
- Immune checkpoint inhibitors represent a potential new therapeutic avenue for biliary tract cancer.
- Further research is needed to optimize ICI use and identify predictive biomarkers.
- Addressing challenges in ICI application is crucial for improving outcomes in BTC patients.
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