Current and future drug combination strategies based on programmed death-1/programmed death-ligand 1 inhibitors in

Ying Cheng1, Hui Li2, Liang Zhang1

  • 1Department of Thoracic Oncology, Jilin Cancer Hospital, Changchun, Jilin 130012, China.

Insights

Immune checkpoint inhibitors (ICIs) show promise in lung cancer but have limitations. Combination immunotherapy strategies are being explored to improve efficacy and expand benefits for non-small cell lung cancer (NSCLC) patients.

Area of Science:

  • Oncology
  • Immunotherapy
  • Pulmonology

Background:

  • Immune checkpoint inhibitors (ICIs) have revolutionized lung cancer treatment, particularly for non-small cell lung cancer (NSCLC).
  • Monotherapy with programmed death-1 (PD-1) or programmed death-ligand 1 (PD-L1) inhibitors has shown success but has limitations, including restricted population benefits and hyperprogressive disease.
  • These limitations necessitate the exploration of novel therapeutic strategies to enhance treatment outcomes.

Purpose of the Study:

  • To review the current progress and future directions of immune checkpoint inhibitor (ICI) combination therapies in non-small cell lung cancer (NSCLC).
  • To provide an overview of various combination strategies being investigated to improve immunotherapy efficacy.
  • To highlight the evolving landscape of lung cancer treatment through combination approaches.

Main Methods:

  • Review of recent clinical studies and research on ICI combination therapies for NSCLC.
  • Analysis of different combination strategies, including chemotherapy, anti-angiogenic therapy, and other targeted agents.
  • Synthesis of current data on the efficacy and application of these combined treatments.

Main Results:

  • Combination immunotherapies are being actively evaluated to overcome the limitations of monotherapy.
  • Strategies include combining PD-1/PD-L1 inhibitors with chemotherapy, anti-angiogenic agents, cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) inhibitors, and radiotherapy.
  • Emerging combinations with novel targeted drugs are also under investigation.

Conclusions:

  • Combination immunotherapy holds significant potential to expand the benefits of immunotherapy in NSCLC.
  • Further research and clinical evaluation are crucial to optimize these combination strategies.
  • These advancements aim to improve treatment efficacy and address unmet clinical needs in advanced lung cancer.

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