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Immunotherapy for gastric cancer: a 2021 update
Christo Kole1, Nikolaos Charalampakis2, Sergios Tsakatikas2
1First Department of Surgery, National & Kapodistrian University of Athens, Laikon General Hospital, Athens, 115 27, Greece.
Abstract:
Gastric cancer, the fifth most frequent cancer and the fourth leading cause of cancer deaths, accounts for a devastating death rate worldwide. Since the majority of patients with gastric cancer are diagnosed at advanced stages, they are not suitable for surgery and present with locally advanced or metastatic disease. Recent advances in immunotherapy have elicited a considerable amount of attention as viable therapeutic options for several cancer types. This work presents a summary of the currently ongoing clinical trials and critically addresses the efficacy of a large spectrum of immunotherapy approaches in the general population for gastric cancer as well as in relation to tumor genetic profiling.
Insights
Immunotherapy offers promising treatment options for advanced gastric cancer, improving patient outcomes. This review examines current clinical trials and immunotherapy efficacy based on tumor genetics.
Area of Science:
- Oncology
- Immunology
- Gastroenterology
Background:
- Gastric cancer is a leading cause of cancer death globally.
- Many patients are diagnosed with advanced or metastatic disease, precluding surgery.
- Immunotherapy has emerged as a significant therapeutic strategy for various cancers.
Purpose of the Study:
- To summarize ongoing clinical trials for gastric cancer immunotherapy.
- To critically evaluate the efficacy of diverse immunotherapy approaches.
- To analyze immunotherapy effectiveness in relation to tumor genetic profiling.
Main Methods:
- Systematic review of current clinical trials.
- Analysis of immunotherapy efficacy data.
- Correlation of treatment response with tumor genetic markers.
Main Results:
- Ongoing trials are exploring various immunotherapy agents and combinations.
- Immunotherapy demonstrates variable efficacy across different patient subgroups.
- Tumor genetic profiling is crucial for predicting treatment response.
Conclusions:
- Immunotherapy represents a vital treatment avenue for advanced gastric cancer.
- Personalized treatment strategies based on genetic profiling are essential for optimizing outcomes.
- Further research is needed to fully elucidate immunotherapy's role in gastric cancer management.
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