LAG-3 : recent developments in combinational therapies in cancer

Aude Chavanton1,2, Flavie Mialhe1,2, Jimena Abrey1,2

  • 1INSERM, UMR 1231, Laboratoire d'Excellence LipSTIC and « Equipe labellisée par la Ligue Nationale contre le Cancer », Dijon, France.

Cancer Science
|May 4, 2024
PubMed

Insights

New immunotherapies like lymphocyte activation gene 3 (LAG-3) inhibitors show promise for cancer patients resistant to current treatments. Combining LAG-3 inhibitors with other therapies may improve antitumor effects and broaden personalized medicine options.

Area of Science:

  • Immunology
  • Oncology
  • Pharmacology

Background:

  • Immune checkpoint inhibitors (ICIs) have transformed metastatic cancer care by targeting T cell inhibition.
  • Many patients exhibit resistance to current ICIs like anti-PD-1/PD-L1 and anti-CTLA-4.
  • Lymphocyte activation gene 3 (LAG-3) is an emerging immune checkpoint target with potential in overcoming cancer-associated immune resistance.

Purpose of the Study:

  • To review current knowledge on LAG-3 as an immunotherapeutic target.
  • To explore combination strategies involving LAG-3 inhibitors with existing and novel treatments.
  • To highlight potential for new therapeutic combinations to expand personalized cancer medicine.

Main Methods:

  • Literature review of preclinical and clinical studies on LAG-3 inhibitors.
  • Focus on combination therapies currently in Phase III clinical trials.
  • Analysis of innovative combinations in the preclinical phase.

Main Results:

  • LAG-3 inhibitors are being investigated in combination with chemotherapy, immunotherapy, radiotherapy, and adoptive cell therapies.
  • Several LAG-3 inhibitor combination therapies are advancing through Phase III clinical trials.
  • Preclinical studies are exploring novel LAG-3 based combination strategies.

Conclusions:

  • LAG-3 represents a promising target for overcoming resistance to cancer immunotherapy.
  • Combination therapies involving LAG-3 inhibitors have the potential to enhance antitumor efficacy.
  • Future research may lead to new therapeutic combinations, broadening personalized cancer treatment options.

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