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Related Concept Videos

Tumor Immunotherapy01:27

Tumor Immunotherapy

397
Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
397

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Related Experiment Video

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Analysis of Human T Cell Activity in an Allogeneic Co-Culture Setting of Pre-Treated Tumor Cells
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Immune Checkpoint Inhibitors in Patients with Testicular Cancer: A Systematic Review.

Carlos Eduardo Salazar-Mejía1, Rosalaura Virginia Villarreal-González1, Oscar Vidal-Gutiérrez1

  • 1Oncology Service, Centro Universitario Contra el Cáncer (CUCC), Hospital Universitario "Dr. José Eleuterio González," Faculty of Medicine, Universidad Autónoma de Nuevo León, Monterrey, Mexico.

Journal of Adolescent and Young Adult Oncology
|December 24, 2024
PubMed
Summary

Immune checkpoint inhibitors (ICIs) show limited efficacy in chemotherapy-refractory germ cell tumors (GCTs). Durable responses were observed in patients with high tumor mutational burden (TMB-H) or MSI-H/dMMR GCTs.

Keywords:
germ cell tumorsimmune checkpoint inhibitorstesticular cancer

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Area of Science:

  • Oncology
  • Immunotherapy

Background:

  • Germ cell tumors (GCTs) are generally chemosensitive, but a subset becomes refractory to chemotherapy, posing significant treatment challenges.
  • Immune checkpoint inhibitors (ICIs) are approved for chemotherapy-refractory GCTs, yet supporting evidence is limited.

Purpose of the Study:

  • To systematically review the efficacy of immune checkpoint inhibitors (ICIs) in patients with chemotherapy-refractory germ cell tumors (GCTs).

Main Methods:

  • A systematic literature search identified 13 studies (n=106) including case reports, a retrospective cohort, and Phase II randomized controlled trials (RCTs) up to December 2023.
  • Studies evaluated oncological outcomes in patients with GCTs refractory to chemotherapy treated with ICIs, with most lacking biomarker selection criteria.

Main Results:

  • Overall response rates were low (median 3.4%), with progressive disease being the most common outcome (75%).
  • Limited activity was observed for ICIs as a single agent in unselected patients.
  • Durable responses were noted in patients with high tumor mutational burden (TMB-H) or high microsatellite instability (MSI-H)/dMMR GCTs.

Conclusions:

  • Immune checkpoint inhibitors demonstrate limited efficacy as a monotherapy for unselected patients with chemotherapy-refractory GCTs.
  • Biomarker selection, particularly for TMB-H or MSI-H/dMMR status, may identify GCT patients who could benefit from ICI treatment.