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Tumor Immunotherapy01:27

Tumor Immunotherapy

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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.
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The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
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Related Experiment Video

Updated: Jan 16, 2026

An Oncogenic Hepatocyte-Induced Orthotopic Mouse Model of Hepatocellular Cancer Arising in the Setting of Hepatic Inflammation and Fibrosis
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Immune Checkpoint Inhibitors Beyond Progression in Various Solid Tumors: A Systematic Review and Pooled Analysis.

Fausto Petrelli1, Antonio Ghidini2, Maria Chiara Parati1

  • 1Oncology Unit, ASST Bergamo Ovest, 24047 Treviglio, BG, Italy.

Journal of Clinical Medicine
|September 27, 2025
PubMed
Summary

Continuing immune checkpoint inhibitors (ICIs) after cancer progression shows benefit in select patients, particularly those with melanoma, lung cancer, and renal cell carcinoma. Further research is needed to optimize patient selection for post-progression immunotherapy.

Keywords:
beyond progressioncancerimmune checkpoint inhibitorssystematic review

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Area of Science:

  • Oncology
  • Immunotherapy
  • Cancer Research

Background:

  • Immune checkpoint inhibitors (ICIs) have revolutionized advanced cancer treatment.
  • The efficacy of continuing ICIs after radiologic progression remains unclear.
  • Systematic assessment of ICI continuation post-progression is crucial.

Purpose of the Study:

  • To evaluate the efficacy and safety of continuing immune checkpoint inhibitors (ICIs) beyond radiologic progression.
  • To analyze objective response rate (ORR), progression-free survival (PFS), and overall survival (OS) for ICI continuation.
  • To identify patient populations that may benefit from extended ICI therapy.

Main Methods:

  • Systematic review and meta-analysis of studies published up to March 2025.
  • Inclusion of retrospective cohorts, prospective trials, post hoc analyses, and pooled regulatory reviews.
  • Quality appraisal using Newcastle-Ottawa Scale and Cochrane Risk-of-Bias tool.

Main Results:

  • Fifty studies with 8989 patients were included.
  • ICI continuation demonstrated objective response rates (ORRs) of 9.3-39% in lung cancer, 14-100% in melanoma, and 8-33% in renal cell carcinoma (RCC).
  • Overall survival (OS) ranged from 8.9-18.2 months (lung cancer), 12-29.9 months (melanoma), and up to 34.8 months (RCC).

Conclusions:

  • Select patients, especially with melanoma, lung cancer, RCC, or gastric cancer, may benefit from continued ICI therapy post-progression.
  • Treatment decisions should consider tumor biology, performance status, and biomarkers.
  • Prospective, biomarker-driven trials are essential for optimizing patient selection and treatment duration.