免疫療法による抗腫瘍効果の強化
Funda Meric-Bernstam1, James Larkin2, Josep Tabernero3
1Department of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Lancet (London, England)
|December 7, 2020
まとめ
多くの患者は持続的な効果がないため,免疫療法の反応を予測することが重要です. バイオマーカーは,免疫療法単独療法と併用治療の選択を導き,有効性を向上させることができます.
科学分野:
- 腫瘍学
- 免疫学
- 薬理学について
背景:
- 免疫療法,特に免疫チェックポイント阻害剤は,様々な腫瘍において成功している.
- しかし,かなりの割合の患者はこれらの治療に反応せず,持続的な臨床的利益を得ません.
研究 の 目的:
- 免疫療法単独療法への反応を予測するバイオマーカーのレビュー.
- 反応しない患者または抵抗性のある患者集団における有効性を高めるための合理的な併用療法を探求する.
主な方法:
- 免疫療法反応のバイオマーカーの文献レビュー
- 化学療法,標的療法,放射線治療,腫瘍内療法,免疫調節剤,細胞療法との組み合わせ戦略の評価
- CAR-TおよびTCRベースの治療法を含む適応性細胞治療法の分析
主要な成果:
- バイオマーカーは,免疫療法単独治療に適した患者を特定することができます.
- 抵抗を克服するために様々な組み合わせのパートナーが調査中です.
- バイオマーカー主導の組み合わせ治療法の選択には,プログラム的なアプローチが必要である.
結論:
- バイオマーカー主導の選択は,免疫療法の結果を最適化するための鍵です.
- バイオマーカーによる組み合わせ治療の選択のための枠組みの開発は,将来の臨床成功のために不可欠です.
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