通过免疫疗法组合增强抗瘤功效
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
概括
预测免疫治疗反应至关重要,因为许多患者缺乏持久的益处. 生物标志物可以指导免疫疗法单一治疗与组合治疗的选择,以提高疗效.
科学领域:
- 癌症学
- 免疫学
- 药理学
背景情况:
- 免疫疗法,特别是免疫检查点抑制剂,已在各种瘤中取得成功.
- 然而,很大一部分患者没有从这些治疗中获得持续的临床效益.
研究的目的:
- 审查预测免疫疗法单一疗法的生物标志物.
- 探索合理的组合疗法,以提高不响应或耐药患者群体的疗效.
主要方法:
- 对免疫治疗反应生物标志物的文献综述.
- 评估与化疗,向疗法,辐射,内疗法,免疫调节剂和细胞疗法的联合策略.
- 对适应性细胞疗法的分析,包括基于CAR-T和TCR的疗法.
主要成果:
- 生物标志物可以识别适合免疫疗法单一治疗的患者.
- 各种组合合作伙伴正在接受调查以克服抵抗.
- 选择基于生物标志物的组合疗法需要采用编程方法.
结论:
- 基于生物标志物的选择是优化免疫治疗结果的关键.
- 开发一种以生物标志物为指导的组合治疗选择框架对于未来的临床成功至关重要.
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