The global landscape of neoadjuvant and adjuvant anti-PD-1/PD-L1 clinical trials

Abstract The neoadjuvant and adjuvant anti-PD-1/PD-L1 treatment has been increasingly noticed. To summarize the global landscape of these clinical trials will provide essential data for all the stakeholders of drug development. Based on the Trialtrove database, a total of 668 clinical trials initiat...

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Main Authors: Dawei Wu, Huiyao Huang, Minghui Zhang, Ziwei Li, Shuhang Wang, Yue Yu, Yuan Fang, Ning Jiang, Huilei Miao, Peiwen Ma, Yu Tang, Ning Li
Format: Article
Language:English
Published: BMC 2022-02-01
Series:Journal of Hematology & Oncology
Subjects:
Online Access:https://doi.org/10.1186/s13045-022-01227-1
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author Dawei Wu
Huiyao Huang
Minghui Zhang
Ziwei Li
Shuhang Wang
Yue Yu
Yuan Fang
Ning Jiang
Huilei Miao
Peiwen Ma
Yu Tang
Ning Li
author_facet Dawei Wu
Huiyao Huang
Minghui Zhang
Ziwei Li
Shuhang Wang
Yue Yu
Yuan Fang
Ning Jiang
Huilei Miao
Peiwen Ma
Yu Tang
Ning Li
author_sort Dawei Wu
collection DOAJ
description Abstract The neoadjuvant and adjuvant anti-PD-1/PD-L1 treatment has been increasingly noticed. To summarize the global landscape of these clinical trials will provide essential data for all the stakeholders of drug development. Based on the Trialtrove database, a total of 668 clinical trials initiated by the end of 2020 were retrospectively analyzed. We found that a rising capability of global neoadjuvant and adjuvant anti-PD-1/PD-L1 clinical development has been achieved. High prevalent cancer types were extensively studied though the priorities in China and the United States were different. However, a lack of phase III trials and industry-sponsored trials was addressed. The confirmatory neoadjuvant trials were particularly insufficient, and the combination strategy mainly focused on chemotherapy. Thus, more public funding and accelerated regulatory strategies are needed in this field. Efforts should be made to confirm the benefit of neoadjuvant treatment and explore novel combination strategies.
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spelling doaj.art-11990d94452e40599aebebaa000075032022-12-21T19:33:33ZengBMCJournal of Hematology & Oncology1756-87222022-02-011511410.1186/s13045-022-01227-1The global landscape of neoadjuvant and adjuvant anti-PD-1/PD-L1 clinical trialsDawei Wu0Huiyao Huang1Minghui Zhang2Ziwei Li3Shuhang Wang4Yue Yu5Yuan Fang6Ning Jiang7Huilei Miao8Peiwen Ma9Yu Tang10Ning Li11Clinical Trials Center, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeClinical Trials Center, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Medical Oncology, Harbin Medical University Cancer HospitalClinical Trials Center, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeClinical Trials Center, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeClinical Trials Center, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeClinical Trials Center, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeClinical Trials Center, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeClinical Trials Center, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeClinical Trials Center, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeClinical Trials Center, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeClinical Trials Center, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeAbstract The neoadjuvant and adjuvant anti-PD-1/PD-L1 treatment has been increasingly noticed. To summarize the global landscape of these clinical trials will provide essential data for all the stakeholders of drug development. Based on the Trialtrove database, a total of 668 clinical trials initiated by the end of 2020 were retrospectively analyzed. We found that a rising capability of global neoadjuvant and adjuvant anti-PD-1/PD-L1 clinical development has been achieved. High prevalent cancer types were extensively studied though the priorities in China and the United States were different. However, a lack of phase III trials and industry-sponsored trials was addressed. The confirmatory neoadjuvant trials were particularly insufficient, and the combination strategy mainly focused on chemotherapy. Thus, more public funding and accelerated regulatory strategies are needed in this field. Efforts should be made to confirm the benefit of neoadjuvant treatment and explore novel combination strategies.https://doi.org/10.1186/s13045-022-01227-1NeoadjuvantAdjuvantAnti-PD-1/PD-L1 treatmentClinical trial
spellingShingle Dawei Wu
Huiyao Huang
Minghui Zhang
Ziwei Li
Shuhang Wang
Yue Yu
Yuan Fang
Ning Jiang
Huilei Miao
Peiwen Ma
Yu Tang
Ning Li
The global landscape of neoadjuvant and adjuvant anti-PD-1/PD-L1 clinical trials
Journal of Hematology & Oncology
Neoadjuvant
Adjuvant
Anti-PD-1/PD-L1 treatment
Clinical trial
title The global landscape of neoadjuvant and adjuvant anti-PD-1/PD-L1 clinical trials
title_full The global landscape of neoadjuvant and adjuvant anti-PD-1/PD-L1 clinical trials
title_fullStr The global landscape of neoadjuvant and adjuvant anti-PD-1/PD-L1 clinical trials
title_full_unstemmed The global landscape of neoadjuvant and adjuvant anti-PD-1/PD-L1 clinical trials
title_short The global landscape of neoadjuvant and adjuvant anti-PD-1/PD-L1 clinical trials
title_sort global landscape of neoadjuvant and adjuvant anti pd 1 pd l1 clinical trials
topic Neoadjuvant
Adjuvant
Anti-PD-1/PD-L1 treatment
Clinical trial
url https://doi.org/10.1186/s13045-022-01227-1
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