Development of immunotherapy combination strategies in cancer

Harnessing the immune system to treat cancer through inhibitors of CTLA4 and PD-L1 has revolutionized the landscape of cancer. Rational combination strategies aim to enhance the antitumor effects of immunotherapies, but require a deep understanding of the mechanistic underpinnings of the immune syst...

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Main Authors: Parkes, EE, Yap, TA, Peng, W, Moyers, JT, Curran, MA, Tawbi, HA
Format: Journal article
Language:English
Published: American Association for Cancer Research 2021
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author Parkes, EE
Yap, TA
Peng, W
Moyers, JT
Curran, MA
Tawbi, HA
author_facet Parkes, EE
Yap, TA
Peng, W
Moyers, JT
Curran, MA
Tawbi, HA
author_sort Parkes, EE
collection OXFORD
description Harnessing the immune system to treat cancer through inhibitors of CTLA4 and PD-L1 has revolutionized the landscape of cancer. Rational combination strategies aim to enhance the antitumor effects of immunotherapies, but require a deep understanding of the mechanistic underpinnings of the immune system and robust preclinical and clinical drug development strategies. We review the current approved immunotherapy combinations, before discussing promising combinatorial approaches in clinical trials and detailing innovative preclinical model systems being used to develop rational combinations. We also discuss the promise of high-order immunotherapy combinations, as well as novel biomarker and combinatorial trial strategies. SIGNIFICANCE: Although immune-checkpoint inhibitors are approved as dual checkpoint strategies, and in combination with cytotoxic chemotherapy and angiogenesis inhibitors for multiple cancers, patient benefit remains limited. Innovative approaches are required to guide the development of novel immunotherapy combinations, ranging from improvements in preclinical tumor model systems to biomarker-driven trial strategies.
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spelling oxford-uuid:a5db9509-145e-4683-b067-0b77de13627a2022-10-20T11:08:57ZDevelopment of immunotherapy combination strategies in cancerJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:a5db9509-145e-4683-b067-0b77de13627aEnglishSymplectic ElementsAmerican Association for Cancer Research2021Parkes, EEYap, TAPeng, WMoyers, JTCurran, MATawbi, HAHarnessing the immune system to treat cancer through inhibitors of CTLA4 and PD-L1 has revolutionized the landscape of cancer. Rational combination strategies aim to enhance the antitumor effects of immunotherapies, but require a deep understanding of the mechanistic underpinnings of the immune system and robust preclinical and clinical drug development strategies. We review the current approved immunotherapy combinations, before discussing promising combinatorial approaches in clinical trials and detailing innovative preclinical model systems being used to develop rational combinations. We also discuss the promise of high-order immunotherapy combinations, as well as novel biomarker and combinatorial trial strategies. SIGNIFICANCE: Although immune-checkpoint inhibitors are approved as dual checkpoint strategies, and in combination with cytotoxic chemotherapy and angiogenesis inhibitors for multiple cancers, patient benefit remains limited. Innovative approaches are required to guide the development of novel immunotherapy combinations, ranging from improvements in preclinical tumor model systems to biomarker-driven trial strategies.
spellingShingle Parkes, EE
Yap, TA
Peng, W
Moyers, JT
Curran, MA
Tawbi, HA
Development of immunotherapy combination strategies in cancer
title Development of immunotherapy combination strategies in cancer
title_full Development of immunotherapy combination strategies in cancer
title_fullStr Development of immunotherapy combination strategies in cancer
title_full_unstemmed Development of immunotherapy combination strategies in cancer
title_short Development of immunotherapy combination strategies in cancer
title_sort development of immunotherapy combination strategies in cancer
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AT yapta developmentofimmunotherapycombinationstrategiesincancer
AT pengw developmentofimmunotherapycombinationstrategiesincancer
AT moyersjt developmentofimmunotherapycombinationstrategiesincancer
AT curranma developmentofimmunotherapycombinationstrategiesincancer
AT tawbiha developmentofimmunotherapycombinationstrategiesincancer