O'reilly Aine, Larkin James
a Department of Renal & Melanoma , Royal Marsden Hospital , London , UK.
Expert Rev Anticancer Ther. 2017 Jul;17(7):647-655. doi: 10.1080/14737140.2017.1341315. Epub 2017 Jun 19.
The success of the immune checkpoint inhibitors in melanoma has reinvigorated the field of immunotherapy. Immune checkpoint inhibitors are now the standard of care in multiple cancer types including lung cancer, head and neck cancer, urothelial cancer and renal cell cancer. The field of immunotherapy is currently expanding rapidly and will be a focus of research and development for decades to come. Areas covered: This review covers the early development of immune checkpoint inhibitors and the changes that occurred in the drug development paradigm to facilitate the development of immunotherapy. The review will summarise the areas into which immune checkpoint inhibitors have been adopted and will review the data that supported this. Furthermore, we will discuss future developments in immunotherapy and the current landscape regarding maximising the potential of immunotherapy in clinical practice. Expert commentary: In the author's opinion, the potential of immunotherapy is vast. To date immune checkpoint inhibition has already delivered durable responses in a proportion of patients with cancer types which were previously universally lethal. The future of immunotherapy will rely upon the intelligent application of translational research to clinical practice, such that immunotherapy can be effective for a wider population and maintain its current growth.
免疫检查点抑制剂在黑色素瘤治疗中的成功重振了免疫治疗领域。免疫检查点抑制剂现已成为包括肺癌、头颈癌、尿路上皮癌和肾细胞癌在内的多种癌症类型的标准治疗方法。免疫治疗领域目前正在迅速扩展,并将成为未来几十年研发的重点。涵盖领域:本综述涵盖免疫检查点抑制剂的早期开发以及药物开发模式中为促进免疫治疗发展而发生的变化。该综述将总结免疫检查点抑制剂已被应用的领域,并回顾支持这一点的数据。此外,我们将讨论免疫治疗的未来发展以及当前关于在临床实践中最大化免疫治疗潜力的情况。专家评论:在作者看来,免疫治疗的潜力巨大。迄今为止,免疫检查点抑制已经在一部分以前普遍致命的癌症类型患者中产生了持久反应。免疫治疗的未来将依赖于将转化研究智能地应用于临床实践,以便免疫治疗能够对更广泛的人群有效并保持其目前的发展态势。