将放射肿瘤学纳入免疫治疗:ASTRO-SITC-NCI 免疫治疗研讨会会议记录。

Incorporating Radiation Oncology into Immunotherapy: proceedings from the ASTRO-SITC-NCI immunotherapy workshop.

机构信息

Department of Radiation Oncology & Molecular Radiation Sciences, The Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, 1550 Orleans Street CRB2, RM 406, Baltimore, MD, 21231, USA.

Department of Radiation Medicine, Oregon Health & Science University, Portland, OR, USA.

出版信息

J Immunother Cancer. 2018 Jan 29;6(1):6. doi: 10.1186/s40425-018-0317-y.

Abstract

Radiotherapy (RT) has been a fundamental component of the anti-cancer armamentarium for over a century. Approximately half of all cancer patients are treated with radiotherapy during their disease course. Over the two past decades, there has been a growing body of preclinical evidence supporting the immunomodulatory effects of radiotherapy, particularly when combined with immunotherapy, but only anecdotal clinical examples existed until recently. The renaissance of immunotherapy and the recent U.S. Food and Drug Administration (FDA) approval of several immune checkpoint inhibitors (ICIs) and other immuno-oncology (IO) agents in multiple cancers provides the opportunity to investigate how localized radiotherapy can induce systemic immune responses. Early clinical experiences have demonstrated feasibility of this approach but additional preclinical and clinical investigation is needed to understand how RT and immunotherapy can be optimally combined.To address questions that are critical to successful incorporation of radiation oncology into immunotherapy, the American Society for Radiation Oncology (ASTRO), the Society for Immunotherapy of Cancer (SITC) and the National Cancer Institute (NCI) organized a collaborative scientific workshop, Incorporating Radiation Oncology into Immunotherapy, that convened on June 15 and 16 of 2017 at the Natcher Building, NIH Campus in Bethesda, Maryland. This report summarizes key data and highlights from each session.

摘要

放疗(RT)作为抗癌武器库的一个基本组成部分已经有一个多世纪了。大约一半的癌症患者在疾病过程中接受放疗。在过去的二十年中,越来越多的临床前证据支持放疗的免疫调节作用,特别是当与免疫疗法结合使用时,但直到最近才出现一些偶然的临床例子。免疫疗法的复兴以及最近美国食品和药物管理局(FDA)批准了几种免疫检查点抑制剂(ICI)和其他免疫肿瘤学(IO)药物在多种癌症中的应用,为研究局部放疗如何诱导全身免疫反应提供了机会。早期的临床经验证明了这种方法的可行性,但需要进行额外的临床前和临床研究,以了解放疗和免疫疗法如何能够得到最佳结合。为了解决将肿瘤放疗纳入免疫治疗的关键问题,美国放射肿瘤学会(ASTRO)、癌症免疫治疗学会(SITC)和美国国家癌症研究所(NCI)于 2017 年 6 月 15 日至 16 日在马里兰州贝塞斯达的 NIH 校园纳瑟大楼联合举办了一场名为“将肿瘤放疗纳入免疫治疗”的协作性科学研讨会。本报告总结了每个环节的关键数据和要点。

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