Department of Medicine III, University Hospital Munich, LMU Munich, Marchioninistr. 15, D-81377, Munich, Germany.
Center of Integrated Protein Science Munich (CIPS-M) and Division of Clinical Pharmacology, Department of Medicine IV, University Hospital, LMU Munich, Munich, Germany.
J Exp Clin Cancer Res. 2019 Jun 19;38(1):268. doi: 10.1186/s13046-019-1266-0.
Immunotherapy has become an established pillar of cancer treatment improving the prognosis of many patients with a broad variety of hematological and solid malignancies. The two main drivers behind this success are checkpoint inhibitors (CPIs) and chimeric antigen receptor (CAR) T cells. This review summarizes seminal findings from clinical and translational studies recently presented or published at important meetings or in top-tier journals, respectively. For checkpoint blockade, current studies focus on combinational approaches, perioperative use, new tumor entities, response prediction, toxicity management and use in special patient populations. Regarding cellular immunotherapy, recent studies confirmed safety and efficacy of CAR T cells in larger cohorts of patients with acute lymphoblastic leukemia or diffuse large B cell lymphoma. Different strategies to translate the striking success of CAR T cells in B cell malignancies to other hematological and solid cancer types are currently under clinical investigation. Regarding the regional distribution of registered clinical immunotherapy trials a shift from PD-1 / PD-L1 trials (mainly performed in the US and Europe) to CAR T cell trials (majority of trials performed in the US and China) can be noted.
免疫疗法已成为癌症治疗的重要支柱,改善了许多患有各种血液系统和实体恶性肿瘤患者的预后。这一成功的两个主要驱动力是检查点抑制剂 (CPIs) 和嵌合抗原受体 (CAR) T 细胞。这篇综述总结了最近在重要会议上或在顶级期刊上发表或发表的临床和转化研究中的重要发现。对于检查点阻断,目前的研究侧重于联合治疗方法、围手术期使用、新的肿瘤实体、反应预测、毒性管理和特殊患者群体的使用。关于细胞免疫疗法,最近的研究证实了 CAR T 细胞在更大的急性淋巴细胞白血病或弥漫性大 B 细胞淋巴瘤患者队列中的安全性和有效性。目前正在进行各种策略的临床试验,以将 CAR T 细胞在 B 细胞恶性肿瘤中的显著成功转化为其他血液系统和实体癌类型。关于已注册的临床免疫治疗试验的区域分布,从 PD-1/PD-L1 试验(主要在美国和欧洲进行)到 CAR T 细胞试验(大多数在美国和中国进行)的转变值得注意。
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