Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Department of Melanoma Medical Oncology, Division of Cancer Medicine, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
J Immunother Cancer. 2023 Jul;11(7). doi: 10.1136/jitc-2023-007309.
The need for solid clinical definitions of resistance to programmed death 1 or its ligand (PD-(L)1) inhibitors for clinical trial design was identified as a priority by the Society for Immunotherapy of Cancer (SITC). Broad consensus efforts have provided definitions for primary and secondary resistance and resistance after stopping therapy for both single-agent PD-(L)1 inhibitors and associated combinations. Validation of SITC's definitions is critical and requires field-wide data sharing and collaboration. Here, in this commentary, we detail current utility and incorporation of SITC's definitions and discuss the next steps both the society and the field must take to further advance immuno-oncology drug development.
实体瘤免疫治疗协会(SITC)确定,需要针对程序性死亡 1 受体或其配体(PD-(L)1 抑制剂)的耐药性制定明确的临床定义,以此作为临床试验设计的优先事项。广泛的共识努力为单药 PD-(L)1 抑制剂和相关联合用药的原发性和继发性耐药以及停药后的耐药提供了定义。验证 SITC 定义至关重要,需要进行广泛的领域内数据共享和协作。在此评论中,我们详细说明了 SITC 定义的当前用途和纳入情况,并讨论了协会和整个领域都必须采取的下一步措施,以进一步推动免疫肿瘤药物的开发。