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Title:
Immunotherapy with checkpoint inhibitors in non-small cell lung cancer: insights from long-term survivors | Cancer Immunology, Immunotherapy
Description:
Immune checkpoint inhibitors (ICIs) targeting the programmed cell death-1 (PD-1)âprogrammed cell death ligand-1 (PD-L1) axis have shown promising results in non-small cell lung cancer (NSCLC) patients, some of them with persistent responses to these agents that form a population of long-term survivors. Despite the variable definition of PD-L1 positivity in tumors, an association between expression and response has been reasonably consistent in advanced NSCLC. In addition, the clinical efficacy of ICIs seems to be related to the genomic landscape of the tumor in terms of mutational burden and clonal neoantigens. Furthermore, increasing evidence shows that excessive activation of the immune response elicited by ICIs, leading to immune-related toxicities, might be associated with an improved response to immunotherapy. There are still many unanswered questions about the proper use of these agents to maximize their efficacy, which may be improved through combination with radiation, chemotherapy, targeted therapies, or other immune mediators, including dual checkpoint blockade. To search for clues for addressing these challenges, this review focused on the characteristics and clinical features of long-term NSCLC survivors and the potential biomarkers of response to ICIs.
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cancer, pubmed, article, google, scholar, lung, cas, oncol, cell, advanced, patients, nonsmall, nsclc, central, nonsmallcell, nivolumab, clin, immune, treated, study, immunotherapy, checkpoint, longterm, survival, response, clinical, treatment, phase, thorac, inhibitors, tumor, med, pembrolizumab, oncology, ann, survivors, pdl, efficacy, hellmann, blockade, metastatic, engl, nadal, icis, association, access, adverse, docetaxel, atezolizumab, previously,
Topics {âïž}
pd-1/pd-l1 targeted therapies anti-pd-l1 therapeutic strategies anti-pd-1/pd-l1 antibodies month download article/chapter anti-pd-1/pd-l1 agents small-cell lung cancer antibody-mediated thyroid dysfunction immune-mediated adverse events article cancer immunology immune-related adverse events t-cell checkpoint blockade gov/statfacts/html/lungb pd-1/pd-l1 axis carboplatin-paclitaxel/nab-paclitaxel pd-l1-expressing nsclc platinum-based doublet chemotherapy pd-l1âselected patients long-term nsclc survivors section âlong-term survival rosario garcĂa-campelo full article pdf generalitat de catalunya programmed cell death-1 immune checkpoint inhibitors privacy choices/manage cookies immune checkpoint antibodies long-term survivors open-label keynote-021 study lung cancer statistics lung cancer immunotherapy pd-l1 positivity pd-l1 pathway pd-l1 expression pd-l1 status de lima lopes de mello ra long-term survival long-term survivalâ tumor mutational burden pd-1 axis inhibitors immune checkpoint blockade targeted therapies tumor immune infiltration future therapeutic combinationsâ squamous lung cancer md reviewed evidence immune parameters affecting human cancer immunotherapy cancer stat facts anti-pd-1 treatment
Questions {â}
- Marshall R, Popple A, Kordbacheh T, Honeychurch J, Faivre-Finn C, Illidge T (2017) Immune checkpoint inhibitors in lung cancerâan unheralded opportunity?
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headline:Immunotherapy with checkpoint inhibitors in non-small cell lung cancer: insights from long-term survivors
description:Immune checkpoint inhibitors (ICIs) targeting the programmed cell death-1 (PD-1)âprogrammed cell death ligand-1 (PD-L1) axis have shown promising results in non-small cell lung cancer (NSCLC) patients, some of them with persistent responses to these agents that form a population of long-term survivors. Despite the variable definition of PD-L1 positivity in tumors, an association between expression and response has been reasonably consistent in advanced NSCLC. In addition, the clinical efficacy of ICIs seems to be related to the genomic landscape of the tumor in terms of mutational burden and clonal neoantigens. Furthermore, increasing evidence shows that excessive activation of the immune response elicited by ICIs, leading to immune-related toxicities, might be associated with an improved response to immunotherapy. There are still many unanswered questions about the proper use of these agents to maximize their efficacy, which may be improved through combination with radiation, chemotherapy, targeted therapies, or other immune mediators, including dual checkpoint blockade. To search for clues for addressing these challenges, this review focused on the characteristics and clinical features of long-term NSCLC survivors and the potential biomarkers of response to ICIs.
datePublished:2019-02-06T00:00:00Z
dateModified:2019-02-06T00:00:00Z
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Immune checkpoint inhibitors
Immunotherapy
Long-term survival
Non-small cell lung cancer
PD-L1
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description:Immune checkpoint inhibitors (ICIs) targeting the programmed cell death-1 (PD-1)âprogrammed cell death ligand-1 (PD-L1) axis have shown promising results in non-small cell lung cancer (NSCLC) patients, some of them with persistent responses to these agents that form a population of long-term survivors. Despite the variable definition of PD-L1 positivity in tumors, an association between expression and response has been reasonably consistent in advanced NSCLC. In addition, the clinical efficacy of ICIs seems to be related to the genomic landscape of the tumor in terms of mutational burden and clonal neoantigens. Furthermore, increasing evidence shows that excessive activation of the immune response elicited by ICIs, leading to immune-related toxicities, might be associated with an improved response to immunotherapy. There are still many unanswered questions about the proper use of these agents to maximize their efficacy, which may be improved through combination with radiation, chemotherapy, targeted therapies, or other immune mediators, including dual checkpoint blockade. To search for clues for addressing these challenges, this review focused on the characteristics and clinical features of long-term NSCLC survivors and the potential biomarkers of response to ICIs.
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