Radiation therapy and PD-1/PD-L1 blockade: the clinical development of an evolving anticancer combination.

Radiation therapy and PD-1/PD-L1 blockade: the clinical development of an evolving anticancer combination.
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DOI:
10.1186/s40425-018-0361-7
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发表时间:
2018-06-04
影响因子:
10.9
通讯作者:
Tuli R
Tuli R
中科院分区:
医学2区
文献类型:
--
作者:
Gong J;Le TQ;Massarelli E;Hendifar AE;Tuli R

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几种程序性细胞死亡-1(PD-1)和程序性死亡配体-1(PD-L1)的抑制剂已被批准作为多种癌症的免疫治疗形式。电离放射治疗(RT)可增强抗肿瘤T细胞反应的启动时相和效应时相,使其与PD-1/PD-L1抑制剂联合应用成为一种有吸引力的治疗方法。临床前数据支持这两种模式的合理组合,并为这一组合在一系列癌症中的临床开发铺平了道路。在这篇综述中,我们重点介绍了联合RT和PD-1/PD-L1阻断的临床前和临床研究进展。除了对现有的安全性和有效性数据进行全面评估外,我们还讨论了这种有希望的组合在临床试验设计中需要考虑的重要问题。
Several inhibitors of programmed cell death-1 (PD-1) and programmed death ligand-1 (PD-L1) have been approved as a form of immunotherapy for multiple cancers. Ionizing radiation therapy (RT) has been shown to enhance the priming and effector phases of the antitumor T-cell response rendering it an attractive therapy to combine with PD-1/PD-L1 inhibitors. Preclinical data support the rational combination of the 2 modalities and has paved way for the clinical development of the combination across a spectrum of cancers. In this review, we highlight the preclinical and clinical development of combined RT and PD-1/PD-L1 blockade to date. In addition to a comprehensive evaluation of available safety and efficacy data, we discuss important points of consideration in clinical trial design for this promising combination.
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