Immune-Checkpoint Inhibitors Combinations in Metastatic NSCLC : New Options on the Horizon?

© 2021 Passiglia et al..

The therapeutic targeting of the programmed death-1 (PD-1)/programmed death ligand-1 (PD-L1) axis marked a milestone in the treatment of non-small cell lung cancer (NSCLC), leading to unprecedented response duration and long-term survival for a relevant subgroup of patients affected by non-oncogene-addicted, metastatic disease. However, the biological heterogeneity as well as the occurrence of innate/acquired resistance are well-known phenomena which significantly affect the therapeutic response to immunotherapy. To date, we are moving towards the second phase of the "immune-revolution", characterized by the advent of new immune-checkpoint inhibitors combinations, aiming to target the main resistance pathways and ultimately increase the number of NSCLC patients who may derive long-term clinical benefit from immunotherapy. In this review, we provide an updated and comprehensive overview of the main PD-1/PD-L1 inhibitors' combination approaches under clinical investigation in non-oncogene addicted, metastatic NSCLC patients, including checkpoints (other than CTLA-4) as well as "immune-metabolism" modulators, DNA repair pathway inhibitors, antiangiogenic agents, cytokines, and a new generation of vaccines, with the final aim of identifying the most promising options on the horizon.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:10

Enthalten in:

ImmunoTargets and therapy - 10(2021) vom: 20., Seite 9-26

Sprache:

Englisch

Beteiligte Personen:

Passiglia, Francesco [VerfasserIn]
Reale, Maria Lucia [VerfasserIn]
Cetoretta, Valeria [VerfasserIn]
Novello, Silvia [VerfasserIn]

Links:

Volltext

Themen:

Combinations
Immune-checkpoint
Journal Article
Non-small cell lung cancer
PD-1/PD-L1
Resistance
Review

Anmerkungen:

Date Revised 19.09.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.2147/ITT.S253581

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM321351339