The emerging role of immune checkpoint inhibitors for the treatment of breast cancer

INTRODUCTION: Breast cancer has traditionally been viewed as immunogenically 'cold,' but two immune checkpoint inhibitors have been approved in combination with chemotherapy for PD-L1 positive advanced triple-negative breast cancer (TNBC), and pembrolizumab was also recently approved for early stage TNBC. As the landscape is rapidly evolving, a comprehensive review of checkpoint inhibitors in breast cancer is needed to aid clinicians in selecting appropriate candidates for therapy, and to highlight ongoing promising studies in this area and topics in need of further investigation.

AREA COVERED: This review summarizes the latest evidence from completed and ongoing trials of immune checkpoint inhibitors. Ongoing studies were identified using a search of ClinicalTrials.gov with the term 'breast cancer' along with specific checkpoint inhibitor agents.

EXPERT OPINION: A number of novel combination strategies are under investigation to enhance response and overcome resistance to immunotherapy, with promising preliminary data from checkpoint inhibitors targeting TIGIT, combinations with small molecule inhibitors such as lenvatinib, and injectable agents directly influencing the immune microenvironment. As immunotherapy enters into the curative setting, biomarkers predictive of immunotherapy benefit are needed, as PD-L1 status has not been a helpful discriminator in completed trials in early-stage breast cancer.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:31

Enthalten in:

Expert opinion on investigational drugs - 31(2022), 6 vom: 26. Juni, Seite 531-548

Sprache:

Englisch

Beteiligte Personen:

Howard, Frederick M [VerfasserIn]
Villamar, Dario [VerfasserIn]
He, Gong [VerfasserIn]
Pearson, Alexander T [VerfasserIn]
Nanda, Rita [VerfasserIn]

Links:

Volltext

Themen:

Atezolizumab
B7-H1 Antigen
Breast cancer
Checkpoint inhibitors
Durvalumab
Immune Checkpoint Inhibitors
Immunotherapy
Journal Article
PARP inhibitors
Pembrolizumab
Review
Small-molecule inhibitors
Triple negative breast cancer

Anmerkungen:

Date Completed 06.06.2022

Date Revised 02.06.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/13543784.2022.1986002

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM331110407