Enhancing anti-CD274 (PD-L1) targeting through combinatorial immunotherapy with bispecific antibodies and fusion proteins : from preclinical to phase II clinical trials

INTRODUCTION: Immune checkpoint inhibitors have achieved great success in the treatment of many different types of cancer. Programmed cell death protein ligand 1 (PD-L1, CD274) is a major immunosuppressive immune checkpoint and a target for several already approved monoclonal antibodies. Despite this, novel strategies are under development, as the overall response remains low.

AREAS COVERED: In this review, an overview of the current biomarkers for response to PD-L1 inhibitor treatment is given, followed by a discussion of potential novel biomarkers, including tumor mutational burden and circulating tumor DNA. Combinatorial immunotherapy is a potential novel strategy to increase the response to PD-L1 inhibitor treatment and currently, several interesting bispecific antibodies as well as bispecific fusion proteins are undergoing early clinical investigation. We focus on substances targeting PD-L1 and a secondary target, and a secondary immunomodulatory target like CTLA-4, TIGIT, or CD47.

EXPERT OPINION: Overall, the presented studies show anti-tumor activity of these combinatorial immunotherapeutic approaches. However, still relatively low response rates suggest a need for better biomarkers.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:33

Enthalten in:

Expert opinion on investigational drugs - 33(2024), 3 vom: 23. März, Seite 229-242

Sprache:

Englisch

Beteiligte Personen:

Kiem, Dominik [VerfasserIn]
Ocker, Matthias [VerfasserIn]
Greil, Richard [VerfasserIn]
Neureiter, Daniel [VerfasserIn]
Melchardt, Thomas [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Bispecific
B7-H1 Antigen
Biomarker assays
Bispecific antibodies
CD274 protein, human
Fusion proteins and trial landscape
Immune Checkpoint Inhibitors
Immune checkpoints
Journal Article
PD-L1
Review

Anmerkungen:

Date Completed 11.03.2024

Date Revised 11.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/13543784.2024.2319317

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36844144X