TY - JOUR
T1 - Enhancing anti-tumour efficacy with immunotherapy combinations
AU - Meric-Bernstam, Funda
AU - Larkin, James
AU - Tabernero, Josep
AU - Bonini, Chiara
N1 - Publisher Copyright:
© 2021 Elsevier Ltd
PY - 2021/3/13
Y1 - 2021/3/13
N2 - Several tumour types are responsive to immunotherapy, as shown by regulatory approvals for immune checkpoint inhibitors. However, many patients either do not respond or do not have durable clinical benefit. Thus, there is great interest in developing predictors of response to immunotherapy and rational combination therapies that can enhance efficacy by overcoming primary and acquired resistance. In this Review, we provide an assessment of immunotherapy response biomarkers that can identify patients who will benefit from monotherapy rather than from combinations. We review the rationale for combination therapy and different strategies, including combinations with chemotherapy, targeted therapy, radiation therapy, intratumoural therapies, other immunomodulators, and adaptive cell therapy, including chimeric antigen T-cell receptors and other novel T-cell receptor-based therapies. There are many combination partners in development; therefore, a programmatic approach is needed to develop a framework for biomarker-driven combination therapy selection.
AB - Several tumour types are responsive to immunotherapy, as shown by regulatory approvals for immune checkpoint inhibitors. However, many patients either do not respond or do not have durable clinical benefit. Thus, there is great interest in developing predictors of response to immunotherapy and rational combination therapies that can enhance efficacy by overcoming primary and acquired resistance. In this Review, we provide an assessment of immunotherapy response biomarkers that can identify patients who will benefit from monotherapy rather than from combinations. We review the rationale for combination therapy and different strategies, including combinations with chemotherapy, targeted therapy, radiation therapy, intratumoural therapies, other immunomodulators, and adaptive cell therapy, including chimeric antigen T-cell receptors and other novel T-cell receptor-based therapies. There are many combination partners in development; therefore, a programmatic approach is needed to develop a framework for biomarker-driven combination therapy selection.
UR - http://www.scopus.com/inward/record.url?scp=85099498354&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85099498354&partnerID=8YFLogxK
U2 - 10.1016/S0140-6736(20)32598-8
DO - 10.1016/S0140-6736(20)32598-8
M3 - Review article
C2 - 33285141
AN - SCOPUS:85099498354
SN - 0140-6736
VL - 397
SP - 1010
EP - 1022
JO - The Lancet
JF - The Lancet
IS - 10278
ER -