Immunotherapy in Advanced Gastroesophageal Tumors: The Best of the Current Knowledge

Gastroesophageal cancers have a poor prognosis despite the use of novel therapies, such as chemotherapy combinations and biologic agents. Recently, immune checkpoint inhibitors (ICIs) have also been introduced into the treatment landscape. The programmed cell death protein 1 (PD-1) inhibitor, pembro...

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Main Author: Sara De Dosso
Format: Article
Language:English
Published: THE HEALTHBOOK COMPANY LTD. 2019-12-01
Series:healthbook TIMES. Oncology Hematology
Online Access:https://doi.org/10.36000/hbT.OH.2019.02.008
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author Sara De Dosso
author_facet Sara De Dosso
author_sort Sara De Dosso
collection DOAJ
description Gastroesophageal cancers have a poor prognosis despite the use of novel therapies, such as chemotherapy combinations and biologic agents. Recently, immune checkpoint inhibitors (ICIs) have also been introduced into the treatment landscape. The programmed cell death protein 1 (PD-1) inhibitor, pembrolizumab, for instance, has been approved in the USA in 2017, with the indication of advanced gastric and esophageal programmed death-ligand 1 (PD-L1)-positive tumors, as well as for deficient mismatch repair or microsatellite instability-high (dMMR/MSI-H) solid tumors.^1,2^ Signals of outstanding efficacy were particularly observed in biomarker selected populations.^3^ Hence, there is an urgent need to identify precise predictive biomarkers for optimal patient selection and to establish more effective treatment timings. The present review summarizes the current clinical evidence supporting treatment with ICIs in upper GI tumors.
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spelling doaj-art-6171bd2cd32f4166a607c376ad5efbe52025-08-20T01:56:29ZengTHE HEALTHBOOK COMPANY LTD.healthbook TIMES. Oncology Hematology2673-20922673-21062019-12-012210.36000/hbT.OH.2019.02.008Immunotherapy in Advanced Gastroesophageal Tumors: The Best of the Current KnowledgeSara De DossoGastroesophageal cancers have a poor prognosis despite the use of novel therapies, such as chemotherapy combinations and biologic agents. Recently, immune checkpoint inhibitors (ICIs) have also been introduced into the treatment landscape. The programmed cell death protein 1 (PD-1) inhibitor, pembrolizumab, for instance, has been approved in the USA in 2017, with the indication of advanced gastric and esophageal programmed death-ligand 1 (PD-L1)-positive tumors, as well as for deficient mismatch repair or microsatellite instability-high (dMMR/MSI-H) solid tumors.^1,2^ Signals of outstanding efficacy were particularly observed in biomarker selected populations.^3^ Hence, there is an urgent need to identify precise predictive biomarkers for optimal patient selection and to establish more effective treatment timings. The present review summarizes the current clinical evidence supporting treatment with ICIs in upper GI tumors.https://doi.org/10.36000/hbT.OH.2019.02.008
spellingShingle Sara De Dosso
Immunotherapy in Advanced Gastroesophageal Tumors: The Best of the Current Knowledge
healthbook TIMES. Oncology Hematology
title Immunotherapy in Advanced Gastroesophageal Tumors: The Best of the Current Knowledge
title_full Immunotherapy in Advanced Gastroesophageal Tumors: The Best of the Current Knowledge
title_fullStr Immunotherapy in Advanced Gastroesophageal Tumors: The Best of the Current Knowledge
title_full_unstemmed Immunotherapy in Advanced Gastroesophageal Tumors: The Best of the Current Knowledge
title_short Immunotherapy in Advanced Gastroesophageal Tumors: The Best of the Current Knowledge
title_sort immunotherapy in advanced gastroesophageal tumors the best of the current knowledge
url https://doi.org/10.36000/hbT.OH.2019.02.008
work_keys_str_mv AT saradedosso immunotherapyinadvancedgastroesophagealtumorsthebestofthecurrentknowledge