The combination of immune checkpoint inhibitors and chemotherapy in advanced non-small-cell lung cancer: the rational choice

被引:6
|
作者
Zouein, Joseph [1 ]
Haddad, Fady G. [1 ]
Eid, Roland [1 ]
Kourie, Hampig R. [1 ]
机构
[1] St Joseph Univ Beirut, Hematol Oncol Dept, Fac Med, Damas St,POB 17-5208, Beirut 11042020, Lebanon
关键词
chemotherapy; combination therapy; hyperprogressive disease; immune checkpoint inhibitors; immunotherapy; microenvironment; NSCLC; tumor inflammation; PLUS CHEMOTHERAPY; HYPERPROGRESSIVE DISEASE; 1ST-LINE TREATMENT; PHASE-III; NIVOLUMAB; IMMUNOTHERAPY; ATEZOLIZUMAB; CARBOPLATIN; IPILIMUMAB; DOCETAXEL;
D O I
10.2217/imt-2021-0014
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Lung cancer is the second most common cancer worldwide and the leading cause of death among cancers. The progressive approvals of immunotherapy as first-line treatment options have helped improve cancer prognosis. However, longer follow-up has confirmed the possibility of acquired resistance to immune checkpoint inhibitors (ICIs) which can lead to late relapses. Chemotherapy can act as a priming therapy to increase a tumor's response to immunotherapy. We aim through this review to explain the mechanism behind ICI resistance and the value of chemotherapy in escaping this resistance. Finally, all US FDA approvals regarding the management of metastatic non-small-cell lung cancer using a combination of ICIs and chemotherapy are summarized.
引用
收藏
页码:155 / 167
页数:13
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