PD-1/PD-L1 inhibitor therapy: transitioning from a second-line to a first-line therapy for non-small cell lung cancer
Recently, monoclonal antibodies targeting the programmed death 1 (PD-1)/PD ligand 1 (PD-L1) pathway have dramatically changed the treatment paradigm for non-small cell lung cancer (NSCLC). Several PD-1/PD-L1 inhibitors have been validated as second-line therapies for NSCLC, and are now being activel...
Ausführliche Beschreibung
Autor*in: |
Jong-Mu Sun [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2017 |
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Schlagwörter: |
Carcinoma, non-small-cell lung |
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Übergeordnetes Werk: |
In: Precision and Future Medicine - Sungkyunkwan University School of Medi, 2019, 1(2017), 1, Seite 3-9 |
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Übergeordnetes Werk: |
volume:1 ; year:2017 ; number:1 ; pages:3-9 |
Links: |
Link aufrufen |
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DOI / URN: |
10.23838/pfm.2017.00066 |
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Katalog-ID: |
DOAJ027220850 |
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PD-1/PD-L1 inhibitor therapy: transitioning from a second-line to a first-line therapy for non-small cell lung cancer |
abstract |
Recently, monoclonal antibodies targeting the programmed death 1 (PD-1)/PD ligand 1 (PD-L1) pathway have dramatically changed the treatment paradigm for non-small cell lung cancer (NSCLC). Several PD-1/PD-L1 inhibitors have been validated as second-line therapies for NSCLC, and are now being actively investigated as first-line therapies. In this paper, current data and future strategies for their use in first-line therapy are reviewed. There are five PD-1/PD-L1 inhibitors in development for NSCLC. Among them, three drugs (nivolumab, pembrolizumab, and atezolizumab) have been approved as second-line therapies for NSCLC in the United States. As a first-line therapy, pembrolizumab successfully showed superiority over platinum-based doublet chemotherapy in a strongly PD-L1-positive NSCLC group, while nivolumab failed to show efficacy as a first-line therapy. Currently, five PD-1/PD-L1 inhibitors are being tested as a first-line therapy for NSCLC in more than 10 phase III studies, with various study designs. Although it is not yet clear whether PD-1/PD-L1 inhibitors should be used as a monotherapy or in combination according to PD-L1 expression in first-line therapies, these promising drugs may play an important role in clinical practice as a first-line therapy for NSCLC in the near future. |
abstractGer |
Recently, monoclonal antibodies targeting the programmed death 1 (PD-1)/PD ligand 1 (PD-L1) pathway have dramatically changed the treatment paradigm for non-small cell lung cancer (NSCLC). Several PD-1/PD-L1 inhibitors have been validated as second-line therapies for NSCLC, and are now being actively investigated as first-line therapies. In this paper, current data and future strategies for their use in first-line therapy are reviewed. There are five PD-1/PD-L1 inhibitors in development for NSCLC. Among them, three drugs (nivolumab, pembrolizumab, and atezolizumab) have been approved as second-line therapies for NSCLC in the United States. As a first-line therapy, pembrolizumab successfully showed superiority over platinum-based doublet chemotherapy in a strongly PD-L1-positive NSCLC group, while nivolumab failed to show efficacy as a first-line therapy. Currently, five PD-1/PD-L1 inhibitors are being tested as a first-line therapy for NSCLC in more than 10 phase III studies, with various study designs. Although it is not yet clear whether PD-1/PD-L1 inhibitors should be used as a monotherapy or in combination according to PD-L1 expression in first-line therapies, these promising drugs may play an important role in clinical practice as a first-line therapy for NSCLC in the near future. |
abstract_unstemmed |
Recently, monoclonal antibodies targeting the programmed death 1 (PD-1)/PD ligand 1 (PD-L1) pathway have dramatically changed the treatment paradigm for non-small cell lung cancer (NSCLC). Several PD-1/PD-L1 inhibitors have been validated as second-line therapies for NSCLC, and are now being actively investigated as first-line therapies. In this paper, current data and future strategies for their use in first-line therapy are reviewed. There are five PD-1/PD-L1 inhibitors in development for NSCLC. Among them, three drugs (nivolumab, pembrolizumab, and atezolizumab) have been approved as second-line therapies for NSCLC in the United States. As a first-line therapy, pembrolizumab successfully showed superiority over platinum-based doublet chemotherapy in a strongly PD-L1-positive NSCLC group, while nivolumab failed to show efficacy as a first-line therapy. Currently, five PD-1/PD-L1 inhibitors are being tested as a first-line therapy for NSCLC in more than 10 phase III studies, with various study designs. Although it is not yet clear whether PD-1/PD-L1 inhibitors should be used as a monotherapy or in combination according to PD-L1 expression in first-line therapies, these promising drugs may play an important role in clinical practice as a first-line therapy for NSCLC in the near future. |
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title_short |
PD-1/PD-L1 inhibitor therapy: transitioning from a second-line to a first-line therapy for non-small cell lung cancer |
url |
https://doi.org/10.23838/pfm.2017.00066 https://doaj.org/article/32003cae037f4d05a46152bee05a6f77 http://www.pfmjournal.org/upload/pdf/pfm-2017-00066.pdf https://doaj.org/toc/2508-7940 https://doaj.org/toc/2508-7959 |
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up_date |
2024-07-04T00:51:32.572Z |
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score |
7.4013557 |