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Current Oncology Reports

, 16:400 | Cite as

Immunotherapeutic Agents in Non-small-cell Lung Cancer Finally Coming to the Front Lines

  • Rossana RuizEmail author
  • Brian Hunis
  • Luis E. Raez
Lung Cancer (T Mekhail, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Lung Cancer

Abstract

Non-small-cell lung cancer usually carries a dismal prognosis. Novel treatment approaches are clearly warranted. Immunotherapy has emerged as a promising area of research developing agents that manipulate the immune system to induce antitumor responses while avoiding major toxicity. New vaccines and checkpoint inhibitors are currently undergoing investigation in phase II and phase III clinical trials. In advanced non-small-cell lung cancer (NSCLC), belagenpumatucel-L, an allogeneic cell vaccine directed against transforming growth factor β in the tumor microenvironment, knocks down the immune suppression caused by the tumor and has demonstrated a dose- and time-dependent efficacy in some subgroups of patients. L-BLP25 and TG4010 are both antigenic vaccines that target mucin 1, whose encoding proto-oncogene is commonly mutated in solid tumors. The L-BLP25 vaccine achieved a significant improvement in overall survival in the subgroup of patients with stage IIIB NSCLC treated with chemoradiotherapy. TG4010 vaccination resulted in better progression-free survival when added to cisplatin–gemcitabine chemotherapy. These results are being addressed in the currently ongoing phase III TIME trial. In the adjuvant setting, MAGE-A3, an antigen-based vaccine, showed promising results in melanoma-associated antigen A3 positive lung cancer patients who underwent resection in the phase II study; however, no improvement in progression-free survival was observed in the phase III MAGRIT study. CIMAVax is a recombinant human epidermal growth factor (EGF) vaccine that induces anti-EGF antibody production and prevents EGF from binding to its receptor. It has improved overall survival in patients with advanced NSCLC who achieve seroconversion. Ipilimumab, an immune checkpoint inhibitor that targets cytotoxic T-lymphocyte antigen 4, demonstrated improved progression-free survival in advanced NSCLC patients who received the drug after chemotherapy in a phased regimen. Finally, anti-programmed death receptor 1 agents have achieved durable response rates in phase I studies. This review gives an overview of the current data and the most promissory immunotherapeutic agents for NSCLC.

Keywords

Immunotherapy Non-small-cell lung cancer L-BLP25 Anti-CTLA4 Anti-PD1/PDL1 

Notes

Compliance with Ethics Guidelines

Conflict of Interest

Rossana Ruiz and Brian Hunis declare that they have no conflict of interest.

Luis E. Raez has received grants from Merck Serono, GlaxoSmithKline, and Pfizer unrelated to the submitted work.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Departamento de Medicina OncológicaInstituto Nacional de Enfermedades NeoplásicasLimaPeru
  2. 2.Thoracic Oncology Program, Memorial Cancer Institute, Memorial Health Care System, Herbert Wertheim College of MedicineFlorida International UniversityPembroke PinesUSA
  3. 3.Memorial Cancer Institute, Memorial Health Care System, Herbert Wertheim College of MedicineFlorida International UniversityPembroke PinesUSA

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