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J Gastric Cancer. 2023;23(1):207-223.

Recent Progress in Immunotherapy for Gastric Cancer.

, ,

제1저자 윤지선 · 교신저자 오도연

소속 (3)
  1. Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
  2. Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
  3. Integrated Major in Innovative Medical Science, Seoul National University Graduate School, Seoul, Korea. ohdoyoun@snu.ac.kr.

Abstract

Gastric cancer (GC) is the fourth leading cause of cancer-related deaths worldwide. Under the standard of care, patients with advanced GC (AGC) have a median survival time of approximately 12-15 months. With the emergence of immunotherapy as a key therapeutic strategy in medical oncology, relevant changes are expected in the systemic treatment of GC. In the phase III ATTRACTION-2 trial, nivolumab, a monoclonal anti-programmed cell death 1 (PD-1) antibody, as a third- or later-line treatment improved overall survival (OS) compared with placebo in patients with AGC. Furthermore, nivolumab in combination with 5-fluorouracil and platinum as a first-line treatment improved OS in patients with human epidermal growth factor receptor-2 (HER2)-negative AGC in the global phase III CheckMate-649 study. Another anti-PD-1 antibody, pembrolizumab, in combination with trastuzumab and cytotoxic chemotherapy as a first-line treatment, significantly improved the overall response rate in patients with HER2-positive AGC. Therefore, immune checkpoint inhibitors (ICIs) are essential components of the current treatment of GC. Subsequent treatments after ICI combination therapy, such as ICI rechallenge or combination therapy with agents having other modes of action, are being actively investigated to date. On the basis of the success of immunotherapy in the treatment of AGC, various clinical trials are underway to apply this therapeutic strategy in the perioperative and postoperative settings for patients with early GC. This review describes recent progress in immunotherapy and potential immunotherapy biomarkers for GC.

Copyright © 2023. Korean Gastric Cancer Association.

Keywords

BiomarkersChemotherapyGastric cancerImmune checkpoint inhibitorsImmunotherapy

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

그 밖의 정보
출판 형태
Journal Article, Review
저널
Journal of gastric cancer · ISSN 2093-582X
연구비
National Research Foundation of Korea 2021R1A2C2007430 · Seoul National University
참고문헌
64편