Immunotherapy in Squamous Cell Cancer of the Esophagus.

Treatment of esophageal carcinoma has changed dramatically following several landmark trials, which have proven the benefit of immunotherapy. The selective PD-1 (programmed cell death ligand-1)-inhibitor nivolumab has been shown to improve DFS in the adjuvant therapy setting (CheckMate-577). In the...

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Publicado en:Current Oncology Vol. 29; no. 4; pp. 2461 - 2472
Autores principales: Thuss-Patience, Peter, Stein, Alexander
Formato: Journal Article
Publicado: MDPI Apr2022
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Immunotherapy in Squamous Cell Cancer of the Esophagus.
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          Thuss-Patience, Peter
          Stein, Alexander
        affil: Department of Hematology, Oncology and Cancer Immunology, Charité—University Medicine Berlin, 13353 Berlin, Germany
      sug:
      ab: Treatment of esophageal carcinoma has changed dramatically following several landmark trials, which have proven the benefit of immunotherapy. The selective PD-1 (programmed cell death ligand-1)-inhibitor nivolumab has been shown to improve DFS in the adjuvant therapy setting (CheckMate-577). In the first-line treatment, PD-L1 positive (CPS ≥ 10) squamous cell carcinoma patients (pts) have been shown to have an increased OS following treatment with the PD-1-inhibitor pembrolizumab in combination with chemotherapy (KEYNOTE-590). Nivolumab also improved overall survival in the first line setting either combined with ipilimumab or with chemotherapy (CheckMate 648) compared to chemotherapy alone. In Asian first-line patients, phase III trials investigating camrelizumab (ESCORT 1), toripalimab (JUPITER 06), or sintilimab (ORIENT 15) in addition to chemotherapy also showed significant survival benefits. In the second-line setting, monotherapy with nivolumab (ATTRACTION-03), pembrolizumab (KEYNOTE-181), camrelizumab (ESCORT), and tislelizumab (RATIONALE 302) demonstrated a benefit in OS in comparison to chemotherapy. Here we will review these trials and integrate them into the current treatment algorithm.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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