학술논문

Immunotherapy in genitourinary malignancies
Document Type
article
Source
Current Opinion in Urology. 26(6)
Subject
Biomedical and Clinical Sciences
Oncology and Carcinogenesis
Immunology
Vaccine Related
Immunization
Prevention
Clinical Research
Prostate Cancer
Orphan Drug
Rare Diseases
Urologic Diseases
Biotechnology
Cancer
Clinical Trials and Supportive Activities
5.1 Pharmaceuticals
6.1 Pharmaceuticals
Development of treatments and therapeutic interventions
Evaluation of treatments and therapeutic interventions
Good Health and Well Being
Cancer Vaccines
Carcinoma
Renal Cell
Humans
Immunotherapy
Male
Prostatic Neoplasms
Urinary Bladder Neoplasms
Urogenital Neoplasms
bladder cancer
cytotoxic T lymphocyte-associated antigen 4
programmed death 1
programmed death ligand 1
prostate cancer
renal cell carcinoma
transitional cell carcinoma
vaccines
Public Health and Health Services
Urology & Nephrology
Clinical sciences
Language
Abstract
Purpose of reviewActive investigation suggests immune checkpoint inhibitor therapy and therapeutic cancer vaccines provide clinical benefit for genitourinary malignancies including prostate cancer, renal cell carcinoma, and bladder cancer. Recent developments in the utility of immune checkpoint inhibitor and vaccine therapy for the management of genitourinary malignancies are highlighted in this review.Recent findingsDramatic responses to checkpoint inhibitor therapy have been demonstrated in renal cell carcinoma and bladder cancer with recent Food and Drug Administration approvals in both indications. No benefit to checkpoint inhibitor therapy has yet been shown for the management of prostate cancer. Therapeutic cancer vaccines have also shown benefit in the treatment of genitourinary malignancies, specifically in the treatment of prostate cancer. Despite advances in these therapeutic modalities, benefit is limited to a subset of patients.SummaryCurrent evidence supports the use of immune checkpoint inhibitor therapy and therapeutic cancer vaccines for the management of genitourinary malignancies. Further development of biomarkers for predicting response and study of combination therapy is required to achieve optimal efficacy with these therapeutic interventions.