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Printable Handouts
Navigable Slide Index
- Introduction
- mRCC immunotherapy: A renewed level of interest?
- Tumor suppression of the immune system
- Checkpoint inhibitors
- Anti-PD-1: Blocking T cell Suppression
- Anti PD-1 antibody: Nivolumab
- Spectrum of PD-1/PD-L1 antagonist activity
- Renal cancer treatment with Nivolumab
- Nivolumab vs. Everolimus
- Nivolumab Phase III Trial
- Overall survival
- Questions to be answered (1)
- Response characteristics
- Progression-free survival
- Questions to be answered (2)
- PD-1 OS Curve (Melanoma)
- Unanswered questions (1)
- Treatment-related AEs in ≥10% of patients
- Change in quality of life scores on FKSI-DRS
- Unanswered questions (2)
- PD-L1 expression is a weak predictive biomarker
- Overall survival by PD-L1 expression
- Intratumor heterogeneity in ccRCC
- Discordant tumor cell PD-L1 expression
- Heterogeneity within individual lesions
- Biomarker development challenges
- Future directions
- Towards a multi-factorial predictive model
- Atezolizumab phase I in sarcomatoid variant mRCC
- Atezolizumab antitumor activity
- Relevance of tumor PD-L1 expression in RCC
- Overall survival by subgroup: Nivo P3
- Somatic mutations by tumor type
- Effect of the mutational landscape
- Opportunities to improve biomarkers
- Biomarker model approaches
- Biomarker model technologies
- Unanswered questions (3)
- Immunotherapy improvement model (1)
- Overlapping of angiogenesis & immune suppression
- Atezolizumab+Bevacizumab: Phase Ib Results
- Treatment increases proliferating CD8+ T cells
- The cause for CD8+ TIL increase
- What is the cause for CD8+ TILs increase?
- Ongoing phase II trial in first-line mRCC
- Phase III study in untreated advanced RCC
- Ongoing phase I/II trial in first-line mRCC
- Immunotherapy improvement model (2)
- In situ analyses provide unique insights
- Blocking CTLA-4 and PD-1
- Phase I trial in mRCC (CheckMate-016)
- Anti-tumour efficacy (CheckMate-016)
- Treatment-related select adverse events
- PD-1 + CTLA-4 blockade results: tumor burden
- Questions to be answered (3)
- PD-1 + CTLA-4 blockade in melanoma
- Ongoing phase III trial in first-line mRCC
- Non-inflamed tumor: Immunologic ignorance
- Immunotherapy improvement model (3)
- RCC vaccine approaches in phase III trials
- Ongoing phase III vaccine trials
- Combination therapy in a RENCA model
- Neoantigen based vaccines
- Developing NeoVax vaccines
- PD-1 pathway blockade combination studies
- Innovative trial design (1)
- Sorafenib: Randomized discontinuation trial
- Innovative trial design (2)
- Drug sequence trial in melanoma patients (EA6134)
- Innovative trial design (3)
- Established landmark endpoints
- Innovative trial design (4)
- Rationale for pre-nephrectomy anti-PD-1 priming
- Phase III perioperative PD-1 blockade
- Improving immunotherapy in mRCC
- Acknowledgements
Topics Covered
- Recent data that has led to the approval of PD-1 blockade in RCC
- Approaches to patient selection
- Novel combination therapies that are entering pivotal trials
Links
Series:
Categories:
Therapeutic Areas:
Talk Citation
McDermott, D. (2016, March 31). Immune checkpoint blockade in renal cell carcinoma [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved December 21, 2024, from https://doi.org/10.69645/CLIY3814.Export Citation (RIS)
Publication History
Financial Disclosures
- Dr. McDermott is a consultant for BMS, Pfizer, Merck, Eisai Inc, Xilio, Aveo, Genentech, Cullinan and Exelixis.
Other Talks in the Series: The Kidney in Health and Disease
Other Talks in the Series: Immunotherapy of Cancer
Transcript
Please wait while the transcript is being prepared...
0:00
Hello, my
name is David McDermott.
And I'm a medical oncologist at
Beth Israel Deaconess Medical
Center in Boston, Massachusetts.
And I'm leader of the kidney cancer
program at the Dana Farber Harvard
Cancer Center as well as an
associate professor of medicine
at Harvard Medical School.
And I'm here to talk to you
today about immune checkpoint
blockade in renal cell carcinoma.
0:22
During my career as
a medical oncologist,
there have been two
waves of interest
in immune therapy for solid tumors.
I became a physician
during the first wave.
I graduated from
medical school in 1992,
when the use of
cytokine-based immunotherapy
was just reaching its peak, with
the approval, in the United States,
of high dose interleukin 2.
Right after graduating
from medical school,
I began to focus on
medical oncology.
I was interested in learning more
about the immune response to cancer
and began doing
research in this area.
Needless to say, over
the next 10 or 15 years,
the interest in solid
tumor immunotherapy
began to decline dramatically,
maybe sort of coinciding
with my career in medical research.
There was a significant rise in the
application of molecularly targeted
therapies, which began to replace
these agents, particularly
in kidney cancer, where many
of the VEGF targeted agents
proved superior to the old
cytokine-based immunotherapies.
However, in the last
five to six years,
there's been a dramatic
increase in interest
in the field of immunotherapy
not just for kidney cancer
but for other solid tumors.
And these forms of immunotherapy
have included vaccines,
recombinant t-cell receptors,
bi-specific T-cell engagers, but,
most interestingly, these
so-called checkpoint
inhibitors, which have
recently become approved
in metastatic kidney cancer.