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CAR-T Therapeutic Direction of Lung Cancer Therapy

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Author HK HIS Date19-09-16 18:19 View254 Comment0

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The CRI Cancer Research Institute has published a report on the development of global tumor immunotherapy trends in Nature Reviews Drug Discovery. In a one-year study, the number of global programs for tumor immunity therapy increased by 67%, target research by 50%, and for companies and government agencies participating in clinical development programs, increased by 42% It turns out that much research has been concentrated on treatment.

In 2011, approval of ipilimumab as a treatment for melanoma began with a revolutionary event in tumor immunotherapy, changing the paradigm of cancer treatment. Up to now, eleven new tumor immunotherapies have been approved and become the treatment standard for various cancers.


The worldwide Oncology Immunization Program is growing at a rapid rate of 67%, and it is possible to divide the immunotherapy drugs into 6 types depending on the mechanism of action. Targeted T cell immunomodulator(E. G., A monoclonal antibody to PD1 or CTLA4), other immunomodulators (e. G., A stimulant of TLR or interferon alpha-beta receptor 1 (IFNAR1)), a tumor vaccine (E. G., BCG) vaccines), cell therapy (e. G., Impedance antigen receptor (CRA) or T cell receptor (TCR T cell therapy), polyp virus(T-Vec). Among the six types of immunotherapy, cell therapy was the fastest rate of 113%, while the polyp virus study was found to be slow at 16%. In addition, it is the most studied technique, and the number of ongoing programs is 864, accounting for 25% of total tumor immunity programs. 


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Fig. 1 Trends in the Immunotherapy Program until September 2018


Currently, 417 targets are under study in the global tumor immunotherapy program. Over the past year, research on immunotherapy targets has increased by 50%. Interestingly, half of the research and development (R & D) in 2017 focused on the top 23 targets, but in 2018 we focused on the top 48 targets. Drugs are usually approved for one target, reducing the number of R & D projects involved. For example, despite the 113% increase in cell therapy in 2018, CD19-targeted anti-cell therapy increased only 37%. On the other hand, the study of drugs (targets identified by bioinformatics analysis of individual patient tumors) whose targets are added to new antigens has increased by 133% over a year. Tumor Immune Therapy An increase in the number of target tumors will result in more immunotherapy in the future It will be the basis for approval. Notably, the actual number of nonspecific tumor-associated antigen (TAA) drugs is decreasing, indicating that the area is developing in a more precise direction. 


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Fig. 2 Immunotherapy TOP15 Target

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Fig. 3 Nonspecific Tumor Associated Antigen Item Trends
 

In September 2017, 964 tumor immunity drugs from 461 organizations (biopharmaceutical companies) entered the clinical phase (including clinical trials), and 655 organizations performed 1287 clinical drug development a year later, And a 34% increase in the number of patients. Compared to the top 15 clinical trials, 36 new drugs a year were up 20%. More importantly, Big Pharma still dominates the clinical program and leads the top eight programs. Three of the four scientific research institutes' clinical programs are in the top 15, and three of them are the first affiliated hospitals of the 301 Department of Pregnancy Immunotherapy and Gene Therapy in China.


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Fig. 4 TOP15 Immunotherapy Companies and Institutions 

Through a new survey analysis, the number of global programs for oncology immunotherapy for one year has increased by 67%. This tremendous increase represents our strong passion and confidence in the development of tumor immunotherapy drugs. The New York study team found that the reason for the recent appearance of the study was the first time that the FDA approved 10 items for 1 year after the entire survey (2017), including 2 CAR-T therapies and 8 PDL1 antibody drugs, CD3 bidirectional target specific antibodies . Next, since 2011, the new immunotherapy has become one of the mainstays of cancer treatment, as well as the standard treatment of 15 cancer types, as well as general treatment and immunotherapy of melanoma lung cancer. During immunotherapy, both PD1 and PDL1 have been approved in China, a major market. There are Nivolumab (product name: opiodova) and pembrolizumab (product name: kit luda). Finally, many clinical studies have demonstrated that immunotherapy has helped the patient to survive on a continuous basis and has realized the hope of healing in cancer patients. But there are still potential cancer immunologic problems. It is anticipated that complementary research will be needed and the research that will improve the cure rate will be developed through clinical studies.
 
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