ImmunotherapyPub Date : 2025-05-01Epub Date: 2025-06-17DOI: 10.1080/1750743X.2025.2509478
Shanmuganathan Chandrakasan, Carl E Allen, Deepika Bhatla, John Carter, May Chien, Robert Cooper, Lauren Draper, Olive S Eckstein, Rabi Hanna, J Allyson Hays, Michelle L Hermiston, Ashley P Hinson, Patricia M Hobday, Michael S Isakoff, Michael B Jordan, Jennifer W Leiding, Renee Modica, Taizo A Nakano, Abiola Oladapo, Sachit A Patel, Priti Pednekar, Mona Riskalla, Susmita N Sarangi, Prakash Satwani, Anand Tandra, Kelly J Walkovich, John D Yee, Adi Zoref-Lorenz, Edward M Behrens
{"title":"Emapalumab treatment in rheumatologic disease-associated hemophagocytic lymphohistiocytosis: a plain language summary.","authors":"Shanmuganathan Chandrakasan, Carl E Allen, Deepika Bhatla, John Carter, May Chien, Robert Cooper, Lauren Draper, Olive S Eckstein, Rabi Hanna, J Allyson Hays, Michelle L Hermiston, Ashley P Hinson, Patricia M Hobday, Michael S Isakoff, Michael B Jordan, Jennifer W Leiding, Renee Modica, Taizo A Nakano, Abiola Oladapo, Sachit A Patel, Priti Pednekar, Mona Riskalla, Susmita N Sarangi, Prakash Satwani, Anand Tandra, Kelly J Walkovich, John D Yee, Adi Zoref-Lorenz, Edward M Behrens","doi":"10.1080/1750743X.2025.2509478","DOIUrl":"10.1080/1750743X.2025.2509478","url":null,"abstract":"","PeriodicalId":13328,"journal":{"name":"Immunotherapy","volume":" ","pages":"461-478"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ImmunotherapyPub Date : 2025-05-01Epub Date: 2025-05-11DOI: 10.1080/1750743X.2025.2504323
Xiaomei Zhou, Yu Shu, Xi Chen, Bo Luo
{"title":"A case report of mesalazine alleviating diarrhea in a patient with nasopharyngeal cancer after tislelizumab treatment.","authors":"Xiaomei Zhou, Yu Shu, Xi Chen, Bo Luo","doi":"10.1080/1750743X.2025.2504323","DOIUrl":"10.1080/1750743X.2025.2504323","url":null,"abstract":"<p><p>Immunotherapy has become a significant research focus for cancer treatment in recent years because it can generate enduring immunological responses and has promising therapeutic potential. Nevertheless, excessive stimulation of the immune system may adversely affect healthy organs, which can lead to immune-related toxicities, including gastrointestinal, pulmonary, hepatic, and dermatological toxicities. Among them, gastrointestinal toxicity induced by the immune response is the most common. Immune-associated enteritis has an incidence rate of 8%-27% and is one of the most prevalent forms of gastrointestinal toxicity. Tislelizumab is an approved first-line treatment for individuals with recurrent or metastatic nasopharyngeal cancer functioning as an inhibitor of PD-1. Here, we report a patient with nasopharyngeal carcinoma who developed bloody stools and diarrhea after two cycles of tislelizumab. Abdominal CT revealed intestinal wall thickening with inflammatory exudation. Congestion, edema, and mucosal punctate ulcers were discovered during the colonoscopy. Histopathology confirmed active mucosal inflammation. The initial treatment with loperamide, bifidobacterium tetrad, and norfloxacin failed, but the symptoms improved significantly after switching to metronidazole, mesalazine, and methylprednisolone. This article reviewed a case of immunological enteritis triggered by tislelizumab, demonstrating that mesalazine can markedly alleviate the symptoms of immune-associated enteritis, aiming to enhance future clinical efforts regarding tislelizumab-induced immunological enteritis.</p>","PeriodicalId":13328,"journal":{"name":"Immunotherapy","volume":" ","pages":"485-490"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of antigen agnostic anti-tumor activity and immune memory induced by CBX-15 (alphalex<sup>TM</sup>-MMAE) in the rat.","authors":"Timothy Paradis, Qing Zhang, Laurie Tylaska, Connor Hagen, Theresa Pasqualini, Vishwas Paralkar, Sophia Gayle","doi":"10.1080/1750743X.2025.2510189","DOIUrl":"10.1080/1750743X.2025.2510189","url":null,"abstract":"<p><strong>Aims: </strong>To determine whether using a pH-sensitive peptide (CBX-15) for antigen-independent targeting of MMAE to tumors induced anti-tumor efficacy via direct and immunological mechanisms in the rat tumor model.</p><p><strong>Methods: </strong>CBX-15 was assessed for its ability to kill tumor cells and induce immunogenic cell death (ICD) in female Fischer rats bearing syngeneic 13762 mammary adenocarcinoma tumors via <i>in vivo</i> and <i>ex vivo</i> functional assays.</p><p><strong>Results: </strong>CBX-15 demonstrated efficacy, safety and anti-tumor immunologic memory, demonstrated by the ability of both CBX-15-cured and vaccinated rats to reject further tumor challenge. Responding rats exhibited the induction of ICD-induced immunomodulatory activity, including recognition of tumor cells <i>ex vivo</i>, recruitment of TILs and increases in memory CD4<sup>+</sup> T lymphocytes in the bone marrow.</p><p><strong>Conclusion: </strong>CBX-15 eradicates tumors by a combination of both direct cytotoxic action of MMAE as well as through the induction of ICD, the latter of which results in long term anti-tumor immunological memory. To our knowledge, this is the first work demonstrating both anti-tumor efficacy and induction of long-term anti-tumor immune memory by a tumor-selective drug in the rat, the species used for preclinical toxicological evaluation. This study provides a strong justification for exploring combination therapies with CBX-15 and other immunomodulators.</p>","PeriodicalId":13328,"journal":{"name":"Immunotherapy","volume":" ","pages":"501-512"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of <i>Helicobacter Pylori</i> infection on immunotherapy for gastrointestinal cancer: a narrative review.","authors":"Afroditi Ziogou, Alexios Giannakodimos, Ilias Giannakodimos, Dimitrios Schizas, Nikolaos Charalampakis","doi":"10.1080/1750743X.2025.2479410","DOIUrl":"10.1080/1750743X.2025.2479410","url":null,"abstract":"<p><p>Immunotherapy for gastrointestinal cancers has elicited considerable amount of attention as a viable therapeutic option for several cancer types. Gut microbiome as a whole plays a critical role in shaping immune responses and influencing cancer progression. Recent evidence suggests that <i>Helicobacter pylori</i> (<i>H. pylori</i>), may influence immunotherapy efficacy by modulating the tumor microenvironment. Infection with <i>H</i>. <i>pylori</i> is common as it affects approximately 50% of the global population and remains the leading risk factor for gastric cancer. Interestingly, recent clinical and preclinical data has associated <i>H. pylori</i> with colorectal cancer carcinogenesis. Gut microbiome appears to be a modulator of the relationship between the immune system, gastrointestinal cancer development and existing therapies. Infection with <i>H. pylori</i> may affect immunotherapy results in both gastroesophageal and colorectal cancer; favorable results were noticed in <i>H. pylori</i> positive patients with gastric cancer, while in colorectal cancer patients the pathogen seemed to impede immunotherapy's action. This article aims to review current data on the role of <i>H. pylori</i> in triggering gastric inflammation and cancer, as well as its potential involvement in colorectal cancer development. Additionally, it seeks to highlight the impact of <i>H. pylori</i> infection on the response to immunotherapy in gastrointestinal cancers.</p>","PeriodicalId":13328,"journal":{"name":"Immunotherapy","volume":" ","pages":"355-368"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ImmunotherapyPub Date : 2025-04-01Epub Date: 2025-04-02DOI: 10.1080/1750743X.2025.2488609
Bahadır Köylü, Cevat İlteriş Kıkılı, Öner Dikensoy, Fatih Selçukbiricik
{"title":"Late-onset recurrent immune checkpoint inhibitor-related pneumonitis after cessation of pembrolizumab: a case report.","authors":"Bahadır Köylü, Cevat İlteriş Kıkılı, Öner Dikensoy, Fatih Selçukbiricik","doi":"10.1080/1750743X.2025.2488609","DOIUrl":"10.1080/1750743X.2025.2488609","url":null,"abstract":"<p><p>Immune-related adverse events typically occur during the early phases of immune checkpoint inhibitor therapy. However, late-onset immune-related adverse events can still arise long after the immune checkpoint inhibitor therapy has ended. Immune checkpoint inhibitor-related pneumonitis warrants special attention for risk assessment and early detection due to its potential for serious outcomes, including hospitalization and death. Despite its rarity, late-onset immune checkpoint inhibitor-related pneumonitis should be considered in the differential diagnosis for dyspnea in patients with a history of immune checkpoint inhibitor therapy to prevent morbidity and mortality. In this case report, we present a case of an 84-year-old female patient suffering from locally advanced triple-negative breast cancer and late-onset immune checkpoint inhibitor-related pneumonitis requiring hospitalization 104 days after the last cycle of pembrolizumab. Following successful treatment of late-onset immune checkpoint inhibitor-related pneumonitis with corticosteroids, a recurrence of immune checkpoint inhibitor-related pneumonitis occurred a month later. Corticosteroid therapy was reinitiated, gradually tapered after radiological improvement, and eventually discontinued. The patient remains in remission from breast cancer. For patients with a history of immune checkpoint inhibitor therapy, medical vigilance, accurate diagnosis, and timely management of late-onset immune checkpoint inhibitor-related pneumonitis are crucial.</p>","PeriodicalId":13328,"journal":{"name":"Immunotherapy","volume":" ","pages":"317-320"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Arthralgia in patients with cancer receiving immune checkpoint inhibitors: a systematic review and meta-analysis.","authors":"Yoshito Nishimura, Jonathan Estaris, Mako Koseki, Evelyn Elias, Fnu Chesta, Kensuke Takaoka, Theresa Shao, Nobuyuki Horita, Yu Fujiwara","doi":"10.1080/1750743X.2025.2501519","DOIUrl":"10.1080/1750743X.2025.2501519","url":null,"abstract":"<p><strong>Background: </strong>Although immune checkpoint inhibitors (ICIs) are widely used for patients with cancer, evidence of the impact of ICIs on the incidence of arthralgia remains limited.</p><p><strong>Objective: </strong>To evaluate the impact of ICIs on arthralgia incidences in patients with cancer.</p><p><strong>Methods: </strong>We performed a systematic review to identify phase 3 randomized control trials (RCTs) evaluating ICIs in patients with cancer and reporting the incidence of arthralgia. We performed a meta-analysis to pool odds ratios (ORs) of any grade and grade 3-5 arthralgia.</p><p><strong>Results: </strong>Forty RCTs (<i>n</i> = 26,610) were included. The incidence of any-grade and grade 3-5 treatment-related arthralgia was 12.0% (<i>n</i> = 1,125/9,395) and 0.54% (<i>n</i> = 47/8,723). The addition of an ICI to systemic therapy, such as chemotherapy, significantly increased any-grade (OR 1.32, 95% CI: 1.13-1.54, <i>p</i> = 0.001) and grade 3-5 arthralgia (OR 1.78, 95% CI: 1.08-2.94, <i>p</i> = 0.02) with low heterogeneity among ICI subtype subgroups (<i>I</i><sup>2</sup> = 0%). ICI monotherapy was associated with higher incidences of arthralgia than non-taxane (OR 6.83, 95% CI: 3.05-15.30, <i>p</i> < 0.001) but not than taxane chemotherapy (OR 0.74, 95% CI: 0.44-1.24, <i>p</i> = 0.25).</p><p><strong>Conclusions: </strong>These results could guide oncologists to assess arthralgia in patients receiving ICIs.</p>","PeriodicalId":13328,"journal":{"name":"Immunotherapy","volume":" ","pages":"437-446"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Liquid biopsy for guiding breast cancer immunotherapy.","authors":"Emanuela Fina, Elsa Vitale, Simona De Summa, Gennaro Gadaleta-Caldarola, Stefania Tommasi, Raffaella Massafra, Oronzo Brunetti, Alessandro Rizzo","doi":"10.1080/1750743X.2025.2479426","DOIUrl":"10.1080/1750743X.2025.2479426","url":null,"abstract":"<p><p>Liquid biopsy is a laboratory test used to detect and analyze circulating tumor cells (CTCs), circulating tumor DNA (ctDNA), and other tumor-derived components, in a blood sample. In the context of breast cancer (BC), liquid biopsies hold significant promise for guiding the use of immune checkpoint inhibitors and immune-based combinations, offering real-time insights into tumor dynamics, treatment response, and resistance mechanisms. This review explores the role of liquid biopsy in BC immunotherapy, focusing on its applications, benefits, issues, and current and future research directions.</p>","PeriodicalId":13328,"journal":{"name":"Immunotherapy","volume":" ","pages":"369-383"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ImmunotherapyPub Date : 2025-04-01Epub Date: 2025-04-23DOI: 10.1080/1750743X.2025.2492541
Veera Nurmela, Anni Juntunen, Tuomas Selander, Sanna Pasonen-Seppänen, Outi Kuittinen, Satu Tiainen, Aino Rönkä
{"title":"Poor survival of metastatic cancer patients hospitalized due to immune checkpoint inhibitor-related adverse events.","authors":"Veera Nurmela, Anni Juntunen, Tuomas Selander, Sanna Pasonen-Seppänen, Outi Kuittinen, Satu Tiainen, Aino Rönkä","doi":"10.1080/1750743X.2025.2492541","DOIUrl":"10.1080/1750743X.2025.2492541","url":null,"abstract":"<p><strong>Aims: </strong>Immune-related adverse events (irAEs) are common side effects of immune checkpoint inhibitor (ICI) cancer therapy, affecting approximately half of ICI-treated patients. irAEs may be severe and result in hospitalization. This study examined the risk factors and outcomes of irAE-related hospitalization.</p><p><strong>Methods: </strong>We conducted a retrospective study including 202 metastatic cancer patients treated with ICIs at Kuopio University Hospital, Finland, in 2015-2022.</p><p><strong>Results: </strong>IrAEs occurred in 57.4% of the patients. About 26.0% of them required inpatient treatment. Hospitalization was associated with severe (grades III - IV) toxicities and need for systemic corticosteroids. Median overall survival (mOS) for hospitalized patients was 12.9 months and for outpatients with irAEs 26.9 months (<i>p</i> = 0.006). The duration of ICI therapy was 1.8 months in hospitalized patients and 5.0 months in outpatients (<i>p</i> < 0.001). The median maximum glucocorticoid doses were 52 mg and 100 mg, respectively (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>IrAE-related hospitalization deteriorated the survival of ICI-treated patients, likely due to decreased biological efficacy of ICIs resulting from short therapy periods and strong immunosuppression by glucocorticoids.</p>","PeriodicalId":13328,"journal":{"name":"Immunotherapy","volume":"17 5","pages":"339-346"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ImmunotherapyPub Date : 2025-04-01Epub Date: 2025-05-12DOI: 10.1080/1750743X.2025.2498316
L Heinzerling
{"title":"Evidence for optimal treatment of immune-related adverse events needed - should we use extracorporeal photopheresis?","authors":"L Heinzerling","doi":"10.1080/1750743X.2025.2498316","DOIUrl":"10.1080/1750743X.2025.2498316","url":null,"abstract":"","PeriodicalId":13328,"journal":{"name":"Immunotherapy","volume":" ","pages":"385-387"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ImmunotherapyPub Date : 2025-04-01Epub Date: 2025-05-12DOI: 10.1080/1750743X.2025.2493039
Marc Schmalzing, Herbert Kellner, Ayman Askari, Javier de Toro Santos, Julio Cesar Vazquez Perez-Coleman, Rosario Foti, Sławomir Jeka, Yannick Allanore, Peter Peichl, Martin Oehri, Neil Betteridge, Cristofer Salvati, Elisa Romero, Ines Brueckmann, Tom Sheeran
{"title":"Assessing real-world treatment with SDZ ETN (an etanercept biosimilar) in people with rheumatic diseases included in the COMPACT study: a plain language summary.","authors":"Marc Schmalzing, Herbert Kellner, Ayman Askari, Javier de Toro Santos, Julio Cesar Vazquez Perez-Coleman, Rosario Foti, Sławomir Jeka, Yannick Allanore, Peter Peichl, Martin Oehri, Neil Betteridge, Cristofer Salvati, Elisa Romero, Ines Brueckmann, Tom Sheeran","doi":"10.1080/1750743X.2025.2493039","DOIUrl":"10.1080/1750743X.2025.2493039","url":null,"abstract":"","PeriodicalId":13328,"journal":{"name":"Immunotherapy","volume":" ","pages":"389-397"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}