Current Progress and Future Perspectives of Immune Checkpoint Inhibitors in Biliary Tract Cancer
- PMID: 33737812
- PMCID: PMC7966382
- DOI: 10.2147/OTT.S269671
Current Progress and Future Perspectives of Immune Checkpoint Inhibitors in Biliary Tract Cancer
Abstract
Biliary tract cancer (BTC) is an uncommon and aggressive neoplasm, with most patients presenting in an advanced stage. Systemic chemotherapy is the limited treatment available but is unsatisfactory, while targeted therapy is still awaiting validation from clinical trials. Given the potential effect of immune checkpoint inhibitors (ICIs) in the treatment of BTC, this review aims to summarize the evidence-based benefits and predictive biomarkers for using inhibitors of cytotoxic T-lymphocyte-associated protein-4 (CTLA-4) ligand, or programmed cell death protein-1 and its ligand (PD-1 and PD-L1) as monotherapy or combined with other anti-tumor therapies, while also pointing out certain pitfalls with the use of ICIs which need to be addressed.
Keywords: biliary tract cancer; clinical evidence; immune checkpoint inhibitors; immunotherapy; predictive biomarkers.
© 2021 Seesaha et al.
Conflict of interest statement
The authors declare that they have no conflicts of interest for this work.
Similar articles
-
PD-L1, TMB, MSI, and Other Predictors of Response to Immune Checkpoint Inhibitors in Biliary Tract Cancer.Cancers (Basel). 2021 Feb 1;13(3):558. doi: 10.3390/cancers13030558. Cancers (Basel). 2021. PMID: 33535621 Free PMC article. Review.
-
PD-1/PD-L1 Blockade Therapy in Advanced Non-Small-Cell Lung Cancer: Current Status and Future Directions.Oncologist. 2019 Feb;24(Suppl 1):S31-S41. doi: 10.1634/theoncologist.2019-IO-S1-s05. Oncologist. 2019. PMID: 30819829 Free PMC article. Review.
-
Expression of PD-L1 as a predictive marker of sensitivity to immune checkpoint inhibitors in patients with advanced biliary tract cancer.Therap Adv Gastroenterol. 2022 Aug 16;15:17562848221117638. doi: 10.1177/17562848221117638. eCollection 2022. Therap Adv Gastroenterol. 2022. PMID: 35992188 Free PMC article.
-
Recent Advances in Immunotherapy for Advanced Biliary Tract Cancer.Curr Treat Options Oncol. 2024 Aug;25(8):1089-1111. doi: 10.1007/s11864-024-01243-y. Epub 2024 Jul 27. Curr Treat Options Oncol. 2024. PMID: 39066855 Free PMC article. Review.
-
Combination therapy with PD-1 or PD-L1 inhibitors for cancer.Int J Clin Oncol. 2020 May;25(5):818-830. doi: 10.1007/s10147-019-01548-1. Epub 2019 Sep 23. Int J Clin Oncol. 2020. PMID: 31549270 Review.
Cited by
-
Clinical and biomarker analyses of sintilimab plus gemcitabine and cisplatin as first-line treatment for patients with advanced biliary tract cancer.Nat Commun. 2023 Mar 11;14(1):1340. doi: 10.1038/s41467-023-37030-w. Nat Commun. 2023. PMID: 36906670 Free PMC article. Clinical Trial.
-
Hepatic artery infusion chemotherapy plus an immune checkpoint inhibitor and lenvatinib for the treatment of biliary tract carcinoma.World J Surg Oncol. 2025 Jun 13;23(1):233. doi: 10.1186/s12957-025-03882-3. World J Surg Oncol. 2025. PMID: 40514706 Free PMC article.
-
Immune-related RNA signature predicts outcome of PD-1 inhibitor-combined GEMCIS therapy in advanced intrahepatic cholangiocarcinoma.Front Immunol. 2022 Sep 9;13:943066. doi: 10.3389/fimmu.2022.943066. eCollection 2022. Front Immunol. 2022. PMID: 36159865 Free PMC article.
-
Current options and future directions of systemic therapy for advanced biliary tract cancer.Explor Target Antitumor Ther. 2021;2(5):416-433. doi: 10.37349/etat.2021.00054. Epub 2021 Oct 31. Explor Target Antitumor Ther. 2021. PMID: 36045701 Free PMC article. Review.
-
Immune checkpoint inhibitors plus capecitabine and oxaliplatin in unresectable or advanced biliary tract cancer patients: A retrospective study.Front Oncol. 2022 Oct 6;12:965711. doi: 10.3389/fonc.2022.965711. eCollection 2022. Front Oncol. 2022. PMID: 36276134 Free PMC article.
References
Publication types
LinkOut - more resources
Full Text Sources
Other Literature Sources
Research Materials