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Article

A Network Approach to Developing Immuno-Oncology Combinations in Canada

1
Exactis Innovation, Sir Mortimer B. Davis Jewish General Hospital, Montreal, QC, Canada
2
Segal Cancer Centre, Sir Mortimer B. Davis Jewish General Hospital, Montreal, QC, Canada
3
William Osler Health System, University of Toronto, Toronto, ON, Canada
4
Division of Hematology Oncology, Cedars–Sinai Samuel Oschin Comprehensive Cancer Institute, Los Angeles, CA, USA
5
Medical Oncology, BC Cancer–Vancouver Centre, Vancouver, BC, Canada
6
Department of Oncology, Tom Baker Cancer Centre, Calgary, AB, Canada
7
Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
8
Department of Oncology, Cross Cancer Institute, Edmonton, AB, Canada
9
Medical Oncology, Princess Margaret Cancer Centre, Toronto, ON, Canada
10
Faculty of Pharmacy, University of Montreal, Montreal, QC, Canada
11
Division of Medical Oncology, The Ottawa Hospital, Ottawa, ON, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2019, 26(2), 73-79; https://doi.org/10.3747/co.26.4393
Submission received: 8 January 2019 / Revised: 6 February 2019 / Accepted: 5 March 2019 / Published: 1 April 2019

Abstract

Immune checkpoint inhibitors have revolutionized care for many cancer indications, with considerable effort now being focused on increasing the rate, depth, and duration of patient response. One strategy is to combine immune strategies (for example, CTLA-4 and PD-1/L1–directed agents) to harness additive or synergistic efficacy while minimizing toxicity. Despite encouraging results with such combinations in multiple tumour types, numerous clinical challenges remain, including a lack of biomarkers that reliably predict outcome, the emergence of therapeutic resistance, and optimal management of immune-related toxicities. Furthermore, the selection of ideal combinations from the myriad of immune, systemic, and locoregional therapies has yet to be determined. A longitudinal network-based approach could offer advantages in addressing those critical questions, including long-term follow-up of patients beyond individual trials.
Keywords: immuno-oncology; biobanking; molecular profiling; precision oncology; molecular cancer registries; cancer networks immuno-oncology; biobanking; molecular profiling; precision oncology; molecular cancer registries; cancer networks

Share and Cite

MDPI and ACS Style

Higenell, V.; Fajzel, R.; Batist, G.; Cheema, P.K.; McArthur, H.L.; Melosky, B.; Morris, D.; Petrella, T.M.; Sangha, R.; Savard, M.F.; et al. A Network Approach to Developing Immuno-Oncology Combinations in Canada. Curr. Oncol. 2019, 26, 73-79. https://doi.org/10.3747/co.26.4393

AMA Style

Higenell V, Fajzel R, Batist G, Cheema PK, McArthur HL, Melosky B, Morris D, Petrella TM, Sangha R, Savard MF, et al. A Network Approach to Developing Immuno-Oncology Combinations in Canada. Current Oncology. 2019; 26(2):73-79. https://doi.org/10.3747/co.26.4393

Chicago/Turabian Style

Higenell, V., R. Fajzel, G. Batist, P.K. Cheema, H.L. McArthur, B. Melosky, D. Morris, T.M. Petrella, R. Sangha, M.F. Savard, and et al. 2019. "A Network Approach to Developing Immuno-Oncology Combinations in Canada" Current Oncology 26, no. 2: 73-79. https://doi.org/10.3747/co.26.4393

APA Style

Higenell, V., Fajzel, R., Batist, G., Cheema, P. K., McArthur, H. L., Melosky, B., Morris, D., Petrella, T. M., Sangha, R., Savard, M. F., Sridhar, S. S., Stagg, J., Stewart, D. J., & Verma, S. (2019). A Network Approach to Developing Immuno-Oncology Combinations in Canada. Current Oncology, 26(2), 73-79. https://doi.org/10.3747/co.26.4393

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