Radioimmunotherapy, Neoadjuvant Immunotherapy, and Adjuvant Immunotherapy for Cancer

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Therapy".

Deadline for manuscript submissions: 31 December 2025 | Viewed by 479

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NHMRC Clinical Trials Centre, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW 2006, Australia
Interests: pharyngeal cancer; oral cancer; cancer survivior; radiation therapy
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Special Issue Information

Dear Colleagues,

The integration of immunotherapy into cancer treatment has transformed oncology, offering new hope for improved survival and long-term remission. Among the latest advancements, radioimmunotherapy and neoadjuvant immunotherapy have emerged as promising modalities. Radioimmunotherapy combines targeted radiotherapy with immunotherapeutic agents, leveraging their synergistic effects to enhance tumor control while minimizing systemic toxicity. Meanwhile, neoadjuvant immunotherapy, administered before surgical resection, aims at reducing tumor burden, activating systemic anti-tumor immunity, and improving surgical outcomes. Together, these approaches not only redefine the therapeutic landscape but also address critical challenges in personalized cancer care.

This Special Issue in Cancers brings together cutting-edge research, clinical trials, and expert reviews that explore the mechanisms, efficacy, and optimization of radioimmunotherapy and neoadjuvant immunotherapy across various cancer types. Topics include novel radiopharmaceuticals, biomarkers for response prediction, combination strategies with immune checkpoint inhibitors, and their implications for tumor microenvironment modulation. By highlighting these advancements, this Special Issue aims to contribute to the evolving paradigm of multidisciplinary cancer management, fostering innovation and improving patient outcomes.

Dr. Rashidul Alam Mahumud
Guest Editor

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Keywords

  • immunotherapy
  • radioimmunotherapy
  • neoadjuvant immunothearpy
  • radiopharmaceuticals

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Published Papers (1 paper)

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23 pages, 1443 KiB  
Systematic Review
Assessing the Clinical Effectiveness of Radioimmunotherapy with Combined Radionuclide/Monoclonal Antibody Conjugates in Cancer Treatment: Insights from Randomised Clinical Trials
by Yifu Chen, Padam Kanta Dahal, Parvez Mosharaf, Md. Shahjalal and Rashidul Alam Mahumud
Cancers 2025, 17(9), 1413; https://doi.org/10.3390/cancers17091413 - 23 Apr 2025
Viewed by 249
Abstract
Background: Despite the development of advanced cancer therapies, achieving cancer eradication remains challenging. Radioimmunotherapy (RIT) is an innovative approach that combines radionuclides with monoclonal antibodies targeting tumour-associated antigens or those expressed by the tumour microenvironment. Over the past two decades, RIT has been [...] Read more.
Background: Despite the development of advanced cancer therapies, achieving cancer eradication remains challenging. Radioimmunotherapy (RIT) is an innovative approach that combines radionuclides with monoclonal antibodies targeting tumour-associated antigens or those expressed by the tumour microenvironment. Over the past two decades, RIT has been extensively researched, along with two RIT products—90Y-ibritumomab tiuxetan and 131I-tositumomab. However, despite its demonstrated efficacy in non-solid tumours, RIT’s clinical use remains limited, and its effectiveness in solid tumours is inconclusive. This study aimed to analyse randomised controlled trials (RCTs) to evaluate the overall clinical effectiveness of RIT across different cancer types and its impact on treatment outcomes. Methods: A systematic search of PubMed, EMBASE, Scopus, CENTRAL, and Google Scholar was conducted from January 2000 to October 2024 in accordance with PRISMA guidelines and the PICOS framework. Studies were included if they were RCTs evaluating RIT for cancer treatment and reported treatment outcomes such as overall survival (OS), progression-free survival (PFS), disease-free survival, or time to progression (TTP). Data extraction was performed using a standardised Excel form, and study quality was assessed with the Joanna Briggs Institute Critical Appraisal Tool for RCTs. A narrative synthesis of the data was complemented by meta-analyses where feasible, particularly for progression- and survival-related endpoints. Results: Out of 2241 records identified, 20 RCTs encompassing approximately 3562 patients were included. The majority of trials focused on non-solid tumours, particularly non-Hodgkin’s lymphoma (NHL), while a smaller subset evaluated solid tumours such as lung, pancreatic, ovarian, and prostate cancers. Most non-solid tumour studies employed 90Y-ibritumomab tiuxetan or 131I-tositumomab, targeting the CD20 antigen, whereas limited evidence exists for RIT efficacy in solid tumours. Meta-analysis of progression-related outcomes yielded a pooled hazard ratio (HR) of 0.48 (95% CI: 0.39–0.59), indicating a 52% reduction in the risk of progression. In contrast, overall survival outcomes were more variable, with a pooled OS HR of 0.80 (95% CI: 0.60–1.07). Adverse events, predominantly haematological and nonhaematological toxicities, were common yet generally reversible. The findings suggest that RIT, especially when used as part of combination regimens, significantly improves treatment outcomes in non-solid tumours but has an inconsistent effect in solid tumour settings. Conclusions: The results underscore the clinical promise of RIT in treating non-solid tumours like NHL, where combination regimens yield superior outcomes compared to monotherapy. However, the inconclusive evidence in solid tumours highlights the need for further large-scale, well-designed RCTs to define the optimal use, dosing, and patient selection for RIT in these settings. Additionally, standardisation in outcome reporting and longer follow-up periods are essential for more accurate economic and clinical assessments. Overall, RIT represents a valuable therapeutic modality, yet its integration into cancer treatment regimens should be guided by further research aimed at mitigating toxicity and optimising combination strategies. Full article
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