Preprint Article Version 3 Preserved in Portico This version is not peer-reviewed

Drawbacks of Immune Checkpoint Inhibition and Rigorous Management for Immune Related Adverse Events Along with a Mathematical Model to Assess Therapy Success and Optimum Therapy Duration and a Strategy Against Tumor Plasticity

Version 1 : Received: 22 January 2023 / Approved: 24 January 2023 / Online: 24 January 2023 (03:27:37 CET)
Version 2 : Received: 15 February 2023 / Approved: 16 February 2023 / Online: 16 February 2023 (07:54:31 CET)
Version 3 : Received: 3 March 2023 / Approved: 6 March 2023 / Online: 6 March 2023 (01:53:16 CET)

A peer-reviewed article of this Preprint also exists.

Hendekli, C.M. Drawbacks of Immune Checkpoint Inhibition and Rigorous Management for Immune-Related Adverse Events along with a Mathematical Model to Assess Therapy Success and Optimum Therapy Duration and a Strategy against Tumor Plasticity. Journal of Cancer Research and Clinical Oncology 2023, doi:10.1007/s00432-023-04718-x. Hendekli, C.M. Drawbacks of Immune Checkpoint Inhibition and Rigorous Management for Immune-Related Adverse Events along with a Mathematical Model to Assess Therapy Success and Optimum Therapy Duration and a Strategy against Tumor Plasticity. Journal of Cancer Research and Clinical Oncology 2023, doi:10.1007/s00432-023-04718-x.

Abstract

Immune checkpoint inhibition therapy (ICIT) is an emerging field in oncology especially opening new horizons to chemotherapy refractory patients. This paper provides deep insight into immune related adverse events (irAEs) posing a major challenge and drawback to ICIT, and presents right management strategies for very complex complications. Moreover, for the first time in literature, a non-linear mathematical model is introduced to measure the ICIT success rate and to decide about the optimum ICIT duration. Furthermore, a strategy is presented to overcome or to delay the progression after initial good response in a subset of patients.

Keywords

Oncology; Immune Checkpoint Inhibition; PD-1; PD-L1; CTLA-4; Immune Related Adverse Events; Immunotherapy; Tumor Plasticity; Tumor Microenvironment; Optimum Therapy Duration

Subject

Medicine and Pharmacology, Oncology and Oncogenics

Comments (1)

Comment 1
Received: 6 March 2023
Commenter: C. Mehmet Hendekli
Commenter's Conflict of Interests: Author
Comment: Title, abstract and page 29 are modified, and thus the paper is now in its final version!
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