Surgical immune interventions for solid malignancies

Am J Surg. 2016 Oct;212(4):682-690.e5. doi: 10.1016/j.amjsurg.2016.06.008. Epub 2016 Jul 18.

Abstract

Background: The purpose of this study was to systematically review clinically translatable immunotherapeutic agents that are delivered regionally for solid malignancies.

Data sources: PubMed and ClinicalTrials.gov were searched for published and registered clinical trials, respectively. The search yielded 334 relevant publications, of which 116 articles were included for review after exclusion criteria were applied.

Conclusions: There has been an increase in the regional administration of cell-based and viral vector-based clinical trials over the last 5 years. Surgical interventions have been developed for intrapleural, intracranial, intraperitoneal, and intratumoral routes of access to enhance the local delivery of these therapies. Multimodality therapies that combine regional immunotherapy with other local and systemic therapies are demonstrating continued growth as the field of immunotherapy continues to expand.

Keywords: Adoptive cell therapy; Regional immunotherapy; Surgical immunotherapy.

Publication types

  • Review

MeSH terms

  • Antibodies, Monoclonal / therapeutic use
  • BCG Vaccine
  • Catheterization
  • Clinical Trials as Topic
  • Combined Modality Therapy
  • Humans
  • Immunotherapy / methods*
  • Injections, Intralesional
  • Laparoscopy
  • Neoplasms / pathology
  • Neoplasms / therapy*
  • Tumor Microenvironment
  • Vascular Access Devices

Substances

  • Antibodies, Monoclonal
  • BCG Vaccine