Immune checkpoint inhibitors in acute myeloid leukemia: Novel combinations and therapeutic targets Review


Authors: Stahl, M.; Goldberg, A. D.
Review Title: Immune checkpoint inhibitors in acute myeloid leukemia: Novel combinations and therapeutic targets
Abstract: Purpose of Review: Immune checkpoint therapy has dramatically changed the therapeutic landscape of solid malignancies. Here, we review the scientific rationale and current data evaluating immune checkpoint inhibitors in acute myeloid leukemia (AML). Recent Findings: Immune checkpoint inhibitor monotherapy has shown limited clinical activity in AML. Initial results from early-phase clinical trials suggest that rational combinations of immune checkpoint inhibition with hypomethylating agents (HMAs) are safe and potentially more promising. There are currently no data directly comparing immune checkpoint inhibition to standard therapies. Emerging immune targets more specific for leukemia cells including LILRB4 may improve future therapeutic efficacy. Summary: The success of immune checkpoint inhibition in AML has been modest to date. However, an improved understanding of the biology and the use of rational combinations has potential to improve rates of durable responses. Multiple clinical trials in AML are currently evaluating the use of immune checkpoints alone and in combination. © 2019, Springer Science+Business Media, LLC, part of Springer Nature.
Keywords: ipilimumab; immunotherapy; ctla-4; azacitidine; pd-1; pd-l1; acute myeloid leukemia; decitabine; nivolumab; immune checkpoints; pembrolizumab; lilrb4
Journal Title: Current Oncology Reports
Volume: 21
Issue: 4
ISSN: 1523-3790
Publisher: Springer  
Date Published: 2019-04-01
Start Page: 37
Language: English
DOI: 10.1007/s11912-019-0781-7
PUBMED: 30904967
PROVIDER: scopus
DOI/URL:
Notes: Review -- Export Date: 1 May 2019 -- Source: Scopus
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  1. Aaron David Goldberg
    106 Goldberg
  2. Maximilian Stahl
    42 Stahl