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low-dose-rate brachytherapy + standard-of-care immunotherapy

Development stage
Unknown
Lead developer
Case Comprehensive Cancer Center
Modality
Antibody-Radionuclide Conjugates → Antibody Conjugates → Antibody-Based Therapeutics, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous, Interstitial
01

Overview

This combination regimen, being evaluated by the Case Comprehensive Cancer Center, consists of low-dose-rate (LDR) brachytherapy administered alongside standard-of-care (SOC) immunotherapy. LDR brachytherapy involves the interstitial placement of radioactive sources directly into or near the tumor site to provide continuous, localized radiation. This is combined with systemic administration of FDA-approved immune checkpoint inhibitors, such as those targeting PD-1, PD-L1, or CTLA-4. The therapeutic rationale is based on the potential for localized radiation to enhance systemic anti-tumor immunity (the abscopal effect) and sensitize the tumor microenvironment to immunotherapy. The regimen is currently in a Phase 1 pilot study for patients with advanced (Stage III/IV) cutaneous melanoma, Stage IV renal cell carcinoma, and Stage IV urothelial carcinoma of the renal pelvis.

Other names
LDR Brachytherapy + ImmunotherapyLow-Dose-Rate Brachytherapy Combined With Immune Checkpoint Inhibitionimmunotherapy-Case Comprehensive Cancer Center-cutaneous melanoma-renal cell carcinoma-urothelial carcinoma of renal pelvis
02

Targets

CD274 (Programmed cell death protein 1 ligand 1)DNACTLA-4 (Cytotoxic t-lymphocyte–associated protein 4)PDCD1 (Programmed cell death protein 1 receptor)

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