What are the two or three critical issues facing the field of cancer immunotherapy?
Immunotherapy has dramatically changed cancer treatment and established new standards of care for several tumor types. For example, within the span of just a few years, we have seen regulatory approvals for neoadjuvant, adjuvant, and perioperative immunotherapy treatments for patients with early-stage, resectable non-small cell lung cancer. Unfortunately, however, these studies also indicate that many patients fail to respond to immunotherapy for reasons that are incompletely understood. One of the critical challenges we are facing in clinical practice is the inability to deliver personalized treatments for some subsets of patients due to the lack of robust biomarkers of therapeutic efficacy. One way our group and others are tackling this issue is by integrating multiomics analyses of longitudinal samples with preclinical studies using human-relevant models and drawing on expertise from multiple fields. This approach will enable a comprehensive framework for precision cancer immunotherapy that will consider tumor, immune-related and patient factors and lead to the discovery of reliable biomarkers for patient stratification and therapy selection. We expect that this strategy will enhance clinical outcomes for a greater number of patients while minimizing treatment-related toxicities.
A second important gap that is hindering our ability to effectively deliver cancer immunotherapy for a potential cure is our incomplete understanding of how to optimally combine or sequence immune-based treatments which have distinct mechanisms of action (e.g., checkpoint inhibitors, T-cell engagers, vaccines, bispecific antibodies) with other therapeutic modalities, such as surgery, chemotherapy and radiotherapy. An improved understanding of how to sequence various immune agents in a personalized fashion will provide an opportunity to de-escalate treatments and minimize both clinical and financial toxicity. Conversely, this strategy will also enable us to tailor intensified therapeutic regimens using innovative immunotherapies for individuals who are at considerable risk of disease relapse. This more rational approach to cancer immunotherapy holds the potential to significantly impact healthcare outcomes and alleviate burden from patients and their support system.
A third issue hampering progress in cancer immunotherapy is that many individuals with cancer may have limited access to clinical trials evaluating promising immunotherapy treatments and combination strategies. To promote equitable access to novel agents and advance clinical and translational research, we must streamline clinical trials while scaling clinical operations to a more sustainable level. By doing so, we can reach a broader population of cancer patients that better reflects the real-world clinical practice and expand patient access to potentially more effective treatments. The clinical and translational data generated from more comprehensive and diverse populations and cohorts should stimulate new scientific hypotheses and foster innovative grant opportunities.
What is Your Vision for SITC?
My contributions as member of the SITC Board of Directors will be centered on implementing initiatives that foster translational research and multidisciplinary collaborations in order to bridge the void between basic science discoveries and clinical applications. A fully integrated interdisciplinary approach that expands our understanding of how tumor biology influences the immune system is critical to maximize the effectiveness of immune-based therapies in cancer patients, develop novel therapeutic strategies that can enhance outcomes for a greater number of individuals and lead to a cure. By facilitating strategic partnerships between academic and community practice investigators, industry sponsors, regulatory authorities and patient advocacy, SITC will be ideally positioned to accelerate the pace of scientific discovery and clinical development, ultimately expediting the delivery of innovative therapies to patients at a global scale.
I will help position SITC as the leading platform for presenting transformative, practice-changing immunotherapy results from clinical trials. This will generate greater participation from clinicians, healthcare providers from academia and community setting, physician-scientists, sponsors and regulators. As a result, SITC will move to the forefront of the field as an international hub for sharing the latest findings that could support novel immunotherapy drug approval. The annual conference will benefit from a more robust exchange of ideas across specialties and expertise that may result in expedited strategic collaborations. This strategy will also shape the scientific impact and reach of the journal’s organization as a potential platform for the dissemination of the presented findings.
I will also work with SITC board members to develop high-risk, high-reward funding mechanisms that support potentially transformative research. I envision that these opportunities would be team science awards for creative investigators from across different scientific disciplines spanning basic science, translational and clinical research who propose groundbreaking investigations that address key questions in the field. This investment will accelerate discovery, promote the procurement of robust data for moving promising compounds into clinical testing, and foster the career development and professional growth of each stakeholder across diverse career stages, paths and disciplines.