Endocrine Connections (Nov 2018)

Immunotherapy failure in adrenocortical cancer: where next?

  • Deborah Cosentini,
  • Salvatore Grisanti,
  • Alberto Dalla Volta,
  • Marta Laganà,
  • Chiara Fiorentini,
  • Paola Perotti,
  • Sandra Sigala,
  • Alfredo Berruti

DOI
https://doi.org/10.1530/EC-18-0398
Journal volume & issue
Vol. 7, no. 12
pp. E5 – E8

Abstract

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Immunotherapy is widely used in the treatment of different cancer types, including metastatic melanoma, non-small cell lung cancer, renal cell carcinoma and urothelial cancer. The results of the phase I JAVELIN study failed to demonstrate a substantial activity of the PDL-1 inhibitor Avelumab in advanced adrenocortical carcinoma (ACC). This editorial focus on the possible mechanisms of ACC immunoevasion and suggests strategies to overcome the intrinsic immunotherapy resistance of this disease.