MMRF Accelerator Magazine Summer 2017 Edition | Page 5

IMMUNOTHERAPY IN THE CLINIC ANTIBODIES WHAT IS IMMUNOTHERAPY? MAKING STRIDES FORWARD I B mmune cells defend the body by setting off alarms, killing invading cells, and generating specific antibodies that remain in the body, so the cells can be recognized and killed in the future. However, cancer cells are very good at hiding and evading these defenses. Immunotherapy seeks to improve this protection by blocking the ability of cancer cells to hide and by enabling the body’s immune system to recognize cancer cells more easily. The MMRF is actively pursuing new avenues of research to rapidly bring the most effective of these strategies to patients. uilding on the results of this meeting, the MMRF is committed to investing at least $15M over the next three years in a new MMRF Immunotherapy Initiative to rapidly advance promising therapies to the clinic. The cornerstone of this initiative will be the creation of a network of leading immune centers of excellence, which will collaborate on the following: ■ ■ Standardization of immune assays across centers and trials ■ ■ Translational research to better understand the role of the immune system in cancer defens e and how to augment this protective activity ■ ■ Planning and conducting innovative immunotherapy trials using the most promising combinations of immune agents Excitement of immunotherapy is well deserved and progress is breathtaking, but it ain't over. — Rick Klausner, MD, founder of Juno Therapeutics and GRAIL, and former director of the National Cancer Institute ACCEL E RATO R • S U M M ER 2017 ■ ■ Approved: Darzalex (daratumumab) and Empliciti (elotuzumab) ■ ■ Under investigation: indatuximab, isatuximab, milatuzumab, and tabalumab IMMUNE CHECKPOINT INHIBITORS Cancer cells can hide from the immune system by turning “off” the signals usually seen by immune cells that allow them to attack intruders. Checkpoint inhibitors work to turn “on” the body’s immune response by blocking these “off” signals from myeloma cells. ■ ■ Under investigation: atezolizumab, Keytruda (pembrolizumab), Opdivo (nivolumab), and Yervoy (ipilimumab) VACCINES For cancer, vaccines are a type of treatment, rather than prevention. The vaccines in development “train” immune cells to recognize myeloma cells so they can attack and kill them. ■ ■ Under investigation: both cell- based and non-cell-based vaccines ENGINEERED T CELLS T cells, a type of immune cell, can be removed from the body and genetically engineered to recognize specific target proteins on the surface of myeloma cells. These altered cells are grown in large numbers and infused back into the patient, where they can then attack and kill myeloma cells. ■ ■ Under investigation: chimeric antigen receptor T cells, or CAR-T therapy, targeting CD19, BCMA, and κ light chains 5 MMRF Convenes Top Minds in Cancer at the Immune Therapy Summit in Boston; Co-Chairs: Ivan Borrello, MD (Johns Hopkins Medicine), Kathy Giusti (MMRF Founder), Rick Klausner, MD (Juno Therapeutics) Monoclonal antibodies for myeloma help the patient’s own immune system recognize cancer cells and flag them for destruction.