TumorDiagnostik & Therapie 2019; 40(02): 113-120
DOI: 10.1055/a-0843-0059
Thieme Onkologie aktuell
© Georg Thieme Verlag KG Stuttgart · New York

Herausforderungen in der Immunonkologie

Defizite verbessern, Potenziale ausschöpfenChallenges in Immuno-OncologyPossibilities for Optimization
Alexander Shimabukuro-Vornhagen
1   Klinik I für Innere Medizin, Uniklinik Köln
,
Marion Subklewe
2   Medizinische Klinik und Poliklinik III, Klinikum der LMU München
,
Michael von Bergwelt-Baildon
2   Medizinische Klinik und Poliklinik III, Klinikum der LMU München
› Author Affiliations
Further Information

Publication History

Publication Date:
06 March 2019 (online)

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Zusammenfassung

Mittlerweile haben mehrere unterschiedliche Immuntherapien Eingang in die klinische Routine gefunden – oft mit erstaunlichen Erfolgen. Infolgedessen hat sich die Immunonkologie innerhalb kürzester Zeit als Subspezialität der Onkologie fest etabliert. Damit sie aber ihr volles Potenzial für die Behandlung maligner Erkrankungen entfalten kann, müssen in Zukunft noch einige Hindernisse überwunden werden.

Abstract

Immuno-oncology has undoubtedly started a new era in the treatment of malignant diseases. Within a short time immunotherapeutic therapy concepts have become part of the standard therapy for many tumors. Already, immunotherapy is one of the most potent therapeutic options for the treatment of many malignancies. Despite its impressive achievements, there is still a significant need for improvement and many aspects of the practical application of immunotherapeutic modalities of therapy are unclear. If it succeeds in solving the challenges discussed here, immuno-oncology will certainly be one of the most important pillars of successful tumor therapy in the future. Immunotherapeutic combination therapies offer the opportunity to improve treatment outcomes. The immunological side effects of immunotherapy may sometimes be life-threatening, but if adequately treated they may be associated with a good prognosis. The development of predictive biomarkers is indispensable for effective immunotherapy. The costs of immuno-oncological therapies are sometimes very high. Therefore reasonable solutions must be found.