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Biomarkers of hyperprogression and pseudoprogression with immune checkpoint inhibitor therapy

    Jarrett J Failing

    *Author for correspondence:

    E-mail Address: Failing.Jarrett@mayo.edu

    Department of Oncology, Mayo Clinic, Rochester, MN 55095, USA

    ,
    Olivia A Dudek

    Jagiellonian University Medical College, Świętej Anny 12, Krakow 31-008, Poland

    ,
    Julian A Marin Acevedo

    Department of Internal Medicine, Mayo Clinic, Jacksonville, FL 32224, USA

    ,
    Razvan M Chirila

    Department of Internal Medicine, Mayo Clinic, Jacksonville, FL 32224, USA

    ,
    Haidong Dong

    Department of Immunology, Mayo Clinic, Rochester, MN 55905, USA

    ,
    Svetomir N Markovic

    Department of Oncology, Mayo Clinic, Rochester, MN 55095, USA

    &
    Roxana S Dronca

    Division of Hematology & Medical Oncology, Mayo Clinic, Jacksonville, FL 32224, USA

    Published Online:https://doi.org/10.2217/fon-2019-0183

    Hyperprogression and pseudoprogression are two atypical responses to immune checkpoint inhibitor therapy that affect therapeutic decisions and prognosis. Identification of predictive biomarkers for atypical responses either before or during treatment remains a huge unmet need in cancer immunotherapy. Many studies have looked at potential biomarkers, including clinical factors and laboratory findings (e.g., peripheral blood counts, circulating tumor DNA, cytokine levels). The results of these studies have been inconsistent, possibly due to small sample sizes, different tumor types and heterogeneity of the definition of these atypical responses.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

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