The global immune checkpoint
inhibitors market is expected to witness significant growth as
these are proven to be more effective therapy in shrinking tumor in higher
proportion of patients, as compared to other immunotherapies. Immune checkpoint
inhibitors are applicable to a wider
range of tumor types such as advanced or metastatic non-small cell lung cancer,
renal cancer and melanoma. These inhibitors lower the rate of severe toxicities
and immune-mediated side-effects. These are also convenient to administer and
yield a good response rate of any single-agent immunotherapy.
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Immune
checkpoints comprised of cytotoxic T-lymphocyte antigen 4 (CTLA-4) inhibitors
and PD-1 and PD-L1 inhibitors. CTLA-4 drug are
molecules used to regulate, stimulate or inactivate the immune cells. PD-1
is found on the surface of cancer cells and it is used by tumors to evade the
immune system; therefore, PD-1 inhibitor blocks PD-1 action and enables the
body to attack and kill cancer cells. PD-L1 is a transmembrane protein of 40kDa
that helps in suppressing the immune system during tissue allograft, pregnancy,
autoimmune disease, hepatitis and other diseases.
Immune checkpoint inhibitors are showing good
efficacy with PD-1 and PD-L1 inhibitors and CTLA-4 inhibitors. Yervoy,
an anti-CTLA-4 product of Bristol-Myers Squibb Company got approved in the year
2011. The increased use of combination therapy of PD-1
and PD-L1 inhibitors represent a new signal of immunotherapeutics, which is
expected to alter the standard of care for cancer across the globe. However,
the development of effective immunotherapy presents some challenges due to
complex pathophysiology of cancer and difficulty in managing treatment related toxic
effects, which is expected to hamper the growth of the global market to some
extent.
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Some of the key players operating in the global market are Merck &
Co., Inc., Bristol-Myers Squibb Company, AstraZeneca plc, Pfizer Inc., F.
Hoffmann-La Roche AG, Novartis AG, Regeneron Pharmaceuticals, Inc., Ono Pharmaceutical
Co., Ltd., and TG Therapeutics, Inc.
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