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/ 07.09.17

ESTRO SBRT COURSE 2017 - Matthias Guckenberger

29

Timing of RT and immunotherapy

Ø

Sequencing of RT and immunotherapy relevant

Ø

Concurrent application

A – Start of RT

B – End of RT

C – after RT

concurrent

sequential

Dovedi Cancer Res 2014

/ 07.09.17

ESTRO SBRT COURSE 2017 - Matthias Guckenberger

30

Combination of RT with immunotherapy

Ø

Relevant complete response rates only after

radiotherapy and double checkpoint inhibition

PDL1 C4 & PDL1

C4 & PD1

RT & C4 & PD1 / PDL1

CR

0% 0% 20%

80%

Twyman-Saint Victor Nature 2015

Melanoma mouse model