Abstract
Immune check point inhibitors have made a sea change in oncology practice in current
times. These drugs have crossed the conventional boundaries of histology and organ
of origin. Tumor agnostic approvals for mismatch repair deficient, microsatellite-instability
(MSI)-H and recently tumor mutational burden-high solid tumors have been a giant leap.
The Oncology community seems poised to embrace the concept of “immunotherapy for all.”
Recent studies have evaluated the manipulation of tumor-associated macrophages using
multi-kinase inhibitors, to make even MSI low tumor responsive to checkpoint inhibitors.
With accelerated food and drug administration approvals, the promise of this combo
is palpable but definitely merits caution.
Keywords
Immune checkpoint inhibitors - lenvatinib - regorafenib