Elena Garralda Cabanas, MD, San Raffaele Scientific Institute, Milan, Italy, outlines the two main problems facing research into neoantigen specific tumor infiltrating lymphocyte (TIL) therapy. The process of isolating, expanding, and infusing the patient with TIL therapy without the enrichment of neoantigen-specific cells already takes approximately one month but this is extended to three months with this additional enrichment. The second issue is that patients receiving checkpoint inhibitor therapy have fewer reactive T cells, making it harder to achieve an immunogenic response with neoantigen-specific TIL therapy. This interview took place at the ESMO Targeted Anticancer Therapies (TAT) Congress in Paris, France.
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