INSIDE THIS ISSUE:
Letter from the Editor| JITC Editor Picks|JITC Peer Review Mentorship Program|Popular Archive Articles
Letter from the Editor
Hello JITC
Readers,
This has been a busy month for the JITC editors, as each of the individual sections have been meeting to discuss the strategic vision for the journal and make plans to accomplish these goals. February is also National Cancer Prevention Month. A good start to the month would be to read Olja Finn’s JITC commentary, “Opportunity knocking: shared tumor-associated antigen vaccines against global cancer pandemic,” just published and focused on the global need to prevent cancer. Read this and other commentaries by luminaries in the field as part of our special series celebrating the 40th Anniversary of the Society for Immunotherapy of Cancer.
One of the most gratifying aspects of my role as Editor-in-Chief has been the quality of the peer review process for the Journal, where, for those papers sent out for review, substantial guidance is provided to improve the quality and clarity of the submission. As many of you realize, the effort to identify and access individuals interested and capable of reviewing has become increasingly more difficult, as we all work on advanced topics and within increasingly narrow, focused areas. Please consider volunteering your time and expertise to become a reviewer for JITC. Learn more about the benefits and how to apply here.
Peer Review Mentorship Program
For those scientists that are well-trained in their specialty area, but have less experience with peer-review, JITC has developed a mentorship program going on its fourth year in service to our profession. The JITC Peer Review Mentorship Program pairs early career professionals with senior leaders to help train the next generation on the general practices of scientific peer review. We are accepting applications now through the end of February. If you are interested in this program, or know of someone interested, please apply. See the special feature below for more information.
Modernizing Oncologic Endpoints
One of our most important sections in JITC focuses on Immunotherapy Biomarkers, headed up by Section Editors Ignacio Melero, MD, PhD, FAIO, at the University of Navarra; Kurt Schalper, MD, PhD, at Yale School of Medicine; and Alexandra Snyder Charen, MD, at Merck. Our ability to develop deeper mechanistic understanding of established and emergent immunotherapies is dependent, in part, on identifying suitable biomarkers. Furthermore, suitable markers allow stratification for the inherent complexity and heterogeneity of the tumors and the host response.
What the essential biomarkers are that should be incorporated into patient management is clearly evolving. A SITC Clinical Immuno-Oncology Network (SCION) guideline suggested that early-phase IO studies should incorporate several readily available measures including: neutrophil/lymphocyte ratio, lactate dehydrogenase (as an adverse measure of the tumor), serum albumin, PD-L1 staining, tumor mutational burden assessment, MSI status, and routine staging measures. Other measures are currently under consideration.
Friends of Cancer Research (Friends) has also been focused on modernizing oncology endpoints, identifying pathways for evidence and policy. This involved engagement of regulators and key individuals at a meeting that I attended on February 5th in Washington, D.C. An update on the status of ctDNA, which has become an important component of patient management in colorectal cancer and emergent for many others, was seen most importantly as a potential surrogate endpoint, useful for accelerating drug discovery, and ultimately improving patient care. One example of progress was the announcement that minimal residual disease measures were now accepted in patients with multiple myeloma by the FDA in 2026, supported by eight studies performed over five years. This measure was shown to decrease variability in outcome measures compared with overall response rate (ORR) and progression-free survival (PFS).
Following this session, “Leveraging AI-enabled tumor assessment tools on radiological images to evaluate treatment effect and support clinical trial endpoints in solid tumors,” an executive summary of a white paper that I was privileged to be part of, was presented and discussed. Lawrence Schwartz from Memorial Sloan Kettering, who kicked off the session, suggested that the most important aspect of AI was documenting reproducibility and accuracy, correlating with ORR and overall survival (OS). Nate Braman from Picture Health promoted interrogating radiologic images as a source of biomarkers, rich in details, defining heterogeneity within the tumor, vascularity, as well as margins. Major questions remain. This includes whether we are measuring response when we use AI at the right timepoints and considering whether earlier measures might be better. Other issues brought up during the session included whether we could get the right information into the label, which is important for both practitioners and patients. In addition, the software used to assess measurements must also be validated. Friends is now working with several AI vendors and vetted radiographs to assess and measure concordance with RESIST criteria. Stay tuned for output from this important initiative!
Highlighted Manuscripts
This month, I would like to emphasize the importance of evolving biomarkers that are either predictive or prognostic for our evolving therapies. Here we focus on “what the study adds” messaging from the articles themselves. I encourage you to peruse them and the other papers published in JITC this last month.
Regards,
Michael T. Lotze, MD
Editor-in-Chief
Journal for ImmunoTherapy of Cancer