Table 1.
Delivery technology | Classes of immunotherapy | Advantages | Limitations |
---|---|---|---|
In vivo nanoparticle delivery to immune cells |
• Cytokines • Checkpoint inhibitors • Agonistic antibodies • Engineered T cells |
• Surface functionalization with targeting agents • Localized delivery • Cargo protection |
• Premature drug release • Nanoparticle stability • Delivery to off-target clearance organs • Systemic toxicity |
Ex vivo T-cell functionalization with nanoparticles |
• Cytokines • Vaccines • Engineered T cells |
• Innate tumor infiltration • Improved drug delivery • Can be engineered ex vivo or in vivo |
• Long production time • Short drug release profiles • Cell death after administration • Complex manufacturing |
Controlled release systems |
• Cytokines • Checkpoint inhibitors • Agonistic antibodies |
• Extended therapy timeline • Cargo protection • Low required doses • Localized delivery following intravenous injection |
• Difficult to control release profiles • Toxicities from off-target release • Potentially require surgical implantation • Acidification can degrade cargo |
Biomaterial implant scaffolds |
• Cytokines • Vaccines • Engineered T cells |
• In situ dendritic cell activation • Delivery of dendritic cell attractants • Implant functionalization with antigen • Controlled release profiles • Provides physical structure for cells |
• Potential toxicity from the implant material • Need to define specific antigens • Potential rejection of loaded adjuvant • Requires surgery |
Injectable biomaterial scaffolds |
• Cytokines • Checkpoint inhibitors • Neoantigens |
• Minimally invasive • No surgery required • Controlled release of loaded cargo • Delivery directly to the tumor |
• Early stages of development • Requires extensive characterization for biodegradation profile • May require large gauge needle |
Transdermal delivery systems |
• Checkpoint inhibitors • Neoantigens |
• Sustained release • Low required doses • Local delivery directly to the tumor • Minimally invasive • Bio-responsive |
• Small treatment area • Bioavailability and biocompatibility are unknown • Can be used only for tumors close to the skin • Complex manufacturing |
Reprinted with permission from [2]