Efficacy of immunotherapies is limited by the poor immunogenicity of some cancers. For example, ~90% of colorectal tumours cannot be targeted as they are qualified as low immunogenic. Radiofrequency ablation (RFA), extensively used for the local destruction of tumours or metastases, is known to activate a tumourspecific T-cells response, still ineffective to avoid recurrence. The technology relies on a thermosensitive hydrogel injected in the tumour cavity treated by RFA, which delivers, locally and sustainably, immunostimulating agents to initiate an antitumoral immune response directed against distant metastases. The thermosensitive hydrogel allows an optimal delivery in the tumour cavity in its liquid state and a long lasting effect thanks to its gelling at around 30 °C. In vivo, the in situ immunostimulating thermosensitive hydrogel injection after RFA results in a prolonged survival of mice and a regression of distant microscopic tumours due to a strong systemic antitumor immune response. Furthermore, the immunostimulating thermosensitive hydrogel boosts the regression of macroscopic tumours when associated to RFA and a systemic check point inhibitor.
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Keywords : Thermosensitive hydrogel, Drug delivery, Immuno-oncology, Colorectal cancer