Overcoming resistance to PD-1 blockade in classic Hodgkin Lymphoma
Classic Hodgkin lymphoma (cHL) is a common cancer in children and young people. While current treatments cure many patients, they often involve intensive chemotherapy and radiation that can cause serious long-term side effects. New, safer treatments are needed. Immunotherapy drugs that target a protein called PD-1 help the immune system attack cancer and are already used in cHL. However, many patients do not have lasting responses, meaning the cancer can return. This project aims to understand why some patients develop resistance to these treatments and how to overcome it. Our research focuses on the tumor “microenvironment,” the mix of cells surrounding cancer cells. We have found that certain immune cells can actually suppress the body’s ability to fight the cancer, contributing to treatment resistance. We will study patient samples to identify markers that predict who will respond to PD-1 therapy and who will not. We will also test a drug called entinostat, which may improve immunotherapy by changing the tumor environment and reducing these suppressive immune cells. Using laboratory models and patient data, we aim to design better combination treatments. Ultimately, this work could lead to more effective and less toxic therapies for young people with cHL.
Project Goals
The goal of this project is to improve treatment for children, adolescents, and young adults with classical Hodgkin lymphoma by making immunotherapy more effective and longer lasting. We aim to understand why some patients do not respond to current PD-1–based treatments and to identify markers that can predict who will benefit. Using this knowledge, we will develop a new combination approach that adds the drug entinostat to immunotherapy to overcome resistance. Ultimately, this work seeks to replace more toxic treatments like chemotherapy and radiation with safer, targeted therapies that maintain high cure rates while reducing long-term side effects.

