ICI monotherapy remain poor. One of the major reasons for failure of ICI is due to immune-suppressive Tumor Microenvironment (TME). • Surgery • Radiation therapy • Chemotherapy Problems • Relapse and Resistance • Significant toxicity Response rates to ICI monotherapy Melanoma 40-50% Lung cancer 30-40% TNBC 10-15% Esteva F.P. et al, 2019 Vikas P., et al, Can Mgt Res, 2018 Emerging approach: Immune checkpoint inhibitors (ICI) • αPD-1 • αPD-L1