James P. Allison's most notable contribution is his discovery of the significance of checkpoint inhibitors in cancer therapy. He identified the protein CTLA-4 (cytotoxic T-lymphocyte-associated protein 4) as a critical "checkpoint" that can inhibit T cell activation. By blocking CTLA-4, he demonstrated that it is possible to unleash the immune system to attack cancer cells more effectively. This discovery led to the development of the first immune checkpoint inhibitor drug, ipilimumab, which has shown significant success in treating melanoma and other cancers.