Combining conventional therapy with immunotherapy: A risky business?

被引:26
作者
Coosemans, A. [1 ,2 ]
Vankerckhoven, A. [2 ]
Baert, T. [2 ,3 ]
Boon, L. [4 ]
Ruts, H. [2 ]
Riva, M. [2 ]
Blagden, S. [5 ]
Delforge, M. [6 ]
Concin, N. [7 ]
Mirza, M. R. [8 ]
Ledermann, J. A. [9 ]
du Bois, A. [3 ]
Vergote, I [1 ,2 ,10 ]
机构
[1] UZ Leuven, Dept Gynaecol & Obstet, Leuven Canc Inst, Leuven, Belgium
[2] Katholieke Univ Leuven, Lab Tumour Immunol & Immunotherapy, Dept Oncol, ImmunOvar Res Grp, Leuven, Belgium
[3] KEM, Dept Gynaecol & Gynaecol Oncol, Essen, Germany
[4] Bioceros BV, Utrecht, Netherlands
[5] Univ Oxford, Early Phase Clin Trials Unit, Dept Oncol, Oxford, England
[6] UZ Leuven, Dept Haematol, Leuven Canc Inst, Leuven, Belgium
[7] Med Univ Innsbruck, Dept Gynaecol & Obstet, Innsbruck, Austria
[8] Copenhagen Univ Hosp, Rigshosp, Copenhagen, Denmark
[9] UCL, UCL Canc Inst, London, England
[10] Katholieke Univ Leuven, Lab Gynecol Oncol, Dept Oncol, Leuven, Belgium
关键词
Immunotherapy; Tumor immunology; Chemotherapy; Combination; Survival; TUMOR MICROENVIRONMENT; CHEMOTHERAPY; OVARIAN; CANCER; PROGRESSION;
D O I
10.1016/j.ejca.2019.02.014
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Because of the failure of immunotherapy as single agent in a number of cancers, current clinical trials are focusing on combining immunotherapy with other therapies. The most frequently chosen combination for immunotherapy is chemotherapy. However, almost no preclinical data on this combination is available. Some studies even showed a dismal effect of combining chemotherapy with immunotherapy. Taken into account that each of the therapies chosen in a combination will influence the cancer cells but also immune effector cells as well as immunosuppressive cells, and that these three partners will also interact with each other, launching a combination to the patient without proper immune monitoring and preclinical evidence might be devastating. (C) 2019 Elsevier Ltd. All rights reserved.
引用
收藏
页码:41 / 44
页数:4
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