Current advances in immunotherapy in ovarian cancer

被引:7
作者
Le Saux, Olivia [1 ,2 ]
Dubois, Bertrand [2 ]
Stern, Marc-Henri [3 ,4 ]
Terme, Magali [5 ,6 ]
Tartour, Eric [5 ,6 ,7 ]
Classe, Jean-Marc [8 ]
Chopin, Nicolas [9 ]
Tredan, Olivier [9 ]
Caux, Christophe [2 ]
Ray-Coquard, Isabelle [9 ]
机构
[1] Hosp Civils Lyon, Serv Oncol Med, 165 Chemin Grand Revoyet, F-69495 Pierre Benite, France
[2] Univ Claude Bernard Lyon 1, Ctr Rech Cancerol Lyon, CNRS 5286, Ctr Leon Berard,Inserm 1052, F-69008 Lyon, France
[3] Univ Rech PSL, Inst Curie, DNA Repair & Uveal Melanoma DRUM, Inserm U830,Equipe Labellisee Ligue Natl Canc, F-75248 Paris, France
[4] Inst Curie, Dept Biol Tumeurs, Paris, France
[5] PARCC Paris Cardiovasc Res Ctr, Inserm U970, Paris, France
[6] Univ Paris 05, Fac Med, Sorbonne Paris Cite, Paris, France
[7] Hop Europeen Georges Pompidou, AP HP, Serv Immunol Biol, Paris, France
[8] Inst Cancerol Ouest, Dept Chirurg Carcinol, St Herblain, Loire Atlantiqu, France
[9] Ctr Leon Berard, 28 Rue Laennec, F-69008 Lyon, France
关键词
Ovarian tumors; Therapeutics; Immunotherapy; TUMOR-INFILTRATING LYMPHOCYTES; PHASE-III TRIAL; EPITHELIAL OVARIAN; OPEN-LABEL; STAGE-III; T-CELLS; PROGNOSTIC-SIGNIFICANCE; MAINTENANCE THERAPY; BRCA1/2; MUTATION; DOUBLE-BLIND;
D O I
10.1016/j.bulcan.2019.11.015
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Ovarian cancers express highly immunogenic tissue-specific antigens. The resulting immune infiltration is a major prognostic factor. There is therefore a strong biological rationale for the development of immunotherapy in ovarian concer. However, based on Phase I and clinical trials data, the efficacy of anti-PD-1 and anti-PD-L1 immune checkpoint inhibitors (ICPIs) remains limited in monotherapy in heavily pre-treated patients. Currently, the identification of predictive biomarkers of response and resistance is one of the major areas of research. Identifying effective combination of anti-PD-1 or anti-PD-L1 with other anticancer agents is onother clinical need. Several combinations were evaluated. The association of ICPIs with chemotherapy (anthracydines or carboplotin + paditaxel) is disappointing (JAVELIN studies). The association with PARP inhibitors, anti-ongiogenic agents and CTLA-4 inhibitors seems promising. Other immune therapies such as cell therapies (adoptive transfer of intro-tumor lymphocytes, CAR T cells or vaccines from dendritic cells) could be the future of immunotherapy in ovarian cancer but only early phase studies clinical data is available at this time.
引用
收藏
页码:465 / 473
页数:9
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