[Current advances in immunotherapy in ovarian cancer].

[Current advances in immunotherapy in ovarian cancer].

Le Saux, Olivia;Dubois, Bertrand;Stern, Marc-Henri;Terme, Magali;Tartour, Eric;Classe, Jean-Marc;Chopin, Nicolas;Trédan, Olivier;Caux, Christophe;Ray-Coquard, Isabelle;
bulletin du cancer 2020
265
le-saux2020currentbulletin

Abstract

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 cancer. However, based on Phase I and II 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 another clinical need. Several combinations were evaluated. The association of ICPIs with chemotherapy (anthracyclines or carboplatin+paclitaxel) is disappointing (JAVELIN studies). The association with PARP inhibitors, anti-angiogenic agents and CTLA-4 inhibitors seems promising. Other immune therapies such as cell therapies (adoptive transfer of intra-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.

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