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Article Dans Une Revue Bulletin du Cancer Année : 2020

Les avancées actuelles de l’immunothérapie dans le cancer de l’ovaire

Résumé

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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hal-03490307 , version 1 (20-05-2022)

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Paternité - Pas d'utilisation commerciale

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Olivia Le Saux, Bertrand Dubois, Marc-Henri Stern, Magali Terme, Eric Tartour, et al.. Les avancées actuelles de l’immunothérapie dans le cancer de l’ovaire. Bulletin du Cancer, 2020, 107, pp.465 - 473. ⟨10.1016/j.bulcan.2019.11.015⟩. ⟨hal-03490307⟩
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