Immune-Checkpoint Inhibitors in Platinum-Resistant Ovarian Cancer

Platinum-resistant ovarian cancer (OC) has limited treatment options and is associated with a poor prognosis. There appears to be an overlap between molecular mechanisms responsible for platinum resistance and immunogenicity in OC. Immunotherapy with single agent checkpoint inhibitors has been evalu...

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Main Authors: Alice Indini, Olga Nigro, Csongor György Lengyel, Michele Ghidini, Angelica Petrillo, Salvatore Lopez, Francesco Raspagliesi, Dario Trapani, Shelize Khakoo, Giorgio Bogani
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/7/1663
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author Alice Indini
Olga Nigro
Csongor György Lengyel
Michele Ghidini
Angelica Petrillo
Salvatore Lopez
Francesco Raspagliesi
Dario Trapani
Shelize Khakoo
Giorgio Bogani
author_facet Alice Indini
Olga Nigro
Csongor György Lengyel
Michele Ghidini
Angelica Petrillo
Salvatore Lopez
Francesco Raspagliesi
Dario Trapani
Shelize Khakoo
Giorgio Bogani
author_sort Alice Indini
collection DOAJ
description Platinum-resistant ovarian cancer (OC) has limited treatment options and is associated with a poor prognosis. There appears to be an overlap between molecular mechanisms responsible for platinum resistance and immunogenicity in OC. Immunotherapy with single agent checkpoint inhibitors has been evaluated in a few clinical trials with disappointing results. This has prompted exploration of immunotherapy combination strategies with chemotherapy, anti-angiogenics, poly (ADP-ribose) polymerase (PARP) inhibitors and other targeted agents. The role of immunotherapy in the treatment of platinum-resistant OC remains undefined. The aim of this review is to describe the immunobiology of OC and likely benefit from immunotherapy, discuss clinical trial data and biomarkers that warrant further exploration, as well as provide an overview of future drug development strategies.
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spelling doaj.art-f58135d65f7f4cbdb1219019a57c384e2023-11-21T13:53:17ZengMDPI AGCancers2072-66942021-04-01137166310.3390/cancers13071663Immune-Checkpoint Inhibitors in Platinum-Resistant Ovarian CancerAlice Indini0Olga Nigro1Csongor György Lengyel2Michele Ghidini3Angelica Petrillo4Salvatore Lopez5Francesco Raspagliesi6Dario Trapani7Shelize Khakoo8Giorgio Bogani9Medical Oncology Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122 Milan, ItalyMedical Oncology, ASST Sette Laghi, Ospedale di Circolo e Fondazione Macchi, 21100 Varese, ItalyHead and Neck Surgery, National Institute of Oncology Hungary, Ráth György u. 7-9, 1122 Budapest, HungaryMedical Oncology Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Della Commenda 19, 20122 Milan, ItalyMedical Oncology Unit, Ospedale del Mare, Via E. Russo, and University of Study of Campania “L.Vanvitelli”, Via Pansini n.5, 80100 Naples, ItalyFondazione IRCCS Istituto Nazionale dei Tumori di Milano, Via Giacomo Venezian 1, 20133 Milano, ItalyFondazione IRCCS Istituto Nazionale dei Tumori di Milano, Via Giacomo Venezian 1, 20133 Milano, ItalyEuropean Institute of Oncology, IRCCS, New Drug Development for Innovative Therapies, Via Ripamonti 435, 20141 Milan, ItalyGynecologic Oncology Unit, Department of Medicine, The Royal Marsden NHS Foundation Trust, Downs Road, Sutton SM2 5PT, UKFondazione IRCCS Istituto Nazionale dei Tumori di Milano, Via Giacomo Venezian 1, 20133 Milano, ItalyPlatinum-resistant ovarian cancer (OC) has limited treatment options and is associated with a poor prognosis. There appears to be an overlap between molecular mechanisms responsible for platinum resistance and immunogenicity in OC. Immunotherapy with single agent checkpoint inhibitors has been evaluated in a few clinical trials with disappointing results. This has prompted exploration of immunotherapy combination strategies with chemotherapy, anti-angiogenics, poly (ADP-ribose) polymerase (PARP) inhibitors and other targeted agents. The role of immunotherapy in the treatment of platinum-resistant OC remains undefined. The aim of this review is to describe the immunobiology of OC and likely benefit from immunotherapy, discuss clinical trial data and biomarkers that warrant further exploration, as well as provide an overview of future drug development strategies.https://www.mdpi.com/2072-6694/13/7/1663platinum-resistanceovarian cancerimmunotherapyimmune checkpoint inhibitorsnew drugs
spellingShingle Alice Indini
Olga Nigro
Csongor György Lengyel
Michele Ghidini
Angelica Petrillo
Salvatore Lopez
Francesco Raspagliesi
Dario Trapani
Shelize Khakoo
Giorgio Bogani
Immune-Checkpoint Inhibitors in Platinum-Resistant Ovarian Cancer
Cancers
platinum-resistance
ovarian cancer
immunotherapy
immune checkpoint inhibitors
new drugs
title Immune-Checkpoint Inhibitors in Platinum-Resistant Ovarian Cancer
title_full Immune-Checkpoint Inhibitors in Platinum-Resistant Ovarian Cancer
title_fullStr Immune-Checkpoint Inhibitors in Platinum-Resistant Ovarian Cancer
title_full_unstemmed Immune-Checkpoint Inhibitors in Platinum-Resistant Ovarian Cancer
title_short Immune-Checkpoint Inhibitors in Platinum-Resistant Ovarian Cancer
title_sort immune checkpoint inhibitors in platinum resistant ovarian cancer
topic platinum-resistance
ovarian cancer
immunotherapy
immune checkpoint inhibitors
new drugs
url https://www.mdpi.com/2072-6694/13/7/1663
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AT micheleghidini immunecheckpointinhibitorsinplatinumresistantovariancancer
AT angelicapetrillo immunecheckpointinhibitorsinplatinumresistantovariancancer
AT salvatorelopez immunecheckpointinhibitorsinplatinumresistantovariancancer
AT francescoraspagliesi immunecheckpointinhibitorsinplatinumresistantovariancancer
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