Dillman Robert O
a AiVita Biomedical, Inc. , Irvine , CA , USA.
b Hoag Family Cancer Institute , Newport Beach , CA , USA.
Hum Vaccin Immunother. 2017 Mar 4;13(3):528-532. doi: 10.1080/21645515.2016.1244149. Epub 2016 Nov 3.
Because of the recent success of monoclonal antibody checkpoint inhibitors, and the disappointing results of most therapeutic cancer vaccine trials, it has been questioned whether there is any potential role for such products going forward. In my opinion the answer is "yes" based on the following: [1] there is a persistent unmet clinical need because the majority of patients do not benefit from anti-checkpoint therapy, [2] there is evidence that not all patients make immune responses to their tumors, [3] there is evidence that immune responses to autologous tumor antigens can be induced by patient-specific vaccines, [4] there is clinical evidence from the pre-checkpoint era that suggests survival can be positively impacted by such patient-specific vaccines, and [5] the 2 available therapeutic vaccines that have received regulatory approval are quite limited in terms of their therapeutic benefit.
由于单克隆抗体检查点抑制剂近期取得的成功,以及大多数治疗性癌症疫苗试验令人失望的结果,人们对这类产品未来是否有任何潜在作用提出了质疑。在我看来,答案是“有”,基于以下几点:[1] 存在持续未满足的临床需求,因为大多数患者无法从抗检查点治疗中获益;[2] 有证据表明并非所有患者都能对其肿瘤产生免疫反应;[3] 有证据表明患者特异性疫苗可诱导对自体肿瘤抗原的免疫反应;[4] 检查点时代之前的临床证据表明,这类患者特异性疫苗可对生存产生积极影响;[5] 已获得监管批准的两种可用治疗性疫苗在治疗益处方面相当有限。