Department of Medical Oncology, Gustave Roussy, Villejuif, & GINECO, France.
Centre Léon Bérard, Lyon, & GINECO, France.
Future Oncol. 2024;20(35):2699-2708. doi: 10.1080/14796694.2024.2386922. Epub 2024 Aug 19.
Ovarian cancer is a leading cause of death from gynecological cancers worldwide. Platinum-based chemotherapy provides the cornerstone of the medical management. In first line and subsequent relapses, maintenance strategies are offered to prolong intervals between lines of chemotherapy. Current maintenance options involve bevacizumab and poly ADP-ribose polymerase inhibitors, but these lines of therapy can only be used once in the disease course. Patients in first or second platinum sensitive relapse after poly ADP-ribose polymerase inhibitors and bevacizumab represent an area of unmet medical need. This academic sponsored, international Phase II randomized trial is evaluating the combination of a therapeutic cancer vaccine (OSE2101) with anti-PD1 (pembrolizumab) as maintenance therapy, in patients with platinum-sensitive recurrence regardless of number of prior lines and no progression after platinum-based chemotherapy. NCT04713514 (ClinicalTrials.gov).
卵巢癌是全球妇科癌症死亡的主要原因。基于铂类的化疗提供了医学治疗的基石。在一线和后续复发中,提供维持策略以延长化疗线之间的间隔。目前的维持选择包括贝伐珠单抗和聚 ADP-核糖聚合酶抑制剂,但这些治疗线在疾病过程中只能使用一次。在聚 ADP-核糖聚合酶抑制剂和贝伐珠单抗之后首次或第二次铂类敏感复发的患者代表了未满足的医疗需求领域。这项由学术机构赞助的国际 II 期随机试验正在评估一种治疗性癌症疫苗 (OSE2101) 与抗 PD1(pembrolizumab)联合作为维持治疗,用于铂类敏感复发的患者,无论先前治疗线的数量如何,并且在铂类化疗后没有进展。NCT04713514(ClinicalTrials.gov)。