Cancers (Apr 2021)

Immune-Checkpoint Inhibitors in Platinum-Resistant Ovarian Cancer

  • Alice Indini,
  • Olga Nigro,
  • Csongor György Lengyel,
  • Michele Ghidini,
  • Angelica Petrillo,
  • Salvatore Lopez,
  • Francesco Raspagliesi,
  • Dario Trapani,
  • Shelize Khakoo,
  • Giorgio Bogani

DOI
https://doi.org/10.3390/cancers13071663
Journal volume & issue
Vol. 13, no. 7
p. 1663

Abstract

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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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