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Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Cancer vaccines: on the threshold of success
1Johns Hopkins University, Tumor Immunology and Breast Cancer Research Programs, Department of Oncology, 1650 Orleans Street, Room 409, Bunting Blaustein Cancer Research Building, Baltimore, MD 21231-1000, USA. emensle@jhmi.edu
Background:
Cancer vaccines are a unique approach to cancer therapy. They exert an antitumor effect by engaging the host immune response, and have great potential for circumventing the intrinsic drug resistance that limits standard cancer management. Additional advantages of cancer vaccines are exquisite specificity, low toxicity, and the potential for a durable treatment effect due to immunologic memory.
Objectives:
This review aims to consider the promise of cancer vaccines, review the current state of cancer vaccine development, and suggest directions for future research.
Methods:
The scope of this review was defined peer-reviewed information found on Medline, and information found on the Internet about Phase III clinical trials that are ongoing and not yet published.
Results/Conclusions:
Multiple Phase III clinical trials have demonstrated the promise and challenges posed by therapeutic vaccines, and defined the next steps in their clinical development. Determining the optimal integration of cancer vaccines with chemotherapy, radiation, surgery, and biologically targeted therapies, defining predictive biomarkers of immunologic and clinical response, and combining tumor vaccines with new drugs that effectively modulate the antitumor immune response, will ensure that cancer vaccines become part of standard cancer therapy and prevention.
Insights
Cancer vaccines offer a promising, specific, and low-toxicity approach to cancer therapy by harnessing the immune system. Future research should focus on integrating these vaccines with other treatments and identifying biomarkers for optimal patient response.
Area of Science:
- Oncology
- Immunology
- Cancer Therapeutics
Background:
- Cancer vaccines represent a novel therapeutic strategy leveraging the host immune response against tumors.
- They offer potential advantages over conventional treatments, including overcoming drug resistance, high specificity, low toxicity, and durable effects via immunologic memory.
Purpose of the Study:
- To review the potential of cancer vaccines.
- To assess the current status of cancer vaccine development.
- To propose future research directions in the field.
Main Methods:
- Literature review of peer-reviewed articles indexed in Medline.
- Inclusion of information on ongoing, unpublished Phase III clinical trials from internet sources.
Main Results:
- Phase III trials highlight both the promise and challenges of therapeutic cancer vaccines.
- These trials are crucial in defining the next steps for clinical development.
Conclusions:
- Optimal integration of cancer vaccines with chemotherapy, radiation, surgery, and targeted therapies is essential.
- Identifying predictive biomarkers for immune and clinical response is a key next step.
- Combining cancer vaccines with novel immunomodulatory drugs will advance their role in cancer treatment and prevention.
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