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Updated: Oct 8, 2025

Stereotactic Radiosurgery for Gynecologic Cancer
Published on: April 17, 2012
Immuno-Oncology for Gynecologic Malignancies
Jeffrey A How1, Ami Patel1, Amir A Jazaeri2
1Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Abstract:
Patients with advanced and/or recurrent gynecologic cancers derive limited benefit from currently available cytotoxic and targeted therapies. Successes of immunotherapy in other difficult-to-treat malignancies such as metastatic melanoma and advanced lung cancer have led to intense interest in clinical testing of these treatments in patients with gynecologic cancers. Currently, in the realm of gynecologic oncology, the FDA-approved use of immune checkpoint inhibitors is limited to microsatellite instability-high cancers, cancers with high tumor mutational burden, and PD-L1-positive cervical cancer. However, there has been an exponential growth of clinical trials testing immunotherapy approaches both alone and in combination with chemotherapy and/or targeted agents in patients with gynecologic cancers. This chapter will review some of the major reported and ongoing immunotherapy clinical trials in patients with endometrial, cervical, and epithelial ovarian cancer.
Insights
Immunotherapy shows promise for gynecologic cancers, offering new hope beyond traditional treatments. Clinical trials are rapidly expanding to evaluate these innovative immune checkpoint inhibitors for endometrial, cervical, and ovarian cancers.
Area of Science:
- Gynecologic Oncology
- Immunotherapy
- Cancer Research
Background:
- Current cytotoxic and targeted therapies offer limited benefits for advanced/recurrent gynecologic cancers.
- Successful immunotherapy in other cancers motivates its investigation in gynecologic malignancies.
- Approved immunotherapies are restricted to specific molecular subtypes (MSI-high, TMB-high) and PD-L1-positive cervical cancer.
Purpose of the Study:
- To review major reported and ongoing immunotherapy clinical trials in gynecologic cancers.
- To highlight the growing interest and investment in immunotherapy for these diseases.
Main Methods:
- Review of published data and ongoing clinical trial information.
- Focus on immunotherapy approaches alone and in combination with other treatments.
- Specific examination of trials in endometrial, cervical, and epithelial ovarian cancer.
Main Results:
- Significant growth in clinical trials testing immunotherapy in gynecologic cancers.
- Exploration of immunotherapy in combination with chemotherapy and targeted agents.
- Limited but expanding FDA-approved uses of immune checkpoint inhibitors.
Conclusions:
- Immunotherapy represents a promising frontier for treating gynecologic cancers.
- Ongoing clinical trials are crucial for establishing the efficacy and safety of these novel treatments.
- Further research is needed to expand immunotherapy options for a broader range of patients.
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