Abstract

Ovarian cancer remains the most lethal gynecological cancer in women despite decades of treatment with classic and new targeted therapies. Chemoresistant ovarian cancer accounts for the 5-year cause-specific survival of less than 25% in women with advanced stage ovarian cancers (stage III or IV). Platinum resistance continues to be a significant obstacle in the pursuit of prolonged survival and cure in patients with recurrent ovarian cancer. Immunotherapy is a promising therapeutic strategy for chemoresistant ovarian cancer. The tumor microenvironment in ovarian cancer is characteristically immunosuppressive to infiltrating cytotoxic T cells. Thus the goal of immune-based therapies is twofold: overcome this immunosuppression and enhance tumor destruction. In this chapter, we discuss the ongoing preclinical studies and clinical trials investigating vaccines and other immunotherapies in patients with platinum-resistant ovarian cancer. Specifically, we present key advances in the development of cancer vaccines and adjuvants for the generation of optimal immunogenicity and immuno-persistence. Finally, we explore future immune-based strategies for targeting and eradicating chemoresistant ovarian cancer.

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