Whole-cell vaccines: A failure or a success waiting to happen?

John Copier, Angus Dalgleish
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Abstract

Whole-cell vaccination has demonstrated efficacy in small phase I and II clinical trials. However, in the past 3 years several high-profile phase III trials have failed to meet the predicted endpoints, including trials of the GVAX technologies (BioSante Pharmaceuticals Inc [formerly Cell Genesys Inc]) conducted by Cell Genesys. This review discusses the potential reasons for the failure of selected phase III trials and summarizes the current status of whole-cell vaccination, with specific reference to trials conducted in the past 2 years. Recently, new paradigms have emerged in the field of cancer vaccine research. In particular, the potential use of combination therapies that incorporate immune modulators and standard radio- and chemotherapy to synergize with whole-cell vaccines is discussed. In addition, key measures for improvements within the field that may be required for the generation of effective antitumor immunity are identified.

全细胞疫苗:失败还是成功?
全细胞疫苗接种已在小型I期和II期临床试验中证明有效。然而,在过去的3年中,一些备受瞩目的III期试验未能达到预测的终点,包括由Cell Genesys进行的GVAX技术(BioSante Pharmaceuticals Inc .[原Cell Genesys Inc .])的试验。本文讨论了部分III期试验失败的潜在原因,总结了全细胞疫苗接种的现状,并特别参考了过去2年进行的试验。最近,在癌症疫苗研究领域出现了新的范例。特别地,讨论了结合免疫调节剂和标准放化疗与全细胞疫苗协同作用的联合疗法的潜在用途。此外,还确定了在该领域内可能需要产生有效抗肿瘤免疫的关键改进措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current Opinion in Molecular Therapeutics
Current Opinion in Molecular Therapeutics 医学-生物工程与应用微生物
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