Defining the critical hurdles in cancer immunotherapy
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  • 作者:Bernard A Fox (1) (2)
    Dolores J Schendel (3)
    Lisa H Butterfield (4) (5) (6)
    Steinar Aamdal (7)
    James P Allison (8) (9)
    Paolo Antonio Ascierto (10)
    Michael B Atkins (11) (12)
    Jirina Bartunkova (13)
    Lothar Bergmann (14)
    Neil Berinstein (15)
    Cristina C Bonorino (16)
    Ernest Borden (17) (18)
    Jonathan L Bramson (19)
    Cedrik M Britten (20) (21)
    Xuetao Cao (22) (23)
    William E Carson (24)
    Alfred E Chang (25)
    Dainius Characiejus (26)
    A Raja Choudhury (27)
    George Coukos (28)
    Tanja de Gruijl (29)
    Robert O Dillman (30)
    Harry Dolstra (31)
    Glenn Dranoff (32) (33) (34)
    Lindy G Durrant (35)
    James H Finke (36)
    Jerome Galon (37)
    Jared A Gollob (38)
    Cécile Gouttefangeas (39)
    Fabio Grizzi (40)
    Michele Guida (41)
    Leif H?kansson (42) (43)
    Kristen Hege (117) (44)
    Ronald B Herberman (45)
    F Stephen Hodi (46) (47)
    Axel Hoos (48)
    Christoph Huber (49)
    Patrick Hwu (50)
    Kohzoh Imai (51)
    Elizabeth M Jaffee (52)
    Sylvia Janetzki (53)
    Carl H June (54)
    Pawel Kalinski (5)
    Howard L Kaufman (55)
    Koji Kawakami (56)
    Yutaka Kawakami (57)
    Ulrich Keilholtz (58)
    Samir N Khleif (59)
    Rolf Kiessling (60)
    Beatrix Kotlan (61)
    Guido Kroemer (62)
    Rejean Lapointe (63) (64)
    Hyam I Levitsky (65)
    Michael T Lotze (4) (5) (6)
    Cristina Maccalli (66)
    Michele Maio (67)
    Jens-Peter Marschner (68)
    Michael J Mastrangelo (69)
    Giuseppe Masucci (70)
    Ignacio Melero (71)
    Cornelius Melief (72)
    William J Murphy (73)
    Brad Nelson (74)
    Andrea Nicolini (75)
    Michael I Nishimura (76)
    Kunle Odunsi (77)
    Pamela S Ohashi (78)
    Jill O’Donnell-Tormey (79)
    Lloyd J Old (80)
    Christian Ottensmeier (81)
    Michael Papamichail (82)
    Giorgio Parmiani (83)
    Graham Pawelec (84)
    Enrico Proietti (85)
    Shukui Qin (86)
    Robert Rees (87)
    Antoni Ribas (88)
    Ruggero Ridolfi (89)
    Gerd Ritter (8) (80)
    Licia Rivoltini (90)
    Pedro J Romero (91)
    Mohamed L Salem (92)
    Rik J Scheper (93)
    Barbara Seliger (94)
    Padmanee Sharma (95)
    Hiroshi Shiku (96) (97)
    Harpreet Singh-Jasuja (98)
    Wenru Song (99)
    Per Thor Straten (100)
    Hideaki Tahara (101)
    Zhigang Tian (102) (103)
    Sjoerd H van Der Burg (104)
    Paul von Hoegen (105)
    Ena Wang (106) (107)
    Marij JP Welters (108)
    Hauke Winter (109)
    Tara Withington (110)
    Jedd D Wolchok (8)
    Weihua Xiao (111)
    Laurence Zitvogel (112)
    Heinz Zwierzina (113)
    Francesco M Marincola (106) (107)
    Thomas F Gajewski (114)
    Jon M Wigginton (115)
    Mary L Disis (116)
  • 刊名:Journal of Translational Medicine
  • 出版年:2011
  • 出版时间:December 2011
  • 年:2011
  • 卷:9
  • 期:1
  • 全文大小:376KB
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  • 作者单位:Bernard A Fox (1) (2)
    Dolores J Schendel (3)
    Lisa H Butterfield (4) (5) (6)
    Steinar Aamdal (7)
    James P Allison (8) (9)
    Paolo Antonio Ascierto (10)
    Michael B Atkins (11) (12)
    Jirina Bartunkova (13)
    Lothar Bergmann (14)
    Neil Berinstein (15)
    Cristina C Bonorino (16)
    Ernest Borden (17) (18)
    Jonathan L Bramson (19)
    Cedrik M Britten (20) (21)
    Xuetao Cao (22) (23)
    William E Carson (24)
    Alfred E Chang (25)
    Dainius Characiejus (26)
    A Raja Choudhury (27)
    George Coukos (28)
    Tanja de Gruijl (29)
    Robert O Dillman (30)
    Harry Dolstra (31)
    Glenn Dranoff (32) (33) (34)
    Lindy G Durrant (35)
    James H Finke (36)
    Jerome Galon (37)
    Jared A Gollob (38)
    Cécile Gouttefangeas (39)
    Fabio Grizzi (40)
    Michele Guida (41)
    Leif H?kansson (42) (43)
    Kristen Hege (117) (44)
    Ronald B Herberman (45)
    F Stephen Hodi (46) (47)
    Axel Hoos (48)
    Christoph Huber (49)
    Patrick Hwu (50)
    Kohzoh Imai (51)
    Elizabeth M Jaffee (52)
    Sylvia Janetzki (53)
    Carl H June (54)
    Pawel Kalinski (5)
    Howard L Kaufman (55)
    Koji Kawakami (56)
    Yutaka Kawakami (57)
    Ulrich Keilholtz (58)
    Samir N Khleif (59)
    Rolf Kiessling (60)
    Beatrix Kotlan (61)
    Guido Kroemer (62)
    Rejean Lapointe (63) (64)
    Hyam I Levitsky (65)
    Michael T Lotze (4) (5) (6)
    Cristina Maccalli (66)
    Michele Maio (67)
    Jens-Peter Marschner (68)
    Michael J Mastrangelo (69)
    Giuseppe Masucci (70)
    Ignacio Melero (71)
    Cornelius Melief (72)
    William J Murphy (73)
    Brad Nelson (74)
    Andrea Nicolini (75)
    Michael I Nishimura (76)
    Kunle Odunsi (77)
    Pamela S Ohashi (78)
    Jill O’Donnell-Tormey (79)
    Lloyd J Old (80)
    Christian Ottensmeier (81)
    Michael Papamichail (82)
    Giorgio Parmiani (83)
    Graham Pawelec (84)
    Enrico Proietti (85)
    Shukui Qin (86)
    Robert Rees (87)
    Antoni Ribas (88)
    Ruggero Ridolfi (89)
    Gerd Ritter (8) (80)
    Licia Rivoltini (90)
    Pedro J Romero (91)
    Mohamed L Salem (92)
    Rik J Scheper (93)
    Barbara Seliger (94)
    Padmanee Sharma (95)
    Hiroshi Shiku (96) (97)
    Harpreet Singh-Jasuja (98)
    Wenru Song (99)
    Per Thor Straten (100)
    Hideaki Tahara (101)
    Zhigang Tian (102) (103)
    Sjoerd H van Der Burg (104)
    Paul von Hoegen (105)
    Ena Wang (106) (107)
    Marij JP Welters (108)
    Hauke Winter (109)
    Tara Withington (110)
    Jedd D Wolchok (8)
    Weihua Xiao (111)
    Laurence Zitvogel (112)
    Heinz Zwierzina (113)
    Francesco M Marincola (106) (107)
    Thomas F Gajewski (114)
    Jon M Wigginton (115)
    Mary L Disis (116)

    1. Robert W. Franz Research Center, Providence Cancer Center, Providence Portland Medical Center, Earle A. Chiles Research Institute, Portland, OR, USA
    2. Department of Molecular Microbiology and Immunology and Knight Cancer Institute, Oregon Health and Science University, Portland, OR, USA
    3. Helmholtz Centre Munich, German Research Center for Environmental Health, Institute of Molecular Immunology and Clinical Cooperation Group “Immune Monitoring- Munich, Germany
    4. Departments of Medicine, Division of Hematology Oncology, University of Pittsburgh Cancer Institute, Pittsburgh, PA, USA
    5. Department of Surgery, University of Pittsburgh Cancer Institute, Pittsburgh, PA, USA
    6. Department of Immunology, University of Pittsburgh Cancer Institute, Pittsburgh, PA, USA
    7. Department of Clinical Cancer Research, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway
    8. Memorial Sloan-Kettering Cancer Center, New York, NY, USA
    9. Howard Hughes Medical Institute, New York, NY, USA
    10. Medical Oncology and Innovative Therapy, Instituto Nazionale Tumori-Fondazione ‘G. Pascale- Naples, Italy
    11. Beth Israel Deaconess Medical Center, Boston, MA, USA
    12. Harvard Medical School, Boston, MA, USA
    13. Institute of Immunology, FOCIS Center of Excellence, 2nd Medical School, Charles University, Prague, Czech Republic
    14. Goethe Universit?t Frankfurt Am Main,Medizinische Klinik II, Frankfurt, Am Main, Germany
    15. IRX Therapeutics, New York, NY, USA
    16. Instituto Nacional para o Controle do Cancer, Instituto de Pesquisas Biomédicas, PUCRS Faculdade de Biociências, PUCRS, Porto Alegre RS, Brazil
    17. Department of Translational Hematology and Oncology Research, Cleveland Clinic, Cleveland, OH, USA
    18. Department of Solid Tumor Oncology, Cleveland Clinic, Cleveland, OH, USA
    19. Department of Pathology, McMaster University, Hamilton, ON, Canada
    20. III. Medical Department, University Medical Center Mainz, Mainz, Germany
    21. Ribological GmbH, Mainz, Germany
    22. Chinese Academy of Medical Sciences, Beijing, China
    23. National Key Laboratory of Medical Immunology, Institute of Immunology, Second Military Medical University, Shanghai, China
    24. Department of Surgery, Ohio State University, Columbus, OH, USA
    25. Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI, USA
    26. Faculty of Medicine, Vilnius University, Vilnius, Lithuania
    27. University of Queensland, Brisbane, Australia
    28. Ovarian Cancer Research Center, University of Pennsylvania Medical Center, Philadelphia, A, USA
    29. Department of Medical Oncology, VU Medical Center, Cancer Center Amsterdam, Amsterdam, The Netherlands
    30. Hoag Institute for Research and Education, Hoag Cancer Institute, Newport Beach, CA, USA
    31. Department of Laboratory Medicine, Nijmegen Centre for Molecular Life Sciences, Radboud University, Nijmegen Medical Centre, Nijmegen, The Netherlands
    32. Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA
    33. Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA
    34. Harvard Medical School, Boston, MA, USA
    35. Academic Department of Clinical Oncology, University of Nottingham, Nottingham, UK
    36. Department of Immunology, Cleveland Clinic Foundation, Cleveland, OH, USA
    37. INSERM U872, Cordeliers Research Center, Paris, France
    38. Alnylam Pharmaceuticals, Inc., Cambridge, MA, USA
    39. Department of Immunology, Institute for Cell Biology, University of Tuebingen, Tuebingen, Germany
    40. Istituto Clinico Humanitas, IRCCS, Milan, Italy
    41. Oncology Department, Oncology Institute, Bari, Italy
    42. University of Lund, Lund, Sweden
    43. CanImGuide Therapeutics AB, Hoellviken, Sweden
    117. Celgene Corporation, San Francisco, CA, USA
    44. University of California, San Francisco, CA
    45. Intrexon Corporation, Germantown, MD, USA
    46. Department of Medicine, Harvard Medical School, Boston, MA, USA
    47. Dana-Farber Cancer Institute, Boston, MA, USA
    48. Bristol-Myers Squibb Company, Wallingford, Connecticut, USA
    49. Translational Oncology and Immunology Centre TRON at the Mainz University Medical Center, Mainz, Germany
    50. Department of Melanoma Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA
    51. The Institute of Medical Science, The University of Tokyo, Tokyo, Japan
    52. Department of Oncology, the Sidney Kimmel Cancer Center at Johns Hopkins, Baltimore, MD, USA
    53. ZellNet Consulting, Inc., Fort Lee, NJ, USA
    54. Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, USA
    55. Rush University Cancer Center, Rush University Medical Center, Chicago, IL, USA
    56. School of Medicine and Public Health, Kyoto University, Kyoto, Japan
    57. Division of Cellular Signaling, Institute for Advanced Medical Research, Keio University School of Medicine, Tokyo, Japan
    58. Dept. of Hematology and Medical Oncology, Charité Comprehensive Cancer Center, Berlin, Germany
    59. Cancer Vaccine Section, NCI, NIH, Bethesda, MD, USA
    60. Department of Oncology - Pathology, Cancer Center Karolinska, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden
    61. Department of Molecular Immunology and Toxicology, Center of Surgical and Molecular Tumor pathology, National Institute of Oncology, Budapest, Hungary
    62. INSERM, U848, Institut Gustave Roussy, Villejuif, France
    63. Research Center, University Hospital, Université de Montréal (CRCHUM), Montréal, Québec, Canada
    64. Institut du Cancer de, Montréal, Montréal, Québec, Canada
    65. School of Medicine, Oncology Center, Johns Hopkins University, Baltimore, MD, USA
    66. Department of Molecular Oncology, Foundation San Raffaele Scientific Institute, Milan, Italy
    67. Medical Oncology and Immunotherapy, Department of Oncology, University, Hospital of Siena, Istituto Toscano Tumori, Siena, Italy
    68. Merck KGaA, Darmstadt, Germany
    69. Department of Medical Oncology, Thomas Jefferson University, Philadelphia, PA, USA
    70. Department of Oncology-Pathology, Karolinska Institute, Stockholm, Sweden
    71. Department of Immunology, CIMA, CUN and Medical School University of Navarra, Pamplona, Spain
    72. Deptartment of Immunohematology and Blood Transfusion, Leiden University Medical Centre, Leiden, the Netherlands
    73. University of California-Davis Medical Center, Sacramento, CA, USA
    74. Deeley Research Centre, BC Cancer Agency, Victoria, BC, Canada
    75. Department of Internal Medicine, University of Pisa, Santa Chiara Hospital, Pisa, Italy
    76. Loyola University Medical Center, Cardinal Bernardin Cancer Center, Oncology Institute, Maywood, IL, USA
    77. Department of Gynecologic Oncology, Tumor Immunology and Immunotherapy Program, Roswell Park Cancer Institute, Buffalo, NY, USA
    78. Ontario Cancer Institute/University Health Network, Toronto, ON, Canada
    79. Cancer Research Institute, New York, NY, USA
    80. Ludwig Institute for Cancer Research, New York, NY, USA
    81. Experimental Cancer Medicine Centre, University of Southampton Faculty of Medicine, Southampton, UK
    82. Cancer Immunology and Immunotherapy Center, Saint Savas Cancer Hospital, Athens, Greece
    83. Unit of Immuno-Biotherapy of Melanoma and Solid Tumors, San Raffaele Scientific Institute, Milan, Italy
    84. Center for Medical Research, University of Tuebingen, Tuebingen, Germany
    85. Istituto Superiore di Sanita- Rome, Italy
    86. Chinese PLA Cancer Center, Nanjing, China
    87. The John van Geest Cancer Research Centre, School of Science and Technology, Nottingham Trent University, Nottingham, UK
    88. Department of Medicine, Jonsson Comprehensive Cancer Center, UCLA, Los Angeles, California, USA
    89. Immunoterapia e Terapia Cellulare Somatica, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (I.R.S.T.), Meldola (FC), Italy
    90. Unit of Immunotherapy of Human Tumors, IRCCS Foundation, Istituto Nazionale Tumori, Milan, Italy
    91. Division of Clinical Onco-Immunology, Ludwig Center for Cancer Research of the University of Lausanne, Epalinges, Switzerland
    92. Immunology and Biotechnology Unit, Department of Zoology, Faculty of Science, Tanta University, Kragujevac, Egypt
    93. Dept. of Pathology, VU University Medical Center, Amsterdam, The Netherlands
    94. Institute of Medical Immunology, Halle, Germany
    95. MD Anderson Cancer Center, Houston, TX, USA
    96. Department of Cancer Vaccine, Mie University Graduate School of Medicine, Mie, Japan
    97. Department of Immuno-gene Therapy, Mie University Graduate School of Medicine, Mie, Japan
    98. Immatics Biotechnologies GmbH, Tübingen, Germany
    99. Millennium: The Takeda Oncology Company, Cambridge, MA, USA
    100. Center for Cancer Immune Therapy (CCIT), Department of Hematology, Herlev Hospital, Herlev, Denmark
    101. Department of Surgery and Bioengineering, Advanced Clinical Research Center, Institute of Medical Science, The University of Tokyo, Tokyo, Japan
    102. Institute of Immunology, School of Life Sciences, University of Science and Technology of China, Hefei, China
    103. Institute of Immunopharmacology & Immunotherapy, School of Pharmaceutical Sciences, Shandong University, Jinan, China
    104. Experimental Cancer Immunology and Therapy, Department of Clinical Oncology, Leiden University Medical Center, Leiden, Netherlands
    105. Euraccine Consulting Group, Brussels, Belgium
    106. Infectious Disease and Immunogenetics Section (IDIS), Department of Transfusion Medicine, Clinical Center, NIH, Bethesda, MD, USA
    107. Center for Human Immunology (CHI), NIH, Bethesda, MD, USA
    108. Experimental Cancer Immunology and Therapy, Department of Clinical Oncology (K1-P), Leiden University Medical Center, Leiden, The Netherlands
    109. Department of Surgery, Klinikum Grosshadern, Ludwig Maximilians University, Munich, Germany
    110. Society for Immunotherapy of Cancer, Milwaukee, WI, USA
    111. Institute of Immunology, School of Life Science, University of Science and Technology of China, Hefei, China
    112. Institut Gustave Roussy, Center of Clinical Investigations CICBT507, Villejuif, France
    113. Department Haematology and Oncology, Innsbruck Medical University, Innsbruck, Austria
    114. University of Chicago Medical Center, Chicago, IL, USA
    115. Discovery Medicine-Oncology, Bristol-Myers Squibb Company, Princeton, New Jersey, USA
    116. Tumor Vaccine Group, Center for Translational Medicine in Women’s Health, University of Washington, Seattle, WA, USA
文摘
Scientific discoveries that provide strong evidence of antitumor effects in preclinical models often encounter significant delays before being tested in patients with cancer. While some of these delays have a scientific basis, others do not. We need to do better. Innovative strategies need to move into early stage clinical trials as quickly as it is safe, and if successful, these therapies should efficiently obtain regulatory approval and widespread clinical application. In late 2009 and 2010 the Society for Immunotherapy of Cancer (SITC), convened an "Immunotherapy Summit" with representatives from immunotherapy organizations representing Europe, Japan, China and North America to discuss collaborations to improve development and delivery of cancer immunotherapy. One of the concepts raised by SITC and defined as critical by all parties was the need to identify hurdles that impede effective translation of cancer immunotherapy. With consensus on these hurdles, international working groups could be developed to make recommendations vetted by the participating organizations. These recommendations could then be considered by regulatory bodies, governmental and private funding agencies, pharmaceutical companies and academic institutions to facilitate changes necessary to accelerate clinical translation of novel immune-based cancer therapies. The critical hurdles identified by representatives of the collaborating organizations, now organized as the World Immunotherapy Council, are presented and discussed in this report. Some of the identified hurdles impede all investigators; others hinder investigators only in certain regions or institutions or are more relevant to specific types of immunotherapy or first-in-humans studies. Each of these hurdles can significantly delay clinical translation of promising advances in immunotherapy yet if overcome, have the potential to improve outcomes of patients with cancer.

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