Efficacy and toxicity of rechallenge with combination immune checkpoint blockade in metastatic melanoma: a case series.
Abstract
BACKGROUND: The efficacy and potential toxicity of rechallenge with combination ipilimumab and nivolumab has not been described. Retreatment of patients with immune checkpoint inhibitors in the setting of prior significant toxicity lacks evidence-based guidance. METHODS: We present the first three, consecutive patients who received re-treatment with combination ipilimumab and nivolumab for metastatic melanoma managed at our institution. RESULTS: Rechallenge with combination ipilimumab and nivolumab in the setting of prior grade 3 toxicity with initial combination therapy is feasible, and responses are seen. We highlight the fact that grade 3 toxicity is likely to recur, but if so, can be manageable. CONCLUSIONS: Retreatment with ipi + nivo may be considered an option in carefully selected, well-informed patients. More research is required to delineate the benefits and risks with this approach.
Collections
Subject
Humans
Melanoma
Neoplasm Metastasis
Antineoplastic Combined Chemotherapy Protocols
Antibodies, Monoclonal
Adult
Aged
Middle Aged
Female
Male
Ipilimumab
Nivolumab
Research team
Melanoma and Kidney Cancer
Language
eng
Date accepted
2016-11-06
License start date
2017-01
Citation
Cancer immunology, immunotherapy : CII, 2017, 66 (1), pp. 113 - 117
Publisher
SPRINGER