Efficacy and toxicity of rechallenge with combination immune checkpoint blockade in metastatic melanoma: a case series.
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Embargo End Date
ICR Authors
Authors
Spain, L
Walls, G
Messiou, C
Turajlic, S
Gore, M
Larkin, J
Walls, G
Messiou, C
Turajlic, S
Gore, M
Larkin, J
Document Type
Journal Article
Date
2017-01-01
Date Accepted
2016-11-06
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.
Citation
Cancer immunology, immunotherapy : CII, 2017, 66 (1), pp. 113 - 117
Rights
Source Title
Publisher
SPRINGER
ISSN
0340-7004
eISSN
1432-0851
Collections
Research Team
Melanoma and Kidney Cancer