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Published in: Annals of Surgical Oncology 7/2018

01-07-2018 | Melanomas

Revolutionary Advances in Immunotherapy for Melanoma Are Coming into the Surgical Arena: Are We Ready?

Author: Charles M. Balch, MD, FACS, FASCO

Published in: Annals of Surgical Oncology | Issue 7/2018

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Excerpt

In the past decade, powerful new immunotherapy agents have demonstrated remarkable improvements in survival of patients with many histological types of stage IV cancer, as first demonstrated in metastatic melanoma and reported in 2010.1 With a new understanding of the immune system and a growing portfolio of powerful immunotherapy agents, survival rates in stage IV melanoma patients have dramatically increased from a historical median survival of 2–9 months, to a remarkable median survival exceeding 24 months, with approximately 20% of patients remaining in remission after 8 years.25
Literature
1.
2.
go back to reference Ribas A, Hamid O, Daud A, et al. Association of pembrolizumab with tumor response and survival among patients with advanced melanoma. JAMA. 2016;315(15):1600–1609.CrossRefPubMed Ribas A, Hamid O, Daud A, et al. Association of pembrolizumab with tumor response and survival among patients with advanced melanoma. JAMA. 2016;315(15):1600–1609.CrossRefPubMed
3.
go back to reference Callahan MK, Kluger H, Postow MA, et al. Nivolumab plus ipilimumab in patients with advanced melanoma: updated survival, response, and safety data in a phase I dose-escalation study. J Clin Oncol. 2018;36(4):391–398.CrossRefPubMed Callahan MK, Kluger H, Postow MA, et al. Nivolumab plus ipilimumab in patients with advanced melanoma: updated survival, response, and safety data in a phase I dose-escalation study. J Clin Oncol. 2018;36(4):391–398.CrossRefPubMed
4.
go back to reference McDermott D, Lebbé C, Hodi FS, et al. Durable benefit and the potential for long-term survival with immunotherapy in advanced melanoma. Cancer Treat Rev. 2014;40(9):1056–1064.CrossRefPubMed McDermott D, Lebbé C, Hodi FS, et al. Durable benefit and the potential for long-term survival with immunotherapy in advanced melanoma. Cancer Treat Rev. 2014;40(9):1056–1064.CrossRefPubMed
5.
go back to reference Wolchok JD, Chiarion-Sileni V, Gonzalez R, et al. Overall survival with combined nivolumab and ipilimumab in advanced melanoma. N Engl J Med. 2017;377(14):1345–1356.CrossRefPubMedPubMedCentral Wolchok JD, Chiarion-Sileni V, Gonzalez R, et al. Overall survival with combined nivolumab and ipilimumab in advanced melanoma. N Engl J Med. 2017;377(14):1345–1356.CrossRefPubMedPubMedCentral
9.
go back to reference Faries MB, Mozzillo N, Kashani-Sabet M, et al. Long-term survival after complete surgical resection and adjuvant immunotherapy for distant melanoma metastases. Ann Surg Oncol. 2017;24(13):3991-–4000.CrossRefPubMed Faries MB, Mozzillo N, Kashani-Sabet M, et al. Long-term survival after complete surgical resection and adjuvant immunotherapy for distant melanoma metastases. Ann Surg Oncol. 2017;24(13):3991-–4000.CrossRefPubMed
10.
go back to reference Andtbacka RHI, Kaufman KL, Collichio F, et al. Talimogene laherparepvec improves durable response rate in patients with advanced melanoma. J Clin Oncol. 2015;33(25):2770–2788.CrossRef Andtbacka RHI, Kaufman KL, Collichio F, et al. Talimogene laherparepvec improves durable response rate in patients with advanced melanoma. J Clin Oncol. 2015;33(25):2770–2788.CrossRef
11.
go back to reference Andtbacka RHI, Ross M, Puzanov I, et al. Patterns of clinical response with talimogene laherparepvec (T-VEC) in patients with melanoma treated in the OPTiM phase III clinical trial. Ann Surg Oncol. 2016;23(13):4169–4177.CrossRefPubMedPubMedCentral Andtbacka RHI, Ross M, Puzanov I, et al. Patterns of clinical response with talimogene laherparepvec (T-VEC) in patients with melanoma treated in the OPTiM phase III clinical trial. Ann Surg Oncol. 2016;23(13):4169–4177.CrossRefPubMedPubMedCentral
12.
go back to reference IMLYGIC (talimogene laherparepvec) Prescribing Information. October 2015. Amgen Inc.: Thousand Oaks, CA. IMLYGIC (talimogene laherparepvec) Prescribing Information. October 2015. Amgen Inc.: Thousand Oaks, CA.
13.
go back to reference Chesney J, Puzanov I, Collichio F, et al. Randomized, open-label phase II study evaluating the efficacy and safety of talimogene laherparepvec in combination with ipilimumab versus ipilimumab alone in patients with advanced, unresectable melanoma. J Clin Oncol. 2017;35. [Epub ahead of print]. Chesney J, Puzanov I, Collichio F, et al. Randomized, open-label phase II study evaluating the efficacy and safety of talimogene laherparepvec in combination with ipilimumab versus ipilimumab alone in patients with advanced, unresectable melanoma. J Clin Oncol. 2017;35. [Epub ahead of print].
14.
go back to reference Ribas A, Dummer R, Puzanov I, et al. Oncolytic virotherapy promotes intratumoral T cell infiltration and improves anti-PD-1 immunotherapy. Cell. 2017;170(6):1109–1119.CrossRefPubMed Ribas A, Dummer R, Puzanov I, et al. Oncolytic virotherapy promotes intratumoral T cell infiltration and improves anti-PD-1 immunotherapy. Cell. 2017;170(6):1109–1119.CrossRefPubMed
15.
go back to reference Balch CM. Presidential address: Surgical oncology in the 21st century. Arch Surg. 1992;127:1272–1277.CrossRefPubMed Balch CM. Presidential address: Surgical oncology in the 21st century. Arch Surg. 1992;127:1272–1277.CrossRefPubMed
Metadata
Title
Revolutionary Advances in Immunotherapy for Melanoma Are Coming into the Surgical Arena: Are We Ready?
Author
Charles M. Balch, MD, FACS, FASCO
Publication date
01-07-2018
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 7/2018
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-018-6516-4

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