A retrospective analysis of High-Dose Interleukin-2 (HD IL-2) following Ipilimumab in metastatic melanoma
Background High dose interleukin-2 (HD IL-2) can induce durable responses in a subset of patients leading to long-term survival. Immune checkpoint blockade (ICB) has demonstrated similarly durable responses in a larger proportion of patients. However, not all patients respond to immune checkpoint bl...
Ausführliche Beschreibung
Autor*in: |
Buchbinder, Elizabeth I. [verfasserIn] |
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E-Artikel |
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Englisch |
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2016 |
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Anmerkung: |
© The Author(s). 2016 |
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Übergeordnetes Werk: |
Enthalten in: Journal for ImmunoTherapy of Cancer - London : BioMed Central, 2013, 4(2016), 1 vom: 20. Sept. |
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Übergeordnetes Werk: |
volume:4 ; year:2016 ; number:1 ; day:20 ; month:09 |
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DOI / URN: |
10.1186/s40425-016-0155-8 |
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Katalog-ID: |
SPR036434744 |
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100 | 1 | |a Buchbinder, Elizabeth I. |e verfasserin |4 aut | |
245 | 1 | 2 | |a A retrospective analysis of High-Dose Interleukin-2 (HD IL-2) following Ipilimumab in metastatic melanoma |
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520 | |a Background High dose interleukin-2 (HD IL-2) can induce durable responses in a subset of patients leading to long-term survival. Immune checkpoint blockade (ICB) has demonstrated similarly durable responses in a larger proportion of patients. However, not all patients respond to immune checkpoint blockade and subsequent therapeutic options need to be explored. Methods The PROCLAIM database was queried for patients with metastatic melanoma who had received HD IL-2 after treatment with ipilimumab or without prior ICB. Patient characteristics, toxicity and efficacy were analyzed. Results A total of 52 metastatic melanoma patients were treated with high dose IL-2 after ipilimumab and 276 patients were treated with high dose IL-2 without prior ICB. The overall response rate in the prior ipilimumab group was 21 % as compared to 12 % in the group that had not received prior ipilimumab. The median overall survival, measured from the initiation of HD IL-2 therapy, was 19.3 months in the prior ipilimumab group and 19.4 months in the no prior ICB group. Toxicities observed on HD IL-2 were relatively equivalent between the groups although there were cases of CTLA4 antibody-induced colitis reported after HD IL-2 treatment and a CTLA4 antibody-induced colitis related death. Conclusion In this retrospective analysis HD IL-2 therapy displayed antitumor activity in melanoma patients who progressed following treatment with ipilimumab. Most HD IL-2 toxicity was not worsened by prior ipilimumab therapy except for one treatment related death from colitis. Care should be taken to avoid reactivation of CTLA4 antibody-induced colitis. | ||
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650 | 4 | |a Immune Checkpoint blockade |7 (dpeaa)DE-He213 | |
650 | 4 | |a Ipilimumab |7 (dpeaa)DE-He213 | |
700 | 1 | |a Gunturi, Anasuya |4 aut | |
700 | 1 | |a Perritt, Jessica |4 aut | |
700 | 1 | |a Dutcher, Janice |4 aut | |
700 | 1 | |a Aung, Sandra |4 aut | |
700 | 1 | |a Kaufman, Howard L. |4 aut | |
700 | 1 | |a Ernstoff, Marc S. |4 aut | |
700 | 1 | |a Miletello, Girald P. |4 aut | |
700 | 1 | |a Curti, Brendan D. |4 aut | |
700 | 1 | |a Daniels, Gregory A. |4 aut | |
700 | 1 | |a Patel, Sapna P. |4 aut | |
700 | 1 | |a Kirkwood, John M. |4 aut | |
700 | 1 | |a Hallmeyer, Sigrun |4 aut | |
700 | 1 | |a Clark, Joseph I. |4 aut | |
700 | 1 | |a Gonzalez, Rene |4 aut | |
700 | 1 | |a Richart, John M. |4 aut | |
700 | 1 | |a Lutzky, Joe |4 aut | |
700 | 1 | |a Morse, Michael A. |4 aut | |
700 | 1 | |a Sullivan, Ryan J. |4 aut | |
700 | 1 | |a McDermott, David F. |4 aut | |
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10.1186/s40425-016-0155-8 doi (DE-627)SPR036434744 (SPR)s40425-016-0155-8-e DE-627 ger DE-627 rakwb eng Buchbinder, Elizabeth I. verfasserin aut A retrospective analysis of High-Dose Interleukin-2 (HD IL-2) following Ipilimumab in metastatic melanoma 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2016 Background High dose interleukin-2 (HD IL-2) can induce durable responses in a subset of patients leading to long-term survival. Immune checkpoint blockade (ICB) has demonstrated similarly durable responses in a larger proportion of patients. However, not all patients respond to immune checkpoint blockade and subsequent therapeutic options need to be explored. Methods The PROCLAIM database was queried for patients with metastatic melanoma who had received HD IL-2 after treatment with ipilimumab or without prior ICB. Patient characteristics, toxicity and efficacy were analyzed. Results A total of 52 metastatic melanoma patients were treated with high dose IL-2 after ipilimumab and 276 patients were treated with high dose IL-2 without prior ICB. The overall response rate in the prior ipilimumab group was 21 % as compared to 12 % in the group that had not received prior ipilimumab. The median overall survival, measured from the initiation of HD IL-2 therapy, was 19.3 months in the prior ipilimumab group and 19.4 months in the no prior ICB group. Toxicities observed on HD IL-2 were relatively equivalent between the groups although there were cases of CTLA4 antibody-induced colitis reported after HD IL-2 treatment and a CTLA4 antibody-induced colitis related death. Conclusion In this retrospective analysis HD IL-2 therapy displayed antitumor activity in melanoma patients who progressed following treatment with ipilimumab. Most HD IL-2 toxicity was not worsened by prior ipilimumab therapy except for one treatment related death from colitis. Care should be taken to avoid reactivation of CTLA4 antibody-induced colitis. Melanoma (dpeaa)DE-He213 Interleukin-2 (dpeaa)DE-He213 Immune Checkpoint blockade (dpeaa)DE-He213 Ipilimumab (dpeaa)DE-He213 Gunturi, Anasuya aut Perritt, Jessica aut Dutcher, Janice aut Aung, Sandra aut Kaufman, Howard L. aut Ernstoff, Marc S. aut Miletello, Girald P. aut Curti, Brendan D. aut Daniels, Gregory A. aut Patel, Sapna P. aut Kirkwood, John M. aut Hallmeyer, Sigrun aut Clark, Joseph I. aut Gonzalez, Rene aut Richart, John M. aut Lutzky, Joe aut Morse, Michael A. aut Sullivan, Ryan J. aut McDermott, David F. aut Enthalten in Journal for ImmunoTherapy of Cancer London : BioMed Central, 2013 4(2016), 1 vom: 20. Sept. (DE-627)750086335 (DE-600)2719863-7 2051-1426 nnns volume:4 year:2016 number:1 day:20 month:09 https://dx.doi.org/10.1186/s40425-016-0155-8 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2016 1 20 09 |
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10.1186/s40425-016-0155-8 doi (DE-627)SPR036434744 (SPR)s40425-016-0155-8-e DE-627 ger DE-627 rakwb eng Buchbinder, Elizabeth I. verfasserin aut A retrospective analysis of High-Dose Interleukin-2 (HD IL-2) following Ipilimumab in metastatic melanoma 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2016 Background High dose interleukin-2 (HD IL-2) can induce durable responses in a subset of patients leading to long-term survival. Immune checkpoint blockade (ICB) has demonstrated similarly durable responses in a larger proportion of patients. However, not all patients respond to immune checkpoint blockade and subsequent therapeutic options need to be explored. Methods The PROCLAIM database was queried for patients with metastatic melanoma who had received HD IL-2 after treatment with ipilimumab or without prior ICB. Patient characteristics, toxicity and efficacy were analyzed. Results A total of 52 metastatic melanoma patients were treated with high dose IL-2 after ipilimumab and 276 patients were treated with high dose IL-2 without prior ICB. The overall response rate in the prior ipilimumab group was 21 % as compared to 12 % in the group that had not received prior ipilimumab. The median overall survival, measured from the initiation of HD IL-2 therapy, was 19.3 months in the prior ipilimumab group and 19.4 months in the no prior ICB group. Toxicities observed on HD IL-2 were relatively equivalent between the groups although there were cases of CTLA4 antibody-induced colitis reported after HD IL-2 treatment and a CTLA4 antibody-induced colitis related death. Conclusion In this retrospective analysis HD IL-2 therapy displayed antitumor activity in melanoma patients who progressed following treatment with ipilimumab. Most HD IL-2 toxicity was not worsened by prior ipilimumab therapy except for one treatment related death from colitis. Care should be taken to avoid reactivation of CTLA4 antibody-induced colitis. Melanoma (dpeaa)DE-He213 Interleukin-2 (dpeaa)DE-He213 Immune Checkpoint blockade (dpeaa)DE-He213 Ipilimumab (dpeaa)DE-He213 Gunturi, Anasuya aut Perritt, Jessica aut Dutcher, Janice aut Aung, Sandra aut Kaufman, Howard L. aut Ernstoff, Marc S. aut Miletello, Girald P. aut Curti, Brendan D. aut Daniels, Gregory A. aut Patel, Sapna P. aut Kirkwood, John M. aut Hallmeyer, Sigrun aut Clark, Joseph I. aut Gonzalez, Rene aut Richart, John M. aut Lutzky, Joe aut Morse, Michael A. aut Sullivan, Ryan J. aut McDermott, David F. aut Enthalten in Journal for ImmunoTherapy of Cancer London : BioMed Central, 2013 4(2016), 1 vom: 20. Sept. (DE-627)750086335 (DE-600)2719863-7 2051-1426 nnns volume:4 year:2016 number:1 day:20 month:09 https://dx.doi.org/10.1186/s40425-016-0155-8 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2016 1 20 09 |
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10.1186/s40425-016-0155-8 doi (DE-627)SPR036434744 (SPR)s40425-016-0155-8-e DE-627 ger DE-627 rakwb eng Buchbinder, Elizabeth I. verfasserin aut A retrospective analysis of High-Dose Interleukin-2 (HD IL-2) following Ipilimumab in metastatic melanoma 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2016 Background High dose interleukin-2 (HD IL-2) can induce durable responses in a subset of patients leading to long-term survival. Immune checkpoint blockade (ICB) has demonstrated similarly durable responses in a larger proportion of patients. However, not all patients respond to immune checkpoint blockade and subsequent therapeutic options need to be explored. Methods The PROCLAIM database was queried for patients with metastatic melanoma who had received HD IL-2 after treatment with ipilimumab or without prior ICB. Patient characteristics, toxicity and efficacy were analyzed. Results A total of 52 metastatic melanoma patients were treated with high dose IL-2 after ipilimumab and 276 patients were treated with high dose IL-2 without prior ICB. The overall response rate in the prior ipilimumab group was 21 % as compared to 12 % in the group that had not received prior ipilimumab. The median overall survival, measured from the initiation of HD IL-2 therapy, was 19.3 months in the prior ipilimumab group and 19.4 months in the no prior ICB group. Toxicities observed on HD IL-2 were relatively equivalent between the groups although there were cases of CTLA4 antibody-induced colitis reported after HD IL-2 treatment and a CTLA4 antibody-induced colitis related death. Conclusion In this retrospective analysis HD IL-2 therapy displayed antitumor activity in melanoma patients who progressed following treatment with ipilimumab. Most HD IL-2 toxicity was not worsened by prior ipilimumab therapy except for one treatment related death from colitis. Care should be taken to avoid reactivation of CTLA4 antibody-induced colitis. Melanoma (dpeaa)DE-He213 Interleukin-2 (dpeaa)DE-He213 Immune Checkpoint blockade (dpeaa)DE-He213 Ipilimumab (dpeaa)DE-He213 Gunturi, Anasuya aut Perritt, Jessica aut Dutcher, Janice aut Aung, Sandra aut Kaufman, Howard L. aut Ernstoff, Marc S. aut Miletello, Girald P. aut Curti, Brendan D. aut Daniels, Gregory A. aut Patel, Sapna P. aut Kirkwood, John M. aut Hallmeyer, Sigrun aut Clark, Joseph I. aut Gonzalez, Rene aut Richart, John M. aut Lutzky, Joe aut Morse, Michael A. aut Sullivan, Ryan J. aut McDermott, David F. aut Enthalten in Journal for ImmunoTherapy of Cancer London : BioMed Central, 2013 4(2016), 1 vom: 20. Sept. (DE-627)750086335 (DE-600)2719863-7 2051-1426 nnns volume:4 year:2016 number:1 day:20 month:09 https://dx.doi.org/10.1186/s40425-016-0155-8 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2016 1 20 09 |
allfieldsGer |
10.1186/s40425-016-0155-8 doi (DE-627)SPR036434744 (SPR)s40425-016-0155-8-e DE-627 ger DE-627 rakwb eng Buchbinder, Elizabeth I. verfasserin aut A retrospective analysis of High-Dose Interleukin-2 (HD IL-2) following Ipilimumab in metastatic melanoma 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2016 Background High dose interleukin-2 (HD IL-2) can induce durable responses in a subset of patients leading to long-term survival. Immune checkpoint blockade (ICB) has demonstrated similarly durable responses in a larger proportion of patients. However, not all patients respond to immune checkpoint blockade and subsequent therapeutic options need to be explored. Methods The PROCLAIM database was queried for patients with metastatic melanoma who had received HD IL-2 after treatment with ipilimumab or without prior ICB. Patient characteristics, toxicity and efficacy were analyzed. Results A total of 52 metastatic melanoma patients were treated with high dose IL-2 after ipilimumab and 276 patients were treated with high dose IL-2 without prior ICB. The overall response rate in the prior ipilimumab group was 21 % as compared to 12 % in the group that had not received prior ipilimumab. The median overall survival, measured from the initiation of HD IL-2 therapy, was 19.3 months in the prior ipilimumab group and 19.4 months in the no prior ICB group. Toxicities observed on HD IL-2 were relatively equivalent between the groups although there were cases of CTLA4 antibody-induced colitis reported after HD IL-2 treatment and a CTLA4 antibody-induced colitis related death. Conclusion In this retrospective analysis HD IL-2 therapy displayed antitumor activity in melanoma patients who progressed following treatment with ipilimumab. Most HD IL-2 toxicity was not worsened by prior ipilimumab therapy except for one treatment related death from colitis. Care should be taken to avoid reactivation of CTLA4 antibody-induced colitis. Melanoma (dpeaa)DE-He213 Interleukin-2 (dpeaa)DE-He213 Immune Checkpoint blockade (dpeaa)DE-He213 Ipilimumab (dpeaa)DE-He213 Gunturi, Anasuya aut Perritt, Jessica aut Dutcher, Janice aut Aung, Sandra aut Kaufman, Howard L. aut Ernstoff, Marc S. aut Miletello, Girald P. aut Curti, Brendan D. aut Daniels, Gregory A. aut Patel, Sapna P. aut Kirkwood, John M. aut Hallmeyer, Sigrun aut Clark, Joseph I. aut Gonzalez, Rene aut Richart, John M. aut Lutzky, Joe aut Morse, Michael A. aut Sullivan, Ryan J. aut McDermott, David F. aut Enthalten in Journal for ImmunoTherapy of Cancer London : BioMed Central, 2013 4(2016), 1 vom: 20. Sept. (DE-627)750086335 (DE-600)2719863-7 2051-1426 nnns volume:4 year:2016 number:1 day:20 month:09 https://dx.doi.org/10.1186/s40425-016-0155-8 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2016 1 20 09 |
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10.1186/s40425-016-0155-8 doi (DE-627)SPR036434744 (SPR)s40425-016-0155-8-e DE-627 ger DE-627 rakwb eng Buchbinder, Elizabeth I. verfasserin aut A retrospective analysis of High-Dose Interleukin-2 (HD IL-2) following Ipilimumab in metastatic melanoma 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2016 Background High dose interleukin-2 (HD IL-2) can induce durable responses in a subset of patients leading to long-term survival. Immune checkpoint blockade (ICB) has demonstrated similarly durable responses in a larger proportion of patients. However, not all patients respond to immune checkpoint blockade and subsequent therapeutic options need to be explored. Methods The PROCLAIM database was queried for patients with metastatic melanoma who had received HD IL-2 after treatment with ipilimumab or without prior ICB. Patient characteristics, toxicity and efficacy were analyzed. Results A total of 52 metastatic melanoma patients were treated with high dose IL-2 after ipilimumab and 276 patients were treated with high dose IL-2 without prior ICB. The overall response rate in the prior ipilimumab group was 21 % as compared to 12 % in the group that had not received prior ipilimumab. The median overall survival, measured from the initiation of HD IL-2 therapy, was 19.3 months in the prior ipilimumab group and 19.4 months in the no prior ICB group. Toxicities observed on HD IL-2 were relatively equivalent between the groups although there were cases of CTLA4 antibody-induced colitis reported after HD IL-2 treatment and a CTLA4 antibody-induced colitis related death. Conclusion In this retrospective analysis HD IL-2 therapy displayed antitumor activity in melanoma patients who progressed following treatment with ipilimumab. Most HD IL-2 toxicity was not worsened by prior ipilimumab therapy except for one treatment related death from colitis. Care should be taken to avoid reactivation of CTLA4 antibody-induced colitis. Melanoma (dpeaa)DE-He213 Interleukin-2 (dpeaa)DE-He213 Immune Checkpoint blockade (dpeaa)DE-He213 Ipilimumab (dpeaa)DE-He213 Gunturi, Anasuya aut Perritt, Jessica aut Dutcher, Janice aut Aung, Sandra aut Kaufman, Howard L. aut Ernstoff, Marc S. aut Miletello, Girald P. aut Curti, Brendan D. aut Daniels, Gregory A. aut Patel, Sapna P. aut Kirkwood, John M. aut Hallmeyer, Sigrun aut Clark, Joseph I. aut Gonzalez, Rene aut Richart, John M. aut Lutzky, Joe aut Morse, Michael A. aut Sullivan, Ryan J. aut McDermott, David F. aut Enthalten in Journal for ImmunoTherapy of Cancer London : BioMed Central, 2013 4(2016), 1 vom: 20. Sept. (DE-627)750086335 (DE-600)2719863-7 2051-1426 nnns volume:4 year:2016 number:1 day:20 month:09 https://dx.doi.org/10.1186/s40425-016-0155-8 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2016 1 20 09 |
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A retrospective analysis of High-Dose Interleukin-2 (HD IL-2) following Ipilimumab in metastatic melanoma |
abstract |
Background High dose interleukin-2 (HD IL-2) can induce durable responses in a subset of patients leading to long-term survival. Immune checkpoint blockade (ICB) has demonstrated similarly durable responses in a larger proportion of patients. However, not all patients respond to immune checkpoint blockade and subsequent therapeutic options need to be explored. Methods The PROCLAIM database was queried for patients with metastatic melanoma who had received HD IL-2 after treatment with ipilimumab or without prior ICB. Patient characteristics, toxicity and efficacy were analyzed. Results A total of 52 metastatic melanoma patients were treated with high dose IL-2 after ipilimumab and 276 patients were treated with high dose IL-2 without prior ICB. The overall response rate in the prior ipilimumab group was 21 % as compared to 12 % in the group that had not received prior ipilimumab. The median overall survival, measured from the initiation of HD IL-2 therapy, was 19.3 months in the prior ipilimumab group and 19.4 months in the no prior ICB group. Toxicities observed on HD IL-2 were relatively equivalent between the groups although there were cases of CTLA4 antibody-induced colitis reported after HD IL-2 treatment and a CTLA4 antibody-induced colitis related death. Conclusion In this retrospective analysis HD IL-2 therapy displayed antitumor activity in melanoma patients who progressed following treatment with ipilimumab. Most HD IL-2 toxicity was not worsened by prior ipilimumab therapy except for one treatment related death from colitis. Care should be taken to avoid reactivation of CTLA4 antibody-induced colitis. © The Author(s). 2016 |
abstractGer |
Background High dose interleukin-2 (HD IL-2) can induce durable responses in a subset of patients leading to long-term survival. Immune checkpoint blockade (ICB) has demonstrated similarly durable responses in a larger proportion of patients. However, not all patients respond to immune checkpoint blockade and subsequent therapeutic options need to be explored. Methods The PROCLAIM database was queried for patients with metastatic melanoma who had received HD IL-2 after treatment with ipilimumab or without prior ICB. Patient characteristics, toxicity and efficacy were analyzed. Results A total of 52 metastatic melanoma patients were treated with high dose IL-2 after ipilimumab and 276 patients were treated with high dose IL-2 without prior ICB. The overall response rate in the prior ipilimumab group was 21 % as compared to 12 % in the group that had not received prior ipilimumab. The median overall survival, measured from the initiation of HD IL-2 therapy, was 19.3 months in the prior ipilimumab group and 19.4 months in the no prior ICB group. Toxicities observed on HD IL-2 were relatively equivalent between the groups although there were cases of CTLA4 antibody-induced colitis reported after HD IL-2 treatment and a CTLA4 antibody-induced colitis related death. Conclusion In this retrospective analysis HD IL-2 therapy displayed antitumor activity in melanoma patients who progressed following treatment with ipilimumab. Most HD IL-2 toxicity was not worsened by prior ipilimumab therapy except for one treatment related death from colitis. Care should be taken to avoid reactivation of CTLA4 antibody-induced colitis. © The Author(s). 2016 |
abstract_unstemmed |
Background High dose interleukin-2 (HD IL-2) can induce durable responses in a subset of patients leading to long-term survival. Immune checkpoint blockade (ICB) has demonstrated similarly durable responses in a larger proportion of patients. However, not all patients respond to immune checkpoint blockade and subsequent therapeutic options need to be explored. Methods The PROCLAIM database was queried for patients with metastatic melanoma who had received HD IL-2 after treatment with ipilimumab or without prior ICB. Patient characteristics, toxicity and efficacy were analyzed. Results A total of 52 metastatic melanoma patients were treated with high dose IL-2 after ipilimumab and 276 patients were treated with high dose IL-2 without prior ICB. The overall response rate in the prior ipilimumab group was 21 % as compared to 12 % in the group that had not received prior ipilimumab. The median overall survival, measured from the initiation of HD IL-2 therapy, was 19.3 months in the prior ipilimumab group and 19.4 months in the no prior ICB group. Toxicities observed on HD IL-2 were relatively equivalent between the groups although there were cases of CTLA4 antibody-induced colitis reported after HD IL-2 treatment and a CTLA4 antibody-induced colitis related death. Conclusion In this retrospective analysis HD IL-2 therapy displayed antitumor activity in melanoma patients who progressed following treatment with ipilimumab. Most HD IL-2 toxicity was not worsened by prior ipilimumab therapy except for one treatment related death from colitis. Care should be taken to avoid reactivation of CTLA4 antibody-induced colitis. © The Author(s). 2016 |
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title_short |
A retrospective analysis of High-Dose Interleukin-2 (HD IL-2) following Ipilimumab in metastatic melanoma |
url |
https://dx.doi.org/10.1186/s40425-016-0155-8 |
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author2 |
Gunturi, Anasuya Perritt, Jessica Dutcher, Janice Aung, Sandra Kaufman, Howard L. Ernstoff, Marc S. Miletello, Girald P. Curti, Brendan D. Daniels, Gregory A. Patel, Sapna P. Kirkwood, John M. Hallmeyer, Sigrun Clark, Joseph I. Gonzalez, Rene Richart, John M. Lutzky, Joe Morse, Michael A. Sullivan, Ryan J. McDermott, David F. |
author2Str |
Gunturi, Anasuya Perritt, Jessica Dutcher, Janice Aung, Sandra Kaufman, Howard L. Ernstoff, Marc S. Miletello, Girald P. Curti, Brendan D. Daniels, Gregory A. Patel, Sapna P. Kirkwood, John M. Hallmeyer, Sigrun Clark, Joseph I. Gonzalez, Rene Richart, John M. Lutzky, Joe Morse, Michael A. Sullivan, Ryan J. McDermott, David F. |
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doi_str |
10.1186/s40425-016-0155-8 |
up_date |
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