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Immunotherapy of distant metastatic disease

Identifieur interne : 000616 ( Ncbi/Curation ); précédent : 000615; suivant : 000617

Immunotherapy of distant metastatic disease

Auteurs : D. Schadendorf [Allemagne] ; S. M. Algarra [Espagne] ; L. Bastholt [Danemark] ; G. Cinat [Argentine] ; B. Dreno [France] ; A. M. M. Eggermont [Pays-Bas] ; E. Espinosa [Espagne] ; J. Guo [République populaire de Chine] ; A. Hauschild [Allemagne] ; T. Petrella [Canada] ; J. Schachter [Israël] ; P. Hersey [Australie]

Source :

RBID : PMC:2712591

Abstract

Immunotherapy of metastatic melanoma consists of various approaches leading to specific or non-specific immunomodulation. The use of FDA-approved interleukin (IL)-2 alone, in combination with interferon α, and/or with various chemotherapeutic agents (biochemotherapy) is associated with significant toxicity and poor efficacy that does not improve overall survival of 96% of patients. Many studies with allogeneic and autologous vaccines have demonstrated no clinical benefit, and some randomised trials even showed a detrimental effect in the vaccine arm. The ongoing effort to develop melanoma vaccines based on dendritic cells and peptides is driven by advances in understanding antigen presentation and processing, and by new techniques of vaccine preparation, stabilisation and delivery. Several agents that have shown promising activity in metastatic melanoma including IL-21 and monoclonal antibodies targeting cytotoxic T lymphocyte-associated antigen 4 (anti-CTLA-4) or CD137 are discussed. Recent advances of intratumour gene transfer technologies and adoptive immunotherapy, which represents a promising although technically challenging direction, are also discussed.


Url:
DOI: 10.1093/annonc/mdp253
PubMed: 19617297
PubMed Central: 2712591

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Links to Exploration step

PMC:2712591

Le document en format XML

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<p>Immunotherapy of metastatic melanoma consists of various approaches leading to specific or non-specific immunomodulation. The use of FDA-approved interleukin (IL)-2 alone, in combination with interferon α, and/or with various chemotherapeutic agents (biochemotherapy) is associated with significant toxicity and poor efficacy that does not improve overall survival of 96% of patients. Many studies with allogeneic and autologous vaccines have demonstrated no clinical benefit, and some randomised trials even showed a detrimental effect in the vaccine arm. The ongoing effort to develop melanoma vaccines based on dendritic cells and peptides is driven by advances in understanding antigen presentation and processing, and by new techniques of vaccine preparation, stabilisation and delivery. Several agents that have shown promising activity in metastatic melanoma including IL-21 and monoclonal antibodies targeting cytotoxic T lymphocyte-associated antigen 4 (anti-CTLA-4) or CD137 are discussed. Recent advances of intratumour gene transfer technologies and adoptive immunotherapy, which represents a promising although technically challenging direction, are also discussed.</p>
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