Advances in immunotherapy for melanoma.

Abstract:

:In recent years, the introduction and Federal Drug Administration approval of immune checkpoint inhibitor antibodies has dramatically improved the clinical outcomes for patients with advanced melanoma. These antagonist monoclonal antibodies are capable of unleashing dormant or exhausted antitumor immunity, which has led to durable complete and partial responses in a large number of patients. Ipilimumab targets the cytotoxic T lymphocyte-associated protein 4 (CTLA-4) receptor. Nivolumab and pembrolizumab target programmed cell death protein 1 (PD-1) receptors and have proven to be superior to ipilimumab alone. The combination of ipilimumab and nivolumab has yielded higher response rates, greater tumor shrinkage, and longer progression-free survival than either monotherapy alone. As other promising immunotherapies for melanoma proceed through clinical trials, future goals include defining the role of immune checkpoint inhibitors as adjuvant therapy, identifying optimal combination strategies, and developing reliable predictive biomarkers to guide treatment selection for individual patients.

journal_name

BMC Med

journal_title

BMC medicine

authors

Redman JM,Gibney GT,Atkins MB

doi

10.1186/s12916-016-0571-0

subject

Has Abstract

pub_date

2016-02-06 00:00:00

pages

20

issn

1741-7015

pii

10.1186/s12916-016-0571-0

journal_volume

14

pub_type

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