100% Complete response rate in patients with cutaneous metastatic melanoma treated with intralesional interleukin (IL)-2, imiquimod, and topical retinoid combination therapy: results of a case series.

Abstract:

BACKGROUND:Patients with cutaneous melanoma metastases have experienced excellent responses to intralesional interleukin (IL)-2. This has led to its recent inclusion into the US National Comprehensive Cancer Network guidelines for management of cutaneous melanoma metastases. Despite this, intralesional IL-2 has not been highlighted in the US literature nor have US physicians adopted it. OBJECTIVE:We sought to evaluate the effectiveness of intralesional IL-2 combined with topical imiquimod and retinoid for treatment of cutaneous metastatic melanoma. METHODS:A retrospective case series of 11 patients with cutaneous metastatic melanoma were treated with intralesional IL-2 combined with topical imiquimod and retinoid. RESULTS:A 100% complete local response rate with long-term follow-up (average of 24 months) was seen in all 11 patients treated with this proposed regimen. Biopsy specimens of treated sites confirmed absence of malignant cells. The most common treatment-related adverse event was rigors. LIMITATIONS:Small number of patients, retrospective review of charts, and lack of a comparison group were limitations. CONCLUSION:Intralesional IL-2 administered concomitantly with topical imiquimod and a retinoid cream is a promising therapeutic option for managing cutaneous melanoma metastases. The regimen was well tolerated and should be considered as a reasonable alternative to surgical excision.

journal_name

J Am Acad Dermatol

authors

Shi VY,Tran K,Patel F,Leventhal J,Konia T,Fung MA,Wilken R,Garcia MS,Fitzmaurice SD,Joo J,Monjazeb AM,Burrall BA,King B,Martinez S,Christensen SD,Maverakis E

doi

10.1016/j.jaad.2015.06.060

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

645-54

issue

4

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(15)01866-6

journal_volume

73

pub_type

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