Durable benefit and the potential for long-term survival with immunotherapy in advanced melanoma. McDermott, D., Lebbé, C., Hodi, F. S., Maio, M., Weber, J. S., Wolchok, J. D., Thompson, J. A., & Balch, C. M. Cancer Treatment Reviews, 40(9):1056–1064, October, 2014.
Paper doi abstract bibtex Historically, the median overall survival for patients with stage IV melanoma was less than 1 year and the 5-year survival rate was 10%. Recent advances in therapy have raised 5-year survival expectations to 20%. Notably, a subset of melanoma patients who receive immunotherapy with high-dose interleukin-2, and now ipilimumab, can achieve long-term survival of at least 5 years. A major goal in melanoma research is to increase the number of patients who experience this overall survival benefit. In this review, we discuss the attributes of immunotherapy and newer targeted agents, and consider how combination strategies might improve the chances of achieving durable benefit and long-term survival. We also discuss three areas that we believe will be critical to making further advances in melanoma treatment. To better understand the clinical profile of patients who achieve long-term survival with immunotherapy, we first present data from ipilimumab clinical trials in which a subset of patients experienced durable responses. Second, we discuss the limitations of traditional metrics used to evaluate the benefits of immunotherapies. Third, we consider emerging issues that clinicians are currently facing when making treatment decisions regarding immunotherapy. A better understanding of these novel treatments may improve survival outcomes in melanoma, increase the number of patients who experience this overall survival benefit, and inform the future use of these agents in the treatment of other cancer types.
@article{mcdermott_durable_2014-1,
title = {Durable benefit and the potential for long-term survival with immunotherapy in advanced melanoma},
volume = {40},
issn = {03057372},
url = {https://linkinghub.elsevier.com/retrieve/pii/S0305737214001224},
doi = {10.1016/j.ctrv.2014.06.012},
abstract = {Historically, the median overall survival for patients with stage IV melanoma was less than 1 year and the 5-year survival rate was 10\%. Recent advances in therapy have raised 5-year survival expectations to 20\%. Notably, a subset of melanoma patients who receive immunotherapy with high-dose interleukin-2, and now ipilimumab, can achieve long-term survival of at least 5 years. A major goal in melanoma research is to increase the number of patients who experience this overall survival benefit. In this review, we discuss the attributes of immunotherapy and newer targeted agents, and consider how combination strategies might improve the chances of achieving durable benefit and long-term survival. We also discuss three areas that we believe will be critical to making further advances in melanoma treatment. To better understand the clinical profile of patients who achieve long-term survival with immunotherapy, we first present data from ipilimumab clinical trials in which a subset of patients experienced durable responses. Second, we discuss the limitations of traditional metrics used to evaluate the benefits of immunotherapies. Third, we consider emerging issues that clinicians are currently facing when making treatment decisions regarding immunotherapy. A better understanding of these novel treatments may improve survival outcomes in melanoma, increase the number of patients who experience this overall survival benefit, and inform the future use of these agents in the treatment of other cancer types.},
language = {en},
number = {9},
urldate = {2019-05-02},
journal = {Cancer Treatment Reviews},
author = {McDermott, David and Lebbé, Celeste and Hodi, F. Stephen and Maio, Michele and Weber, Jeffrey S. and Wolchok, Jedd D. and Thompson, John A. and Balch, Charles M.},
month = oct,
year = {2014},
pages = {1056--1064},
file = {McDermott et al. - 2014 - Durable benefit and the potential for long-term su.pdf:/Users/neil.hawkins/Zotero/storage/852DRG9C/McDermott et al. - 2014 - Durable benefit and the potential for long-term su.pdf:application/pdf;McDermott et al. - 2014 - Durable benefit and the potential for long-term su.pdf:/Users/neil.hawkins/Zotero/storage/LMJS7WM2/McDermott et al. - 2014 - Durable benefit and the potential for long-term su.pdf:application/pdf},
}
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