Skip to main content
Erschienen in: InFo Hämatologie + Onkologie 10/2020

19.10.2020 | Melanom | Schwerpunkt

Schwerpunkt malignes Melanom

Adjuvante und neoadjuvante Therapie des metastasierenden Melanoms

verfasst von: Dr. med. Peter Mohr

Erschienen in: InFo Hämatologie + Onkologie | Ausgabe 10/2020

Einloggen, um Zugang zu erhalten

Auszug

Insbesondere die neoadjuvante Therapie des metastasierten Melanoms ist eine der derzeit interessantesten und vielversprechendsten Forschungsgebiete in der Behandlung des malignen Melanoms. Welche adjuvanten und neoadjuvanten Therapiekonzepte aktuell geprüft werden, lesen Sie in dieser Übersicht.
Literatur
1.
Zurück zum Zitat Gershenwald JE et al. Melanoma staging: Evidence-based changes in the American Joint Committee on Cancer eighth edition cancer staging manual. CA Cancer J Clin. 2017;67(6):472-92 Gershenwald JE et al. Melanoma staging: Evidence-based changes in the American Joint Committee on Cancer eighth edition cancer staging manual. CA Cancer J Clin. 2017;67(6):472-92
2.
Zurück zum Zitat Gershenwald JE, Scolyer RA. Melanoma Staging: American Joint Committee on Cancer (AJCC) 8th Edition and Beyond. Ann Surg Oncol. 2018;25(8):2105-10 Gershenwald JE, Scolyer RA. Melanoma Staging: American Joint Committee on Cancer (AJCC) 8th Edition and Beyond. Ann Surg Oncol. 2018;25(8):2105-10
3.
Zurück zum Zitat Svedman FC et al. Stage-specific survival and recurrence in patients with cutaneous malignant melanoma in Europe - a systematic review of the literature. Clin Epidemiol. 2016;8:109-22 Svedman FC et al. Stage-specific survival and recurrence in patients with cutaneous malignant melanoma in Europe - a systematic review of the literature. Clin Epidemiol. 2016;8:109-22
4.
Zurück zum Zitat Garbe C et al. Prognosis of Patients With Stage III Melanoma According to American Joint Committee on Cancer Version 8: A Reassessment on the Basis of 3 Independent Stage III Melanoma Cohorts. J Clin Oncol. 2020;38(22):2543-51 Garbe C et al. Prognosis of Patients With Stage III Melanoma According to American Joint Committee on Cancer Version 8: A Reassessment on the Basis of 3 Independent Stage III Melanoma Cohorts. J Clin Oncol. 2020;38(22):2543-51
5.
Zurück zum Zitat Satzger I et al. Melanoma-specific survival in patients with positive sentinel lymph nodes: Relevance of sentinel tumor burden. Eur J Cancer. 2019;123:83-91 Satzger I et al. Melanoma-specific survival in patients with positive sentinel lymph nodes: Relevance of sentinel tumor burden. Eur J Cancer. 2019;123:83-91
6.
Zurück zum Zitat Kanaki T et al. Impact of American Joint Committee on Cancer 8th edition classification on staging and survival of patients with melanoma. Eur J Cancer. 2019;119:18-29 Kanaki T et al. Impact of American Joint Committee on Cancer 8th edition classification on staging and survival of patients with melanoma. Eur J Cancer. 2019;119:18-29
7.
Zurück zum Zitat Eggermont AMM et al. Adjuvant Pembrolizumab versus Placebo in Resected Stage III Melanoma. N Engl J Med. 2018;378(19):1789-1801 Eggermont AMM et al. Adjuvant Pembrolizumab versus Placebo in Resected Stage III Melanoma. N Engl J Med. 2018;378(19):1789-1801
8.
Zurück zum Zitat Weber J et al. Adjuvant nivolumab versus ipilimumab in resected stage III or IV melanoma. N Engl J Med 2017;377():1824-35 Weber J et al. Adjuvant nivolumab versus ipilimumab in resected stage III or IV melanoma. N Engl J Med 2017;377():1824-35
9.
Zurück zum Zitat Eggermont AMM et al. Adjuvant ipilimumab versus placebo after complete resection of high-risk stage III melanoma (EORTC 18071): a randomised, double-blind, phase 3 trial. Lancet Oncol. 2015;16(5):522-30 Eggermont AMM et al. Adjuvant ipilimumab versus placebo after complete resection of high-risk stage III melanoma (EORTC 18071): a randomised, double-blind, phase 3 trial. Lancet Oncol. 2015;16(5):522-30
10.
Zurück zum Zitat Eggermont et al. Adjuvant ipilimumab versus placebo after complete resection of stage III melanoma: long-term follow-up results of the European Organisation for Research and Treatment of Cancer 18071 double-blind phase 3 randomised trial. Eur J Cancer. 2019;119:1-10. Eggermont et al. Adjuvant ipilimumab versus placebo after complete resection of stage III melanoma: long-term follow-up results of the European Organisation for Research and Treatment of Cancer 18071 double-blind phase 3 randomised trial. Eur J Cancer. 2019;119:1-10.
13.
Zurück zum Zitat Long GV et al. Adjuvant Dabrafenib plus Trametinib in Stage III BRAF-Mutated Melanoma. N Engl J Med. 2017;377(19):1813-23 Long GV et al. Adjuvant Dabrafenib plus Trametinib in Stage III BRAF-Mutated Melanoma. N Engl J Med. 2017;377(19):1813-23
14.
Zurück zum Zitat Hauschild A et al. Long-term benefit of adjuvant dabrafenib + trametinib (D+T) in patients (pts) with resected stage III BRAF V600-mutant melanoma: Five-year analysis of COMBI-AD. J Clin Oncol. 2020;38(15_suppl):10001 Hauschild A et al. Long-term benefit of adjuvant dabrafenib + trametinib (D+T) in patients (pts) with resected stage III BRAF V600-mutant melanoma: Five-year analysis of COMBI-AD. J Clin Oncol. 2020;38(15_suppl):10001
15.
Zurück zum Zitat Maio M et al. Adjuvant vemurafenib in resected, BRAF(V600) mutation-positive melanoma (BRIM8): a randomised, double-blind, placebo-controlled, multicentre, phase 3 trial. Lancet Oncol. 2018;19(4):510-20 Maio M et al. Adjuvant vemurafenib in resected, BRAF(V600) mutation-positive melanoma (BRIM8): a randomised, double-blind, placebo-controlled, multicentre, phase 3 trial. Lancet Oncol. 2018;19(4):510-20
16.
Zurück zum Zitat Zimmer L et al. Adjuvant nivolumab plus ipilimumab or nivolumab monotherapy versus placebo in patients with resected stage IV melanoma with no evidence of disease (IMMUNED): a randomised, double-blind, placebo-controlled, phase 2 trial. Lancet. 2020;395(10236):1558-68 Zimmer L et al. Adjuvant nivolumab plus ipilimumab or nivolumab monotherapy versus placebo in patients with resected stage IV melanoma with no evidence of disease (IMMUNED): a randomised, double-blind, placebo-controlled, phase 2 trial. Lancet. 2020;395(10236):1558-68
17.
Zurück zum Zitat Amaria RN et al. Neoadjuvant systemic therapy in melanoma: recommendations of the International Neoadjuvant Melanoma Consortium. Lancet Oncol. 2019;20(7):e378-e389 Amaria RN et al. Neoadjuvant systemic therapy in melanoma: recommendations of the International Neoadjuvant Melanoma Consortium. Lancet Oncol. 2019;20(7):e378-e389
18.
Zurück zum Zitat Tetzlaff MT et al. Pathological assessment of resection specimens after neoadjuvant therapy for metastatic melanoma. Ann Oncol. 2018;29(8):1861-8 Tetzlaff MT et al. Pathological assessment of resection specimens after neoadjuvant therapy for metastatic melanoma. Ann Oncol. 2018;29(8):1861-8
19.
Zurück zum Zitat Madu MF et al. Neoadjuvant Cytoreductive Treatment of Regionally Advanced Melanoma With BRAF/MEK Inhibition: Study Protocol of the REDUCTOR (Cytoreductive Treatment of Dabrafenib Combined With Trametinib to Allow Complete Surgical Resection in Patients With BRAF Mutated, Prior Unresectable Stage III or IV Melanoma) Trial. Clin Ski Cancer. 2016;1(1):48-52 Madu MF et al. Neoadjuvant Cytoreductive Treatment of Regionally Advanced Melanoma With BRAF/MEK Inhibition: Study Protocol of the REDUCTOR (Cytoreductive Treatment of Dabrafenib Combined With Trametinib to Allow Complete Surgical Resection in Patients With BRAF Mutated, Prior Unresectable Stage III or IV Melanoma) Trial. Clin Ski Cancer. 2016;1(1):48-52
20.
Zurück zum Zitat Amaria RN et al. Neoadjuvant plus adjuvant dabrafenib and trametinib versus standard of care in patients with high-risk, surgically resectable melanoma: a single-centre, open-label, randomised, phase 2 trial. Lancet Oncol. 2018;19(2):181-93 Amaria RN et al. Neoadjuvant plus adjuvant dabrafenib and trametinib versus standard of care in patients with high-risk, surgically resectable melanoma: a single-centre, open-label, randomised, phase 2 trial. Lancet Oncol. 2018;19(2):181-93
21.
Zurück zum Zitat Saw R et al. Phase 2 study of neoadjuvant dabrafenib + trametinib (D+T) for resectable stage iiib/c BRAF-V600 mutation positive melanoma. J Clin Oncol. 2016;34(15_suppl):9583 Saw R et al. Phase 2 study of neoadjuvant dabrafenib + trametinib (D+T) for resectable stage iiib/c BRAF-V600 mutation positive melanoma. J Clin Oncol. 2016;34(15_suppl):9583
22.
Zurück zum Zitat Blank CU et al. Neoadjuvant versus adjuvant ipilimumab plus nivolumab in macroscopic stage III melanoma. Nat Med. 2018;24(11):1655-61 Blank CU et al. Neoadjuvant versus adjuvant ipilimumab plus nivolumab in macroscopic stage III melanoma. Nat Med. 2018;24(11):1655-61
23.
Zurück zum Zitat Rozeman EA et al. Identification of the optimal combination dosing schedule of neoadjuvant ipilimumab plus nivolumab in macroscopic stage III melanoma (OpACIN-neo): a multicentre, phase 2, randomised, controlled trial. Lancet Oncol. 2019;20(7):948-60 Rozeman EA et al. Identification of the optimal combination dosing schedule of neoadjuvant ipilimumab plus nivolumab in macroscopic stage III melanoma (OpACIN-neo): a multicentre, phase 2, randomised, controlled trial. Lancet Oncol. 2019;20(7):948-60
24.
Zurück zum Zitat Blank CU et al. 3-year relapse-free survival, overall survival and long-term toxicity of (neo)adjuvant ipilimumab + nivolumab in macroscopic stage III melanoma (OpACIN trial). Ann Oncol. 2019;30(suppl_5):v535 Blank CU et al. 3-year relapse-free survival, overall survival and long-term toxicity of (neo)adjuvant ipilimumab + nivolumab in macroscopic stage III melanoma (OpACIN trial). Ann Oncol. 2019;30(suppl_5):v535
25.
Zurück zum Zitat Rozeman EA et al. 18-months relaps free survival (RSF) and biomarker analyses of OpACIN-neo: a study to identify the optimal dosing schedule of neoadjuvant Ipilimumab (Ipi) + Nivolumab (Nivo) in stage III melanoma. Ann Oncol. 2019;30(suppl_5):v851-v934 Rozeman EA et al. 18-months relaps free survival (RSF) and biomarker analyses of OpACIN-neo: a study to identify the optimal dosing schedule of neoadjuvant Ipilimumab (Ipi) + Nivolumab (Nivo) in stage III melanoma. Ann Oncol. 2019;30(suppl_5):v851-v934
26.
Zurück zum Zitat Rozeman EA et al. 24 months RFS and updated toxicity data from OpACIN-neo: a studyto identify the optimal dosing schedule of neoadjuvant Ipilimumab (Ipi) + Nivolumab (Nivo) in stage III melanoma. J Clin Oncol. 2020;38(15_suppl):10015 Rozeman EA et al. 24 months RFS and updated toxicity data from OpACIN-neo: a studyto identify the optimal dosing schedule of neoadjuvant Ipilimumab (Ipi) + Nivolumab (Nivo) in stage III melanoma. J Clin Oncol. 2020;38(15_suppl):10015
27.
Zurück zum Zitat Schermers B et al. Surgical removal of the index node marked using magnetic seed localization to assess response to neoadjuvant immunotherapy in patients with stage III melanoma. Br J Surg. 2019;106(5):519-22 Schermers B et al. Surgical removal of the index node marked using magnetic seed localization to assess response to neoadjuvant immunotherapy in patients with stage III melanoma. Br J Surg. 2019;106(5):519-22
28.
Zurück zum Zitat Blank CU et al. First safety and efficacy results of PRADO: A phase II study of personalized response-driven surgery and adjuvant therapy after neoadjuvant ipilimumab (Ipi) and nivolumab (Nivo) in resectable stage III melanoma. J Clin Oncol. 2020;38(15_suppl): 10002 Blank CU et al. First safety and efficacy results of PRADO: A phase II study of personalized response-driven surgery and adjuvant therapy after neoadjuvant ipilimumab (Ipi) and nivolumab (Nivo) in resectable stage III melanoma. J Clin Oncol. 2020;38(15_suppl): 10002
29.
Zurück zum Zitat Amaria RN et al. Neoadjuvant immune checkpoint blockade in high-risk resectable melanoma. Nat Med. 2018;24(11):1649-54 Amaria RN et al. Neoadjuvant immune checkpoint blockade in high-risk resectable melanoma. Nat Med. 2018;24(11):1649-54
30.
Zurück zum Zitat Huang AC et al. A single dose of neoadjuvant PD-1 blockade predicts clinical outcomes in resectable melanoma. Nat Med. 2019;25(3):454-61 Huang AC et al. A single dose of neoadjuvant PD-1 blockade predicts clinical outcomes in resectable melanoma. Nat Med. 2019;25(3):454-61
Metadaten
Titel
Schwerpunkt malignes Melanom
Adjuvante und neoadjuvante Therapie des metastasierenden Melanoms
verfasst von
Dr. med. Peter Mohr
Publikationsdatum
19.10.2020
Verlag
Springer Medizin
Schlagwörter
Melanom
Melanom
Erschienen in
InFo Hämatologie + Onkologie / Ausgabe 10/2020
Print ISSN: 2662-1754
Elektronische ISSN: 2662-1762
DOI
https://doi.org/10.1007/s15004-020-8241-y

Weitere Artikel der Ausgabe 10/2020

InFo Hämatologie + Onkologie 10/2020 Zur Ausgabe

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.