Online-Ressource | |
Verfasst von: | Lövgren, Tanja [VerfasserIn] |
Wolodarski, Maria [VerfasserIn] | |
Wickström, Stina [VerfasserIn] | |
Edbäck, Ulrika [VerfasserIn] | |
Wallin, Mette [VerfasserIn] | |
Martell, Eva [VerfasserIn] | |
Markland, Katrin [VerfasserIn] | |
Blomberg, Pontus [VerfasserIn] | |
Nyström, Maria [VerfasserIn] | |
Lundqvist, Andreas [VerfasserIn] | |
Jacobsson, Hans [VerfasserIn] | |
Ullenhag, Gustav [VerfasserIn] | |
Ljungman, Per [VerfasserIn] | |
Hansson, Johan [VerfasserIn] | |
Masucci, Giuseppe [VerfasserIn] | |
Tell, Roger [VerfasserIn] | |
Poschke, Isabel [VerfasserIn] | |
Adamson, Lars [VerfasserIn] | |
Mattsson, Jonas [VerfasserIn] | |
Kiessling, Rolf [VerfasserIn] | |
Titel: | Complete and long-lasting clinical responses in immune checkpoint inhibitor-resistant, metastasized melanoma treated with adoptive T cell transfer combined with DC vaccination |
Verf.angabe: | Tanja Lövgren, Maria Wolodarski, Stina Wickström, Ulrika Edbäck, Mette Wallin, Eva Martell, Katrin Markland, Pontus Blomberg, Maria Nyström, Andreas Lundqvist, Hans Jacobsson, Gustav Ullenhag, Per Ljungman, Johan Hansson, Giuseppe Masucci, Roger Tell, Isabel Poschke, Lars Adamson, Jonas Mattsson, and Rolf Kiessling |
E-Jahr: | 2020 |
Jahr: | 11 July 2020 |
Teil: | volume:9 |
year:2020 | |
Fussnoten: | Gesehen am 03.09.2020 |
Titel Quelle: | Enthalten in: OncoImmunology |
Ort Quelle: | Abingdon : Taylor & Franics, 2012 |
Jahr Quelle: | 2020 |
Band/Heft Quelle: | 9(2020) Artikel-Nummer 1792058, 10 Seiten |
ISSN Quelle: | 2162-402X |
Abstract: | Development of T cell-directed immune checkpoint inhibitors (ICI) has revolutionized metastatic melanoma (MM) therapy, but <50% of treated patients experience durable responses. This phase I trial (NCT01946373) investigates the safety/feasibility of tumor-infiltrating lymphocyte (TIL) adoptive cell therapy (ACT) combined with dendritic cell (DC) vaccination in MM patients progressing on ICI. An initial cohort (5 patients) received TIL therapy alone to evaluate safety and allow for optimization of TIL expansion protocols. A second cohort (first-in-man, 5 patients) received TIL combined with autologous tumor lysate-loaded DC vaccination. All patients received cyclophosphamide/fludarabine preconditioning prior to, and intravenous (i.v.) IL-2 after, TIL transfer. The DC vaccine was given as five intradermal injections after TIL and IL-2 administration. [18F]-FDG PET/CT radiology was performed to evaluate clinical response, according to RECIST 1.1 (on the CT part). Immunological monitoring was performed by flow cytometry and T-cell receptor (TCR) sequencing. In the safety/optimization cohort, all patients had a mixed response or stable disease, but none durable. In the combination cohort, two patients experienced complete responses (CR) that are still ongoing (>36 and >18 months, respectively). In addition, two patients had partial responses (PR), one still ongoing (>42 months) with only a small bone-lesion remaining, and one of short duration (<4 months). One patient died early during treatment and did not receive DC. Long-lasting persistency of the injected TILs was demonstrated in blood. In summary, we report clinical responses by TIL therapy combined with DC vaccination in 4 out of 4 treated MM patients who previously failed ICI. |
DOI: | doi:10.1080/2162402X.2020.1792058 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt. Volltext: https://doi.org/10.1080/2162402X.2020.1792058 |
DOI: https://doi.org/10.1080/2162402X.2020.1792058 | |
Datenträger: | Online-Ressource |
Sprache: | eng |
Sach-SW: | adoptive tumor-infiltrating lymphocyte therapy |
Combination immunotherapy | |
DC vaccination | |
immune checkpoint inhibitor resistance | |
tumor lysate | |
K10plus-PPN: | 172885024X |
Verknüpfungen: | → Zeitschrift |