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Libri Oncologici : Croatian Journal of Oncology, Vol. 45 No. 2-3, 2017.

Review article

Advances in melanoma immunotherapy

Nina Dabelić ; Department of Oncology and Radiotherapy, Reff eral Center for Melanoma of Ministry of Health of Republic of Croatia, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Jasmina Marić Brozić ; Department of Oncology and Radiotherapy, Reff eral Center for Melanoma of Ministry of Health of Republic of Croatia, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Nikola Đaković ; Department of Oncology and Radiotherapy, Reff eral Center for Melanoma of Ministry of Health of Republic of Croatia, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Ante Bolanča ; Department of Oncology and Radiotherapy, Reff eral Center for Melanoma of Ministry of Health of Republic of Croatia, Sestre milosrdnice University Hospital Center, Zagreb, Croatia

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Abstract

Melanoma is considered to be the most immunogenic malignant tumour. This fact is recognized for many years, and certain forms of immunotherapy have been used in melanoma therapy for a considerable time.
Treatment options for patients with metastatic melanoma have changed dramatically in the past 5 years, with the FDA approval of eight new therapeutic agents (immunotherapies and targeted therapies). During this period, melanoma immunotherapy has transitioned from cytokine-based treatment to antibody-mediated blockade of the cytotoxic Tlymphocyteassociated antigen4 (CTLA4) and, recently, the programmed cell-death protein 1 (PD1) immune checkpoints. These changes in the treatment options have dramatically improved patient outcomes, with the median overall survival of patients with metastatic melanoma increasing from approximately 9 months before 2011 to at least 2 years, and probably longer.
Various types of immunotherapy, like pembrolizumab, nivolumab, ipilimumab, combined therapy with nivolumab and ipilimumab, and T-VEC, have been established in recent years as the standard-of-care treatment for metastatic melanoma patients.

Keywords

immunotherapy; melanoma; checkpoint inhibitors; oncolytic vaccines

Hrčak ID:

192125

URI

https://hrcak.srce.hr/192125

Publication date:

21.12.2017.

Article data in other languages: croatian

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