Efficacy of Adoptive Cell Transfer of Tumor-infiltrating Lymphocytes After Lymphopenia Induction for Metastatic Melanoma

A single-institution pilot clinical trial was performed combining nonmyeloablative chemotherapy and the adoptive transfer of tumor-infiltrating lymphocytes with interleukin-2 in patients with metastatic melanoma. Nineteen patients were enrolled with 13 patients (68%) successfully completing treatmen...

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Veröffentlicht in:Journal of immunotherapy (1997) 2012-10, Vol.35 (8), p.615-620
Hauptverfasser: PILON-THOMAS, Shari, KUHN, Lisa, WEBER, Jeffrey, MULE, James J, SARNAIK, Amod A, ELLWANGER, Sabine, JANSSEN, William, ROYSTER, Erica, MARZBAN, Suroosh, KUDCHADKAR, Ragini, ZAGER, Jonathan, GIBNEY, Geoffrey, SONDAK, Vernon K
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container_end_page 620
container_issue 8
container_start_page 615
container_title Journal of immunotherapy (1997)
container_volume 35
creator PILON-THOMAS, Shari
KUHN, Lisa
WEBER, Jeffrey
MULE, James J
SARNAIK, Amod A
ELLWANGER, Sabine
JANSSEN, William
ROYSTER, Erica
MARZBAN, Suroosh
KUDCHADKAR, Ragini
ZAGER, Jonathan
GIBNEY, Geoffrey
SONDAK, Vernon K
description A single-institution pilot clinical trial was performed combining nonmyeloablative chemotherapy and the adoptive transfer of tumor-infiltrating lymphocytes with interleukin-2 in patients with metastatic melanoma. Nineteen patients were enrolled with 13 patients (68%) successfully completing treatment. An overall response rate (partial and complete responses) of 26% by intention to treat was achieved with a median follow-up time of 10 months. Of the 13 treated patients, there were 2 complete responses and 3 partial responses (38% response rate among treated patients), along with 4 patients with stable disease ranging from 2+ to 24+months. Three of the 4 patients with stable disease have had disease control without additional therapy, including one at 24+ months. Adoptive therapy with infiltrating lymphocytes is labor intensive but feasible and has a high response rate in treated patients.
doi_str_mv 10.1097/cji.0b013e31826e8f5f
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Hematologic involvement in other diseases ; Pharmacology. Drug treatments ; Pilot Projects ; Skin Neoplasms - immunology ; Skin Neoplasms - pathology ; Skin Neoplasms - therapy ; Treatment Outcome ; Tumor Cells, Cultured ; Tumors of the skin and soft tissue. 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subjects Adult
Aged
Antineoplastic agents
Biological and medical sciences
Cyclophosphamide - administration & dosage
Dermatology
Female
Follow-Up Studies
Hematologic and hematopoietic diseases
Humans
Immunotherapy
Immunotherapy, Adoptive - methods
Interleukin-2 - administration & dosage
Lymphocytes, Tumor-Infiltrating - immunology
Lymphocytes, Tumor-Infiltrating - transplantation
Lymphopenia - chemically induced
Male
Medical sciences
Melanoma - immunology
Melanoma - secondary
Melanoma - therapy
Middle Aged
Other diseases. Hematologic involvement in other diseases
Pharmacology. Drug treatments
Pilot Projects
Skin Neoplasms - immunology
Skin Neoplasms - pathology
Skin Neoplasms - therapy
Treatment Outcome
Tumor Cells, Cultured
Tumors of the skin and soft tissue. Premalignant lesions
Vidarabine - administration & dosage
Vidarabine - analogs & derivatives
title Efficacy of Adoptive Cell Transfer of Tumor-infiltrating Lymphocytes After Lymphopenia Induction for Metastatic Melanoma
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