Cited by 110Cancer Immunotherapy and BiomarkersCutaneous Melanoma Detection and ManagementImmunotherapy and Immune Responses

Safety and efficacy of ipilimumab to treat advanced melanoma in the setting of liver transplantation

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Morales, Rita E, Shoushtari, Alexander N, Walsh, Michelle M, Grewal, Priya, Lipson, Evan J, Carvajal, Richard D·2015·Journal for ImmunoTherapy of Cancer

Abstract

Ipilimumab is a first-in-class immunological checkpoint blockade agent and monoclonal antibody against Cytotoxic T-Lymphocyte Antigen 4 (CTLA-4) that has demonstrated survival benefit and durable responses in patients with metastatic melanoma. To date, solid organ transplant recipients have been excluded from clinical trials with cancer immunotherapies on the basis of their concurrent treatment with immunosuppressive agents. We present the first case to our knowledge of a patient with advanced cutaneous melanoma receiving ipilimumab status post orthotopic liver transplantation with a partial response. Transaminitis was observed 4 months after administration of ipilimumab that resolved with close observation. No evidence of graft rejection has been observed to date. This case advocates for further investigation of the safety and efficacy of cancer immunotherapies in solid organ transplant recipients.

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Authors
Morales, R. E., Shoushtari, A. N., Walsh, M. M., Grewal, P., Lipson, E. J., & Carvajal, R. D.
Affiliations
  • Columbia University (US)
  • Memorial Sloan Kettering Cancer Center (US)
  • Columbia University Irving Medical Center (US)
  • Icahn School of Medicine at Mount Sinai (US)
  • Johns Hopkins University (US)
Corresponding author
Carvajal, Richard D
Venue
Journal for ImmunoTherapy of Cancer
Publisher
BMJ
Published
2015-06-16
Volume
3
Issue
1
Pages
22-22
ISSN
2051-1426 (ISSN-L)
OpenAlex
W1517732299
Cited by
110
References
12
Citations by year
2026: 1 · 2025: 1 · 2024: 6 · 2023: 9 · 2022: 11 · 2021: 12 · 2020: 10 · 2019: 9 · 2018: 13 · 2017: 21 · 2016: 13 · 2015: 2
FWCI
7.13
Type
journal article
Language
en
Open access
Locations
  • Journal for ImmunoTherapy of Cancer (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Columbia Academic Commons (Columbia University)
Funders
National Cancer Institute (P30CA008748)
Topics
  • Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
  • Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
  • Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
Keywords
ipilimumab, liver transplantation, CTLA-4 blockade, cancer immunotherapy, solid organ transplant recipients, elevated liver enzymes, graft rejection, immunosuppression, treatment efficacy and safety

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