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Safety and efficacy of ipilimumab to treat advanced melanoma in the setting of liver transplantation
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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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“Interestingly, several transplant patients experienced a tumor response without rejection when their immunosuppressive regimen contained sirolimus.165,169,170”
From Autoimmune diseases and immune-checkpoint inhibitors for cancer therapy: Review of the literature and personalized risk-based prevention strategy (2020) · cites this paper as [169]
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Metadata
- 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)
- PMC
- PMC4469313
- 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
- gold
- doi.org
- 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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