Aya Francisco, Fernández-Martínez Aranzazu, Gaba Lydia, Victoria Iván, Tosca Mónica, Carrera Cristina, Prat Aleix, Arance Ana
Medical Oncology Department, Hospital Clinic Barcelona, Barcelona, Spain.
Translational Genomics & Targeted Therapeutics in Solid Tumors, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Immunotherapy. 2016 Jun;8(6):687-92. doi: 10.2217/imt-2015-0025. Epub 2016 Apr 26.
Currently, limited data exist on the safety of pembrolizumab in patients with metastatic melanoma who have developed severe immune-related adverse events following treatment with ipilimumab. We report a 45-year-old male patient with BRAF-mutant metastatic melanoma who discontinued treatment with ipilimumab due to treatment-related grade 3 colitis and was subsequently treated with the anti-programmed cell death 1 protein (PD-1) antibody pembrolizumab. He has been on treatment with pembrolizumab for more than 20 months with no major toxicities and has achieved an objective partial response, which is ongoing.
目前,关于帕博利珠单抗在接受伊匹木单抗治疗后发生严重免疫相关不良事件的转移性黑色素瘤患者中的安全性数据有限。我们报告了一名45岁的BRAF突变型转移性黑色素瘤男性患者,该患者因治疗相关的3级结肠炎而停止伊匹木单抗治疗,随后接受抗程序性细胞死亡1蛋白(PD-1)抗体帕博利珠单抗治疗。他接受帕博利珠单抗治疗已超过20个月,无重大毒性反应,并取得了客观部分缓解,且仍在持续。