Sie befinden Sich nicht im Netzwerk der Universität Paderborn. Der Zugriff auf elektronische Ressourcen ist gegebenenfalls nur via VPN oder Shibboleth (DFN-AAI) möglich. mehr Informationen...
Pembrolizumab versus Ipilimumab in Advanced Melanoma
Ist Teil von
The New England journal of medicine, 2015-06, Vol.372 (26), p.2521-2532
Ort / Verlag
United States: Massachusetts Medical Society
Erscheinungsjahr
2015
Quelle
MEDLINE
Beschreibungen/Notizen
In a multinational, randomized study, pembrolizumab produced significantly improved progression-free and overall survival and less high-grade toxicity than did ipilimumab in patients with metastatic melanoma.
Two therapeutic strategies have improved survival for patients with advanced melanoma in recent years: immunotherapy with checkpoint inhibitors and targeted therapies blocking BRAF and MEK.
1
BRAF and MEK inhibitors are indicated for the approximately 40 to 50% of patients with
BRAF
V600 mutations,
1
whereas immunotherapies are effective independently of
BRAF
mutational status.
2
Ipilimumab, which blocks cytotoxic T-lymphocyte–associated protein 4 (CTLA-4), a coinhibitory molecule of the immune system,
3
,
4
is approved for treating advanced melanoma on the basis of its survival benefit.
5
,
6
However, grade 3 or 4 adverse events, mostly immune-related,
7
are observed in 23% of patients.
5
,
6
When activated . . .