^
17d
New P1 trial • Metastases
|
Imlygic (talimogene laherparepvec)
27d
Genetic Factors Associated with Clinical Response in Melanoma Patients Treated with Talimogene Laherparapvec: A Single-Institution Retrospective Analysis. (PubMed, Ann Surg Oncol)
This work describes the experience using T-VEC in melanoma at a single institution and highlights the presence of TERT promotor mutations as a possible driver of clinical response.
Retrospective data • Journal • IO biomarker
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TERT (Telomerase Reverse Transcriptase)
|
TERT mutation
|
Imlygic (talimogene laherparepvec)
1m
Postmarketing Prospective Study of Melanoma Patients Treated With IMLYGIC® to Characterize Risk of Herpetic Infection (clinicaltrials.gov)
P=N/A, N=300, Recruiting, Amgen | Trial completion date: Aug 2038 --> Jan 2038 | Trial primary completion date: Aug 2038 --> Jan 2038
Trial completion date • Trial primary completion date
|
Imlygic (talimogene laherparepvec)
3ms
Phase classification • Combination therapy • Pan tumor • Metastases
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
|
Keytruda (pembrolizumab) • Imlygic (talimogene laherparepvec)
4ms
Myelomodulatory treatments augment the therapeutic benefit of oncolytic viroimmunotherapy in murine models of malignant peripheral nerve sheath tumors. (PubMed, Front Immunol)
Myelomodulatory therapy with pexidartinib, a small molecule inhibitor of CSF1R tyrosine kinase, and the oncolytic herpes simplex virus T-VEC exhibited the most significant increase in median survival time in the highly immunogenic model. Additionally, targeting myeloid cells with the myelomodulatory therapy trabectedin, a small molecule activator of caspase-8 dependent apoptosis, augmented the survival benefit of T-VEC in a less immunogenic MPNST model...Furthermore, flow cytometry analysis following combination viroimmunotherapy revealed decreased M2 macrophages and myeloid-derived suppressor cells and increased tumor-specific gp70+ CD8 T cells within the tumor microenvironment. In summary, our findings provide compelling evidence for the potential to leverage viroimmunotherapy with myeloid cell targeting against MPNST and warrant further investigation.
Preclinical • Journal • Oncolytic virus
|
CD8 (cluster of differentiation 8) • CASP8 (Caspase 8) • CSF1R (Colony stimulating factor 1 receptor)
|
Yondelis (trabectedin) • Imlygic (talimogene laherparepvec) • Turalio (pexidartinib)
4ms
Study of Talimogene Laherparepvec (T-VEC) in Pancreatic Cancer (clinicaltrials.gov)
P1, N=9, Active, not recruiting, Karie D. Runcie, MD | Trial primary completion date: Dec 2023 --> Dec 2024
Trial primary completion date • Metastases
|
Imlygic (talimogene laherparepvec)
5ms
Biomarker screen for efficacy of oncolytic virotherapy in patient-derived pancreatic cancer cultures. (PubMed, EBioMedicine)
Considering the heterogeneity of PDAC and the complexity of biological therapies such as OVs, no single biomarker can explain the spectrum of response patterns. For selection of a particular OV, PDAC molecular subtype, ISG expression as well as activation of distinct signaling and metabolic pathways should be considered. Combination therapies can overcome resistance in specific constellations. Overall, oncolytic virotherapy is a viable treatment option for PDAC, which warrants further development. This study highlights the need for personalised treatment in OVT. By providing all primary data, this study provides a rich source and guidance for ongoing developments.
Journal • Oncolytic virus • IO biomarker
|
LGALS1 (Galectin 1) • CGAS (Cyclic GMP-AMP Synthase)
|
Imlygic (talimogene laherparepvec) • MV-NIS • ParvOryx (parvovirus H-1)
5ms
Combined Regional Approach of Talimogene laherparepvec and Radiotherapy in the Treatment of Advanced Melanoma. (PubMed, Cancers (Basel))
However, we did not find a significant difference in locoregional recurrence or OS. Future studies are needed to assess the sequence and timing of combining RT and TVEC to potentially enhance the immune response both locally and distantly.
Journal • Metastases
|
CSF2 (Colony stimulating factor 2)
|
Imlygic (talimogene laherparepvec)
5ms
Talimogene Laherparepvec and Panitumumab for the Treatment of Locally Advanced or Metastatic Squamous Cell Carcinoma of the Skin (clinicaltrials.gov)
P1, N=5, Active, not recruiting, Rutgers, The State University of New Jersey | Completed --> Active, not recruiting | Trial completion date: Feb 2023 --> Feb 2025 | Trial primary completion date: Feb 2023 --> Feb 2025
Enrollment closed • Trial completion date • Trial primary completion date • Tumor mutational burden • Metastases
|
Vectibix (panitumumab) • Imlygic (talimogene laherparepvec)
5ms
Talimogene Laherparepvec and Nivolumab in Treating Patients With Refractory Lymphomas or Advanced or Refractory Non-melanoma Skin Cancers (clinicaltrials.gov)
P2, N=68, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Jun 2024 --> Sep 2025 | Trial primary completion date: Jun 2024 --> Sep 2025
Trial completion date • Trial primary completion date • IO biomarker • Metastases
|
PD-L1 (Programmed death ligand 1) • ALK (Anaplastic lymphoma kinase) • NECTIN1 (Nectin Cell Adhesion Molecule 1)
|
Opdivo (nivolumab) • Imlygic (talimogene laherparepvec) • ABP 206 (nivolumab biosimilar)
6ms
Cytokine-armed oncolytic herpes simplex viruses: a game-changer in cancer immunotherapy? (PubMed, J Immunother Cancer)
Talimogene laherparepvec is an oncolytic herpes simplex virus type 1 (oHSV), approved for the treatment of recurrent melanoma, and the virus encodes the human cytokine, granulocyte-macrophage colony-stimulating factor (GM-CSF)...In this review, we highlight preliminary data with several cytokines and chemokines, including GM-CSF, interleukin 12, FMS-like tyrosine kinase 3 ligand, tumor necrosis factor α, interleukin 2, interleukin 15, interleukin 18, chemokine (C-C motif) ligand 2, chemokine (C-C motif) ligand 5, chemokine (C-X-C motif) ligand 4, or their combinations, and show how these payloads can further enhance the antitumor immunity of oHSV. A better understanding of cytokine delivery by oHSV can help improve clinical benefit from oncolytic virus immunotherapy in patients with cancer.
Review • Journal
|
FLT3 (Fms-related tyrosine kinase 3) • TNFA (Tumor Necrosis Factor-Alpha) • IL2 (Interleukin 2) • CCL2 (Chemokine (C-C motif) ligand 2) • CSF2 (Colony stimulating factor 2) • IL18 (Interleukin 18) • IL15 (Interleukin 15)
|
Imlygic (talimogene laherparepvec)
6ms
Multimodal Therapy Approaches for NUT Carcinoma by Dual Combination of Oncolytic Virus Talimogene Laherparepvec with Small Molecule Inhibitors. (PubMed, Viruses)
Interestingly, we found that the combination of T-VEC with SMIs resulted in both stronger and earlier reductions in the expression of c-Myc, a main driver of NC cell proliferation, when compared to T-VEC monotherapy. These results indicate the great potential of combinatorial therapies using oncolytic viruses and SMIs to control the highly aggressive behavior of NC cancers and probably will pave the way for innovative multimodal clinical studies in the near future.
Journal • Oncolytic virus • IO biomarker
|
MYC (V-myc avian myelocytomatosis viral oncogene homolog)
|
Imlygic (talimogene laherparepvec)
6ms
Local intralesional talimogene laherparepvec therapy with complete local response in oral palatine mucosal melanoma: a case report. (PubMed, J Med Case Rep)
The patient had a complete local tumor response at both the primary lesion as well as the skip lesion with the local injections. She had no side effects and maintained a high quality of life during treatment.
Journal • IO biomarker
|
BRAF (B-raf proto-oncogene) • ER (Estrogen receptor) • NRAS (Neuroblastoma RAS viral oncogene homolog)
|
Imlygic (talimogene laherparepvec)
6ms
Postmarketing Prospective Study of Melanoma Patients Treated With IMLYGIC® to Characterize Risk of Herpetic Infection (clinicaltrials.gov)
P=N/A, N=300, Recruiting, Amgen | Trial completion date: Aug 2037 --> Aug 2038 | Trial primary completion date: Aug 2037 --> Aug 2038
Trial completion date • Trial primary completion date
|
Imlygic (talimogene laherparepvec)
7ms
Neoadjuvant Combination Immunotherapy for Stage III Melanoma (clinicaltrials.gov)
P2, N=28, Recruiting, University of Louisville | Trial completion date: Jun 2027 --> Jun 2028 | Trial primary completion date: Jun 2024 --> Jun 2026
Trial completion date • Trial primary completion date
|
BRAF (B-raf proto-oncogene)
|
BRAF mutation
|
Keytruda (pembrolizumab) • Imlygic (talimogene laherparepvec)
7ms
Primary prophylaxis with mTOR inhibitor enhances T cell effector function and prevents heart transplant rejection during talimogene laherparepvec therapy of squamous cell carcinoma. (PubMed, Nat Commun)
In the first step, calcineurin inhibitor/ mycophenolic acid is replaced by the mTORi everolimus to achieve an improved effector T cell status with increased cytotoxic activity (perforin, granzyme), enhanced proliferation (Ki67) and upregulated activation markers (CD38, CD69). Notably, no histologic signs of allograft rejection are observed in consecutive end-myocardial biopsies. These findings provide valuable insights into the dynamics of T cell activation and differentiation and suggest that timely initiation of mTORi-based primary prophylaxis may provide a dual benefit of revitalizing T cell function while maintaining allograft tolerance.
Journal • IO biomarker
|
CD8 (cluster of differentiation 8) • IL6 (Interleukin 6) • CD38 (CD38 Molecule) • CD4 (CD4 Molecule) • CD69 (CD69 Molecule) • CCL2 (Chemokine (C-C motif) ligand 2) • IL18 (Interleukin 18)
|
everolimus • Imlygic (talimogene laherparepvec)
7ms
Talimogene Laherparepvec, Chemotherapy, and Radiation Therapy Before Surgery in Treating Patients With Locally Advanced or Metastatic Rectal Cancer (clinicaltrials.gov)
P1, N=3, Terminated, National Cancer Institute (NCI) | Active, not recruiting --> Terminated; Due to Covid and poor enrollment
Trial termination • Surgery • Metastases
|
capecitabine • oxaliplatin • leucovorin calcium • Imlygic (talimogene laherparepvec) • fluorouracil topical
7ms
Oncolytic herpes simplex virus expressing IL-2 controls glioblastoma growth and improves survival. (PubMed, J Immunother Cancer)
Our findings illustrate that G47Δ-mIL2 is efficacious, stimulates antitumor immunity against orthotopic GBM, and may also target GSC. OHSV expressing IL-2 may represent an agent that merits further exploration in patients with GBM.
Journal • PD(L)-1 Biomarker • IO biomarker
|
CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule) • IL2 (Interleukin 2) • CSF2 (Colony stimulating factor 2)
|
IL2 expression
|
Imlygic (talimogene laherparepvec)
7ms
A Study of T-VEC (Talimogene Laherparepvec) With or Without Radiotherapy for Melanoma, Merkel Cell Carcinoma, or Other Solid Tumors (clinicaltrials.gov)
P2, N=19, Completed, Memorial Sloan Kettering Cancer Center | Active, not recruiting --> Completed | Trial completion date: Jun 2024 --> Feb 2024 | Trial primary completion date: Jun 2024 --> Feb 2024
Trial completion • Trial completion date • Trial primary completion date
|
Imlygic (talimogene laherparepvec)
8ms
Trial completion • Combination therapy • Metastases
|
Keytruda (pembrolizumab) • Imlygic (talimogene laherparepvec)
8ms
Comparison of the oncolytic activity of a replication-competent and a replication-deficient herpes simplex virus 1. (PubMed, Immunology)
T-VEC was oncolytic for an extended period of time as viral replication continued, which could be partially blocked by the antiviral drug aciclovir. When markers of immunogenic cell death were assessed, ATP was released more efficiently in the context of T-VEC than HSV-1 d106S infection, whereas HMGB1 was induced comparatively well. Overall, the early oncolytic effect on three different tumour entities was stronger with the non-replicative strain, while the replication-competent virus elicited a stronger innate immune response and more pronounced immunogenic cell death.
Journal
|
HMGB1 (High Mobility Group Box 1) • CASP7 (Caspase 7) • IFNB1 (Interferon Beta 1)
|
Imlygic (talimogene laherparepvec)
9ms
Phase classification • Combination therapy
|
Tecentriq (atezolizumab) • Imlygic (talimogene laherparepvec)
9ms
Ipilimumab With or Without Talimogene Laherparepvec in Unresected Melanoma (clinicaltrials.gov)
P1/2, N=217, Completed, Amgen | Phase classification: P1b/2 --> P1/2
Phase classification
|
BRAF (B-raf proto-oncogene) • PD-1 (Programmed cell death 1) • CTLA4 (Cytotoxic T-Lymphocyte Associated Protein 4)
|
BRAF mutation • BRAF wild-type
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Yervoy (ipilimumab) • Imlygic (talimogene laherparepvec)
10ms
Talimogene Laherparepvec and Panitumumab for the Treatment of Locally Advanced or Metastatic Squamous Cell Carcinoma of the Skin (clinicaltrials.gov)
P1, N=5, Completed, Rutgers, The State University of New Jersey | Active, not recruiting --> Completed | Trial completion date: Sep 2024 --> Feb 2023 | Trial primary completion date: Sep 2024 --> Feb 2023
Trial completion • Trial completion date • Trial primary completion date • Tumor mutational burden • Metastases
|
Vectibix (panitumumab) • Imlygic (talimogene laherparepvec)
11ms
Trial completion date • Trial primary completion date • Combination therapy • Metastases
|
Keytruda (pembrolizumab) • Imlygic (talimogene laherparepvec)
11ms
Talimogene Laherparepvec and Radiation Therapy in Treating Patients With Newly Diagnosed Soft Tissue Sarcoma That Can Be Removed by Surgery (clinicaltrials.gov)
P2, N=40, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Dec 2023 --> Dec 2024 | Trial primary completion date: Dec 2023 --> Dec 2024
Trial completion date • Trial primary completion date • IO biomarker • Surgery
|
PD-L1 (Programmed death ligand 1)
|
PD-L1 expression
|
Imlygic (talimogene laherparepvec)
12ms
Attenuated Replication-Competent Herpes Simplex Virus Expressing an ECM-Modifying Transgene Hyaluronan Synthase 2 of Naked Mole Rat in Oncolytic Gene Therapy. (PubMed, Microorganisms)
Since the approval of talimogene laherparepvec (T-VEC) in 2015, HSV has been thoroughly researched to discover novel mechanisms to combat cancer and treat other diseases. Another HSV-based drug, beremagene geperpavec (B-VEC), received approval in 2023 to treat the rare genetic disease dystrophic epidermolysis bullosa, and was also the first clinically approved HSV vector carrying an extracellular matrix (ECM)-modifying transgene...The viral replication, transgene expression and cytotoxic effect of the novel vector was studied in glioma cells. Our results show that an attenuated, replication-competent HSV vector expressing a foreign ECM-modifying transgene, namely HAS2, provides an effective tool to study and combat cancer in humans.
Preclinical • Journal • Gene therapy
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HAS2 (Hyaluronan Synthase 2)
|
Imlygic (talimogene laherparepvec)
1year
Talimogene Laherparepvec and Pembrolizumab in Treating Patients With Stage III-IV Melanoma (clinicaltrials.gov)
P2, N=42, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Jun 2023 --> Nov 2024
Trial completion date • Tumor mutational burden • Metastases
|
CD8 (cluster of differentiation 8)
|
CD8 expression
|
Keytruda (pembrolizumab) • Imlygic (talimogene laherparepvec)
1year
The efficacy and safety assessment of oncolytic virotherapies in the treatment of advanced melanoma: a systematic review and meta-analysis. (PubMed, Virol J)
Given the relative safety and tolerability of oncolytic viruses, and the lack of reports of dose-limiting-dependent toxicities, more patients treated with T-VEC with or without ICIs should be added to future assessment analyses. There is still a long way to go before it can be used as a first-line therapy for patients with advanced or unresectable melanoma.
Retrospective data • Review • Journal • Oncolytic virus • Metastases
|
CSF2 (Colony stimulating factor 2)
|
Imlygic (talimogene laherparepvec) • Cavatak (gebasaxturev)
1year
The potential of swine pseudorabies virus attenuated vaccine for oncolytic therapy against malignant tumors. (PubMed, J Exp Clin Cancer Res)
PRV-LAV can infect cancer cells via NRP1/EGFR signaling and induce cancer cells apoptosis via ER stress. PRV-LAV treatment also restores CD8 T cell function against cancer. The combination of PRV-LAV and immune checkpoint inhibitors has a significant synergistic effect. Overall, these findings point to PRV-LAV as a serious potential candidate for the treatment of NRP1/EGFR pathway-associated tumors.
Journal
|
CD8 (cluster of differentiation 8) • NRP1 (Neuropilin 1)
|
Imlygic (talimogene laherparepvec)
1year
NIVEC: Neo-adjuvant T-VEC + Nivolumab Combination Therapy for Resectable Early Metastatic (Stage IIIB/C/D-IV M1a) Melanoma With Injectable Disease (clinicaltrials.gov)
P2, N=24, Active, not recruiting, The Netherlands Cancer Institute | Recruiting --> Active, not recruiting | Trial completion date: Aug 2023 --> Jan 2025 | Trial primary completion date: Jan 2023 --> Apr 2023
Enrollment closed • Trial completion date • Trial primary completion date • Combination therapy • Metastases
|
CD8 (cluster of differentiation 8)
|
Opdivo (nivolumab) • Imlygic (talimogene laherparepvec)
1year
Synergistic Effect of TVEC and Radiotherapy in the Treatment of Advanced Melanoma. (PubMed, Int J Radiat Oncol Biol Phys)
Comparing pts who had TVEC and RT to different regions of the body, there was an association with improvements in PFS and DM when both modalities were delivered to the same region of the body. However, we did not find a significant difference in locoregional recurrence or OS. Given some promise with the combined approach and potential immune enhancement from RT, larger trials are needed to better understand the potential positive signal from our study.
Journal • Metastases
|
Imlygic (talimogene laherparepvec)
1year
Talimogene Laherparepvec in Combination With Neoadjuvant Chemotherapy in Triple Negative Breast Cancer (clinicaltrials.gov)
P1/2, N=50, Active, not recruiting, H. Lee Moffitt Cancer Center and Research Institute | Trial completion date: Aug 2023 --> Aug 2024
Trial completion date • Combination therapy
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
|
HER-2 amplification
|
paclitaxel • Imlygic (talimogene laherparepvec)
1year
Multiple Administration Routes, Including Intramuscular Injection, of Oncolytic Tanapoxvirus Variants Significantly Regress Human Melanoma Xenografts in BALB/c Nude Mice Reconstituted with Splenocytes from Normal BALB/c Donors. (PubMed, Genes (Basel))
The Food and Drug Administration in the United States has approved one oncolytic herpes simplex virus expressing granulocyte-macrophage colony-stimulating factor (Talimogene Laherparepvec) for the treatment of metastatic melanoma, and others could soon follow for this and other cancers...The results demonstrated that TPV/Δ66R/mIL-2 treatment IV or IM had significantly greater rates of tumor regression than RC-treated mice but failed to exert this effect when both routes were used simultaneously. Data obtained through these experiments support the continued development of Tanapoxvirus for the treatment of human melanoma and using immune reconstitution to create intact adaptive immunity in a xenograft context, which can allow other tropism-limited OVs to be studied against human cancers.
Preclinical • Journal • Oncolytic virus
|
Imlygic (talimogene laherparepvec)
1year
A Pilot Study of Neoadjuvant Nivolumab, Ipilimumab, and Intralesional Oncolytic Virotherapy for HER2-negative Breast Cancer. (PubMed, Cancer Res Commun)
Eligibility for this pilot phase I trial included patients with localized HER2-negative breast cancer who received systemic nivolumab and ipilimumab and intratumor talimogene laherparepvec (T-VEC; NCT04185311). This triple immunotherapy regimen provided responses in patients with advanced or relapsed HER2-negative breast cancer, at the expense of long-term toxicities. Systemic immune checkpoint blockade with a programmed death receptor 1 and a CTL antigen-4 blocking antibody, combined with intralesional oncolytic virotherapy, is a chemotherapy-free combination aimed at inducing an antitumor immune response locally and systemic immunity.
Journal • Oncolytic virus
|
HER-2 (Human epidermal growth factor receptor 2)
|
HER-2 negative
|
Opdivo (nivolumab) • Yervoy (ipilimumab) • Imlygic (talimogene laherparepvec)
1year
Diagnosis and Management of Dermatologic Adverse Events from Systemic Melanoma Therapies. (PubMed, Am J Clin Dermatol)
As immunotherapy-related toxicities have been extensively reviewed, herein, we discuss injectable talimogene laherparepvec and touch on recent breakthroughs in the immunotherapy space. Dermatologic adverse events may severely impact quality of life and are associated with response and survival. It is therefore essential that clinicians are aware of their diverse presentations and management strategies.
Review • Journal • Adverse events
|
Imlygic (talimogene laherparepvec)
1year
New Treatment Horizons in Uveal and Cutaneous Melanoma. (PubMed, Life (Basel))
Talimogene laherparepvec (T-VEC) is an FDA-approved oncolytic virus for CM treatment, and other oncolytic viruses, such as coxsackieviruses and HF-10, are being investigated. Furthermore, combining oncolytic viruses with immunotherapies, such as CAR-T cell therapy, holds great potential. Understanding the intrinsic molecular features of melanoma and their role in shaping novel therapeutic approaches provides insights into targeted interventions and paves the way for more effective treatments for CM and UM.
Review • Journal • IO biomarker
|
GNAQ (G Protein Subunit Alpha Q) • SF3B1 (Splicing Factor 3b Subunit 1) • BAP1 (BRCA1 Associated Protein 1) • GNA11 (G Protein Subunit Alpha 11) • EIF1AX (Eukaryotic Translation Initiation Factor 1A X-Linked)
|
SF3B1 mutation • BAP1 mutation
|
Imlygic (talimogene laherparepvec) • canerpaturev (TBI-1401)
1year
MYELOMODULATORY TREATMENTS AUGMENT THE THERAPEUTIC BENEFIT OF ONCOLYTIC VIRUS IN MALIGNANT PERIPHERAL NERVE SHEATH TUMORS BY MODULATING THE TUMOR MICROENVIRONMENT (CTOS 2023)
In two preclinical mouse models of MPNST, we combined the oncolytic virus T-VEC with myeloid-cell targeting therapeutics, Pexidartinib or Trabectedin, to assess the combination therapy's antitumor efficacy and survival benefits. Our findings provide compelling evidence that myelomodulatory therapies can augment the antitumor T-cell response and improve the therapeutic benefits of oncolytic virotherapy in murine models of MPNST. These results provide valuable insights for designing and implementing future immunotherapeutic strategies in the management of MPNST.
Oncolytic virus
|
CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule)
|
Yondelis (trabectedin) • Imlygic (talimogene laherparepvec) • Turalio (pexidartinib)
1year
EFFICACY AND CORREALTIVE ANALYSIS OF USING NEOADJUVANT INTRATUMORAL HIGH DOSE TALIMOGENE LAHERPAREPVEC (TVEC) WITH CONCURRENT RADIATION IN HIGH-RISK EXTREMITY AND TRUNK SOFT-TISSUE SARCOMAS (CTOS 2023)
Neoadjuvant intratumoral TVEC at 8 mL of 108 PFU/mL dosing with concurrent EBRT increased pathological necrosis rate relative to EBRT alone for locally advanced STS. Intratumoral TVEC treatment in addition to EBRT increases cytotoxic CD8+ T cells in STS compared with EBRT alone treated and pre-treatment biopsy sarcoma tissue. Overall, no new safety signals were observed.
Clinical
|
CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule) • CSF2 (Colony stimulating factor 2) • EGF (Epidermal growth factor) • GZMB (Granzyme B)
|
Imlygic (talimogene laherparepvec)
1year
Trial completion date • Trial termination • Tumor mutational burden • Surgery
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor)
|
HER-2 positive • ER positive • HER-2 negative • ER positive + HER-2 negative
|
Opdivo (nivolumab) • Yervoy (ipilimumab) • Imlygic (talimogene laherparepvec)
over1year
Clinical updates in neoadjuvant immunotherapy for melanoma before surgery. (PubMed, Expert Rev Clin Immunol)
Localized intralesional therapies such as Talimogene laherparepvec (T-VEC) and Tavokinogene Telseplasmid (TAVO) electro-gene-transfer combined with anti-PD1 have demonstrated favorable pathologic responses and increased immune activation...Current evidence supports neoadjuvant therapy as a standard of care for locoregionally advanced melanoma. Ongoing research will define the optimal regimens and the biomarkers of therapeutic predictive and prognostic value.
Review • Journal • PD(L)-1 Biomarker • IO biomarker • Surgery
|
LAG3 (Lymphocyte Activating 3)
|
BRAF mutation
|
Imlygic (talimogene laherparepvec)