Difference between revisions of "Merkel cell carcinoma"

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m (Text replacement - "{| class="wikitable" style="width: 100%; text-align:center;" !style="width: 33%"|Study !style="width: 33%"|Evidence !style="width: 33%"|Efficacy" to "{| class="wikitable" style="width: 75%; text-align:center;" !style="width: 33%"|Study !style="width: 33%"|Evidence !style="width: 33%"|Efficacy")
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!style="width: 33%"|[[Levels_of_Evidence#Efficacy|Efficacy]]
 
!style="width: 33%"|[[Levels_of_Evidence#Efficacy|Efficacy]]
 
|-
 
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|[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4927341/ Nghiem et al. 2016]
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|[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4927341/ Nghiem et al. 2016 (CITN-09)]
 
|style="background-color:#91cf61"|Phase II
 
|style="background-color:#91cf61"|Phase II
 
|56% (95% CI 35-76%)
 
|56% (95% CI 35-76%)
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*[[Pembrolizumab (Keytruda)]] 2 mg/kg IV once on day 1
 
*[[Pembrolizumab (Keytruda)]] 2 mg/kg IV once on day 1
  
'''21-day cycles for up to 2 years or until CR, progression, or intolerable toxicity'''
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'''21-day cycle for up to 35 cycles (2 years) or until CR'''
  
 
===References===
 
===References===
# Nghiem PT, Bhatia S, Lipson EJ, Kudchadkar RR, Miller NJ, Annamalai L, Berry S, Chartash EK, Daud A, Fling SP, Friedlander PA, Kluger HM, Kohrt HE, Lundgren L, Margolin K, Mitchell A, Olencki T, Pardoll DM, Reddy SA, Shantha EM, Sharfman WH, Sharon E, Shemanski LR, Shinohara MM, Sunshine JC, Taube JM, Thompson JA, Townson SM, Yearley JH, Topalian SL, Cheever MA. PD-1 blockade with pembrolizumab in advanced Merkel-cell carcinoma. N Engl J Med. 2016 Jun 30;374(26):2542-52. Epub 2016 Apr 19. [https://www.nejm.org/doi/full/10.1056/NEJMoa1603702 link to original article] [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4927341/ link to PMC article] '''contains verified protocol''' [https://www.ncbi.nlm.nih.gov/pubmed/27093365 PubMed]
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# '''CITN-09:''' Nghiem PT, Bhatia S, Lipson EJ, Kudchadkar RR, Miller NJ, Annamalai L, Berry S, Chartash EK, Daud A, Fling SP, Friedlander PA, Kluger HM, Kohrt HE, Lundgren L, Margolin K, Mitchell A, Olencki T, Pardoll DM, Reddy SA, Shantha EM, Sharfman WH, Sharon E, Shemanski LR, Shinohara MM, Sunshine JC, Taube JM, Thompson JA, Townson SM, Yearley JH, Topalian SL, Cheever MA. PD-1 blockade with pembrolizumab in advanced Merkel-cell carcinoma. N Engl J Med. 2016 Jun 30;374(26):2542-52. Epub 2016 Apr 19. [https://www.nejm.org/doi/full/10.1056/NEJMoa1603702 link to original article] [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4927341/ link to PMC article] '''contains verified protocol''' [https://www.ncbi.nlm.nih.gov/pubmed/27093365 PubMed]
  
 
[[Category:Merkel cell carcinoma regimens]]
 
[[Category:Merkel cell carcinoma regimens]]
 
[[Category:Disease-specific pages]]
 
[[Category:Disease-specific pages]]
 
[[Category:Skin cancers]]
 
[[Category:Skin cancers]]

Revision as of 02:02, 30 June 2019

Section editor
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Elizabeth Buchbinder, MD
Dana-Farber Cancer Institute
Boston, MA

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Guidelines

NCCN

Metastatic or advanced disease, all lines of therapy

Avelumab monotherapy

Avelumab (Bavencio) for merkel cell carcinoma

Pembrolizumab monotherapy

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Regimen

Study Evidence Efficacy
Nghiem et al. 2016 (CITN-09) Phase II 56% (95% CI 35-76%)

Immunotherapy

21-day cycle for up to 35 cycles (2 years) or until CR

References

  1. CITN-09: Nghiem PT, Bhatia S, Lipson EJ, Kudchadkar RR, Miller NJ, Annamalai L, Berry S, Chartash EK, Daud A, Fling SP, Friedlander PA, Kluger HM, Kohrt HE, Lundgren L, Margolin K, Mitchell A, Olencki T, Pardoll DM, Reddy SA, Shantha EM, Sharfman WH, Sharon E, Shemanski LR, Shinohara MM, Sunshine JC, Taube JM, Thompson JA, Townson SM, Yearley JH, Topalian SL, Cheever MA. PD-1 blockade with pembrolizumab in advanced Merkel-cell carcinoma. N Engl J Med. 2016 Jun 30;374(26):2542-52. Epub 2016 Apr 19. link to original article link to PMC article contains verified protocol PubMed