» Articles » PMID: 37483658

Immuno-oncology Approaches in Uveal Melanoma: Tebentafusp and Beyond

Overview
Date 2023 Jul 24
PMID 37483658
Authors
Affiliations
Soon will be listed here.
Abstract

Uveal melanoma (UM) is the most common ocular malignancy in adults, associated with the poorest prognosis, with metastatic disease occurring in up to 50% of patients. In contrast to metastatic cutaneous melanoma, the use of immune checkpoint inhibitors is associated with poor outcomes in metastatic uveal melanoma (mUM). Tebentafusp, a bispecific molecule, has recently become the first treatment in decades to improve overall survival for mUM. This review summarises the existing and emerging immuno-oncology approaches for the treatment of mUM, and biomarkers of response and resistance to the same. Finally, we propose future research directions that could maximise treatment benefit to a wider pool of patients with UM.

Citing Articles

Optimizing ctDNA: An Updated Review of a Promising Clinical Tool for the Management of Uveal Melanoma.

Varela M, Villatoro S, Lorenzo D, Piulats J, Caminal J Cancers (Basel). 2024; 16(17).

PMID: 39272911 PMC: 11394595. DOI: 10.3390/cancers16173053.

References
1.
Prescher G, Bornfeld N, Hirche H, Horsthemke B, Jockel K, Becher R . Prognostic implications of monosomy 3 in uveal melanoma. Lancet. 1996; 347(9010):1222-5. DOI: 10.1016/s0140-6736(96)90736-9. View

2.
Lalonde E, Ewens K, Richards-Yutz J, Ebrahimzedeh J, Mizue Terai , Gonsalves C . Improved Uveal Melanoma Copy Number Subtypes Including an Ultra-High-Risk Group. Ophthalmol Sci. 2022; 2(2):100121. PMC: 9559896. DOI: 10.1016/j.xops.2022.100121. View

3.
Larkin J, Chiarion-Sileni V, Gonzalez R, Grob J, Rutkowski P, Lao C . Five-Year Survival with Combined Nivolumab and Ipilimumab in Advanced Melanoma. N Engl J Med. 2019; 381(16):1535-1546. DOI: 10.1056/NEJMoa1910836. View

4.
Whelchel J, Farah S, McLean I, Burnier M . Immunohistochemistry of infiltrating lymphocytes in uveal malignant melanoma. Invest Ophthalmol Vis Sci. 1993; 34(8):2603-6. View

5.
Tawbi H, Schadendorf D, Lipson E, Ascierto P, Matamala L, Castillo Gutierrez E . Relatlimab and Nivolumab versus Nivolumab in Untreated Advanced Melanoma. N Engl J Med. 2022; 386(1):24-34. PMC: 9844513. DOI: 10.1056/NEJMoa2109970. View