Cytotoxic lymphocyte antigen-4 (CTLA-4) blockade plus vaccine as a combination therapy strategy to promote the immune response to cancer has demonstrated similar toxicities to anti-CTLA-4 monotherapy. As anti-CTLA-4 therapy has demonstrated clinical efficacy, continued exploration and optimization is warranted and must include investigations of combination strategies and management of adverse events.
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References
Krummel, M. F. & Allison, J. P. CD28 and CTLA-4 have opposing effects on the response of T cells to stimulation. J. Exp. Med. 182, 459–465 (1995).
Leach, D. R., Krummel, M. F. & Allison, J. P. Enhancement of antitumor immunity by CTLA-4 blockade. Science 71, 1734–1736 (1996).
Hodi, F. S. et al. Improved survival with ipilimumab in patients with metastatic melanoma. N. Engl. J. Med. 363, 711–723 (2010).
Sharma, P., Wagner, K., Wolchok, J. D. & Allison, J. P. Novel cancer immunotherapy agents with survival benefit: recent successes and next steps. Nat. Rev. Cancer 11, 805–812 (2011).
Van Elsas, A., Hurwitz, A. A. & Allison, J. P. Combination immunotherapy of B16 melanoma using anti-cytotoxic lymphocyte-associated antigen 4 (CTLA-4) and granulocyte/macrophage colony-stimulating factor (GM-CSF)-producing vaccines induces rejection of subcutaneous and metastatic tumors accompanied by autoimmune depigmentation. J. Exp. Med. 190, 355–366 (1999).
Madan, R. A. et al. Ipilimumab and a poxviral vaccine targeting prostate-specific antigen in metastatic castration-resistant prostate cancer: a phase 1 dose-escalation trial. Lancet Oncol. http://dx.doi.org/10.1016/S1470-2045(12)70006-2.
van den Eertwegh, A. J. et al. Combined immunotherapy with granulocyte-macrophage colony-stimulating factor-transduced allogeneic prostate cancer cells and ipilimumab in patients with metastatic castration-resistant prostate cancer: a phase 1 dose-escalation trial. Lancet Oncol. http://dx.doi.org/10.1016/S1470-2045(12)70007-4.
Buchman, A. L. Side effects of corticosteroid therapy. J. Clin. Gastroenterol. 33, 289–294 (2001).
Di Giacomo, A. M., Biagiolo, M. & Maio, M. The emerging toxicity profiles of anti-CTLA-4 antibodies across clinical indications. Semin. Oncol. 37, 499–507 (2010).
Bow, E. J. Management of the febrile neutropenic cancer patient: lessons from 40 years of study. Clin. Microbiol. Infect. 11 (Suppl. 5), 24–29 (2005).
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P. Sharma and C. Logothetis have acted as consultants for Bristol–Myers Squibb and Dendreon.
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Sharma, P., Logothetis, C. Combination of vaccine plus ipilimumab—safety and toxicity. Nat Rev Urol 9, 302–303 (2012). https://doi.org/10.1038/nrurol.2012.103
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DOI: https://doi.org/10.1038/nrurol.2012.103
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