Durable complete response after combined treatment with tumor-infiltrating lymphocytes and oncolytic adenovirus (TILT-123) in a patient with metastatic mucosal melanoma

Autor: T.J. Monberg, T. Kudling, B. Albieri, S. Pakola, E. Ellebaek, M. Donia, R.L. Eefsen, C. von Buchwald, C. Kistler, J.M. Santos, J. Clubb, L. Haybout, M.C.W. Westergaard, D.C.A. Quixabeira, E. Jirovec, R. Havunen, S. Sorsa, V. Cervera-Carrascon, A. Hemminki, I.M. Svane
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Immuno-Oncology and Technology, Vol 24, Iss , Pp 100726- (2024)
Druh dokumentu: article
ISSN: 2590-0188
DOI: 10.1016/j.iotech.2024.100726
Popis: Background: Despite significant advancements in the treatment of malignant melanoma, metastatic mucosal melanoma remains a therapeutic challenge due to its complex pathogenesis, distinct pathological characteristics, and limited response to immunotherapy. Combining different immunotherapeutic approaches offers a potential strategy to address these challenges. Tumor-infiltrating lymphocyte (TIL) therapy and oncolytic virus therapy represent promising treatment modalities that may synergize with each other. Patient and methods: We present a case of a 48-year-old woman with metastatic sinonasal mucosal melanoma who achieved a durable complete pathological response following treatment with multiple injections of the oncolytic virus TILT-123 (igrelimogene litadenorepvec) and a single infusion of TILs, without preconditioning chemotherapy or postconditioning interleukin-2. Results: Immunohistochemical analysis and single-cell sequencing revealed interesting alterations in injected and noninjected tumors as well as in peripheral blood, during the treatment course, suggesting that TILT-123 facilitated TIL engraftment into the tumor, ultimately leading to a complete response. Conclusions: This case underscores the potential of combined immunotherapeutic approaches as a promising strategy for patients with metastatic mucosal melanoma.
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