PMID- 28031816 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210102 IS - 2051-1426 (Electronic) IS - 2051-1426 (Linking) VI - 4 DP - 2016 TI - A phase IB study of ipilimumab with peginterferon alfa-2b in patients with unresectable melanoma. PG - 85 LID - 10.1186/s40425-016-0194-1 [doi] LID - 85 AB - BACKGROUND: Ipilimumab and peginterferon alfa-2b are established systemic treatment options for melanoma that have distinct mechanisms of action. Given the need for improved therapies for advanced melanoma, we conducted an open-label, single institution, phase Ib study to assess the safety and tolerability of using these two agents in combination. METHODS: Study treatment consisted of ipilimumab given every 3 weeks, for a total of four infusions, concurrent with peginterferon alfa-2b administered subcutaneous weekly for a total of 12 weeks. This was followed by maintenance therapy with peginterferon alfa-2b administered subcutaneously weekly for up to 144 additional weeks. The study was designed as a two-stage dose escalation scheme with continuous dose-limiting toxicity monitoring during the induction phase. RESULTS: Thirty one patients received at least 1 dose of study treatment and 30 were assessable for efficacy endpoints. We found that ipilimumab at 3 mg/kg dosing with peginterfeon alfa-2b at 2 mug/kg/week was the maximum tolerated dose of this combination. The incidence of grade 3 drug-related adverse events (AEs) was 45.2%. There were no grade 4/5 AEs. The overall response rate was 40% by immune-related response criteria. Median progression-free survival was 5.9 months. The median overall survival was not reached with at a median follow-up of 35.8 months. CONCLUSIONS: We report that the combination of ipilimumab at 3 mg/kg dosing combined with peginterfeon alfa-2b at 2 mug/kg/week demonstrated an acceptable toxicity profile and a promising efficacy signal. Further study of this combination is warranted. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT01496807, Registered December 19th, 2011. FAU - Brohl, Andrew S AU - Brohl AS AD - Department of Cutaneous Oncology, H. Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Drive, Tampa, FL 33612-9416 USA. FAU - Khushalani, Nikhil I AU - Khushalani NI AD - Department of Cutaneous Oncology, H. Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Drive, Tampa, FL 33612-9416 USA. FAU - Eroglu, Zeynep AU - Eroglu Z AD - Department of Cutaneous Oncology, H. Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Drive, Tampa, FL 33612-9416 USA. FAU - Markowitz, Joseph AU - Markowitz J AD - Department of Cutaneous Oncology, H. Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Drive, Tampa, FL 33612-9416 USA. FAU - Thapa, Ram AU - Thapa R AD - Department of Biostatistics and Bioinformatics, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL USA. FAU - Chen, Y Ann AU - Chen YA AD - Department of Biostatistics and Bioinformatics, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL USA. FAU - Kudchadkar, Ragini AU - Kudchadkar R AD - Winship Cancer Institute of Emory University, Atlanta, GA USA. FAU - Weber, Jeffrey S AU - Weber JS AD - Department of Cutaneous Oncology, H. Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Drive, Tampa, FL 33612-9416 USA ; New York University Langone Medical Center, New York, NY USA. LA - eng SI - ClinicalTrials.gov/NCT01496807 GR - P30 CA076292/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20161220 PL - England TA - J Immunother Cancer JT - Journal for immunotherapy of cancer JID - 101620585 PMC - PMC5170897 OTO - NOTNLM OT - Clinical trial OT - Immunotherapy OT - Ipilimumab OT - Melanoma OT - Peginterferon alfa-2b EDAT- 2016/12/30 06:00 MHDA- 2016/12/30 06:01 PMCR- 2016/12/20 CRDT- 2016/12/30 06:00 PHST- 2016/09/28 00:00 [received] PHST- 2016/11/14 00:00 [accepted] PHST- 2016/12/30 06:00 [entrez] PHST- 2016/12/30 06:00 [pubmed] PHST- 2016/12/30 06:01 [medline] PHST- 2016/12/20 00:00 [pmc-release] AID - 194 [pii] AID - 10.1186/s40425-016-0194-1 [doi] PST - epublish SO - J Immunother Cancer. 2016 Dec 20;4:85. doi: 10.1186/s40425-016-0194-1. eCollection 2016.