Exceptional response to nivolumab of a heavily pre-treated patient with metastatic renal-cell cancer: from a case report to molecular investigation and future perspectives.

CD1a RCC dendritic cells exceptional responder nivolumab

Journal

Therapeutic advances in medical oncology
ISSN: 1758-8340
Titre abrégé: Ther Adv Med Oncol
Pays: England
ID NLM: 101510808

Informations de publication

Date de publication:
2020
Historique:
received: 26 01 2020
accepted: 07 07 2020
entrez: 28 8 2020
pubmed: 28 8 2020
medline: 28 8 2020
Statut: epublish

Résumé

Immunotherapy may result in long-lasting exceptional clinical responses, the molecular background of which is inadequately understood. Here, we present the case of a 63-year-old patient with a past medical history of renal cancer who relapsed many years later. Several treatment lines were administered prior to immunotherapy, which was administered in the ninth line, achieving complete remission which had lasted for more than 3 years. Genomic alterations, tumor mutational burden (TMB), and microsatellite instability as well as PD-L1, MLH1, MSH2, MSH6, PMS2, CD3, CD8, CD20, CD138, CD1a, and FoxP3 expression were assessed in primary and metastatic tumors. Primary and metastatic tumors were microsatellite stable with high TMB, while somatic mutations in

Identifiants

pubmed: 32849917
doi: 10.1177/1758835920946152
pii: 10.1177_1758835920946152
pmc: PMC7425249
doi:

Types de publication

Case Reports

Langues

eng

Pagination

1758835920946152

Informations de copyright

© The Author(s), 2020.

Déclaration de conflit d'intérêts

Conflict of interest statement: The authors declare that there is no conflict of interest.

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Auteurs

Foteinos-Ioannis D Dimitrakopoulos (FD)

Department of Medicine, Medical School, Division of Oncology, University of Patras, Rion-Patras, 26504, Greece.

Eleni Kourea (E)

Department of Pathology, School of Medicine, University of Patras, Patras, Greece.

George Nasioulas (G)

GeneKor Medical SA, Athens, Greece.

Eirini Papadopoulou (E)

GeneKor Medical SA, Athens, Greece.

Achilles Nikolakopoulos (A)

Department of Medicine, Medical School, Division of Oncology, University of Patras, Patras, Greece.

Despoina Spyropoulou (D)

Department of Radiation Oncology, Medical School, University of Patras, Patras, Greece.

Anastasia Kottorou (A)

Department of Medicine, Medical School, Division of Oncology, University of Patras, Patras, Greece.

Andreas Karatzas (A)

Department of Radiology, Olympion Therapeutirio, Patras, Greece.

Haralabos P Kalofonos (HP)

Department of Medicine, Medical School, Division of Oncology, University of Patras, Patras, Greece.

Angelos Koutras (A)

Department of Medicine, Medical School, Division of Oncology, University of Patras, Rion-Patras, 26504, Greece.

Classifications MeSH