How would you manage a patient who developed stage III melanoma while receiving cemiplimab (cycle 10) for locally advanced cutaneous squamous cell carcinoma?
If a BRAF mutation is identified, would you consider adjuvant BRAF/MEK inhibitors, or would you opt for high-dose ipilimumab at 10 mg/kg? Are there any other treatment strategies you would consider?
2 Answers
Mednet MemberInvited Expert
Medical Oncology · The Ohio State University Comprehensive Cancer Center / James Cancer Hospital and Solove Research Institute
Answered on · Updated on
That depends on whether you want to manage the stage III melanoma in the adjuvant vs neoadjuvant setting. If adjuvant, can likely continue cemiplimab (off-label for melanoma) as it has the same MoA as other anti-PD-1 ICI. If intending to manage stage III melanoma in neoadjuvant setting, consider swi...
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Mednet MemberInvited Expert
Medical Oncology · University Hospitals
Answered on · Updated on
Is this clinical stage 3 or stage 3 melanoma with microscopic metastasis to the lymph node? If clinical stage 3 melanoma, then perhaps, I think the best route to go would be to treat with ipi-nivo combination. I would prefer to use ipi-3 and nivo-1 based on the S1616 data rather than ipi-1 and nivo-...
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