In a patient with metastatic TNBC on chemoimmunotherapy for several years and a near complete response, would you consider an immunotherapy holiday?
The patient was started on chemoimmunotherapy 3 years ago. Recent scans show small treated brain metastases (s/p RT several years ago) and no disease in the body.
2 Answers
Mednet MemberInvited Expert
Medical Oncology · University of Hawai'i Cancer Center
Answered on
Hard to answer this question without understanding the context of the clinical scenario.
In the scenario of chemoimmunotherapy, I would drop off the chemo and maintaining single-agent immunotherapy.
If the patient has transitioned to immunotherapy alone, you can only use a maximum of two years (atezolizumab or pembrolizumab). There is no evidence that a drug holiday will help.
Theoretically, we talk about the overactivation of the immune system leading to immune exhaustion, which may reduce ant...
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Mednet Member
Medical Oncology · NYU Winthrop Hospital
Answered on
Immunotherapy for 2 years. Many patients want to continue beyond 2 years. Patient involvement is important in decision-making.
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