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  1. Article ; Online: Tumor-Infiltrating Lymphocyte and Other Cell Therapies for Metastatic Melanoma.

    Los, Christy / Klobuch, Sebastian / Haanen, John B A G

    Cancer journal (Sudbury, Mass.)

    2024  Volume 30, Issue 2, Page(s) 113–119

    Abstract: Abstract: Major progress in prolonging survival of patients with advanced melanoma has been made in the past decade because of the development and approval of immune checkpoint inhibitor and targeted therapies. However, for nonresponding or relapsing ... ...

    Abstract Abstract: Major progress in prolonging survival of patients with advanced melanoma has been made in the past decade because of the development and approval of immune checkpoint inhibitor and targeted therapies. However, for nonresponding or relapsing patients, their prognosis is still dismal. Based on clinical trial data, treatment with adoptive cell therapies holds great promise. In patients with metastatic melanoma progressing on or nonresponsive to single-agent anti-programmed cell death 1, infusion of tumor-infiltrating lymphocytes can produce responses in up to half of patients, with durable complete responses in up to 20%. Genetic modification of peripheral blood T cells with T-cell receptors derived from tumor-specific T cells, or with chimeric antigen receptors, has the potential to further improve treatment outcomes in this refractory population. In this review, we will discuss the historical development, current status, and future perspectives of adoptive T-cell therapies in melanoma.
    MeSH term(s) Humans ; Lymphocytes, Tumor-Infiltrating ; Melanoma ; Neoplasm Recurrence, Local ; Immunotherapy, Adoptive ; Immunotherapy
    Language English
    Publishing date 2024-03-26
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 2018400-1
    ISSN 1540-336X ; 1528-9117 ; 1081-4442
    ISSN (online) 1540-336X
    ISSN 1528-9117 ; 1081-4442
    DOI 10.1097/PPO.0000000000000705
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Tumor-Infiltrating Lymphocyte Therapy in Advanced Melanoma. Reply.

    Rohaan, Maartje W / Kessels, Rob / Haanen, John B A G

    The New England journal of medicine

    2023  Volume 388, Issue 9, Page(s) 859–860

    MeSH term(s) Humans ; Ipilimumab ; Lymphocytes, Tumor-Infiltrating ; Melanoma ; Cell- and Tissue-Based Therapy ; Immunotherapy, Adoptive
    Chemical Substances Ipilimumab
    Language English
    Publishing date 2023-03-01
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMc2300132
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Novel strategies to improve efficacy of treatment with tumor-infiltrating lymphocytes (TILs) for patients with solid cancers.

    Tas, Liselotte / Jedema, Inge / Haanen, John B A G

    Current opinion in oncology

    2023  Volume 35, Issue 2, Page(s) 107–113

    Abstract: Purpose of review: Treatment with tumor-infiltrating lymphocytes (TILs) has shown remarkable clinical responses in patients with advanced solid tumors. Although the TIL production process is very robust, the original protocol stems from the early ... ...

    Abstract Purpose of review: Treatment with tumor-infiltrating lymphocytes (TILs) has shown remarkable clinical responses in patients with advanced solid tumors. Although the TIL production process is very robust, the original protocol stems from the early nineties and lacks effective selection for tumor-reactivity and functional activity. In this review we highlight the limitations of the current production process and give an overview of improvements that can be made to increase TIL efficacy.
    Recent findings: With the recent advances in single cell sequencing technologies, our understanding of the composition and phenotype of TILs in the tumor micro environment has majorly increased, which forms the basis for the development of new strategies to improve the TIL production process. Strategies involve selection for neoantigen-reactive TILs by cell sorting or selective expansion strategies. Furthermore, gene editing strategies like Clustered regularly interspaced short palindromic repeats-Cas (CRISPR-Cas9) can be used to increase TIL functionality.
    Summary: Although combining all the possible improvements into a next generation TIL product might be challenging, it is highly likely that those techniques will increase the clinical value of TIL therapy in the coming years.
    MeSH term(s) Humans ; Lymphocytes, Tumor-Infiltrating ; Phenotype ; Neoplasms/therapy ; Neoplasms/pathology
    Language English
    Publishing date 2023-01-27
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 1049384-0
    ISSN 1531-703X ; 1040-8746
    ISSN (online) 1531-703X
    ISSN 1040-8746
    DOI 10.1097/CCO.0000000000000925
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Tumour-infiltrating lymphocyte therapy for patients with advanced-stage melanoma.

    Klobuch, Sebastian / Seijkens, Tom T P / Schumacher, Ton N / Haanen, John B A G

    Nature reviews. Clinical oncology

    2024  Volume 21, Issue 3, Page(s) 173–184

    Abstract: Immunotherapy with immune-checkpoint inhibitors (ICIs) and targeted therapy with BRAF and MEK inhibitors have revolutionized the treatment of melanoma over the past decade. Despite these breakthroughs, the 5-year survival rate of patients with advanced- ... ...

    Abstract Immunotherapy with immune-checkpoint inhibitors (ICIs) and targeted therapy with BRAF and MEK inhibitors have revolutionized the treatment of melanoma over the past decade. Despite these breakthroughs, the 5-year survival rate of patients with advanced-stage melanoma is at most 50%, emphasizing the need for additional therapeutic strategies. Adoptive cell therapy with tumour-infiltrating lymphocytes (TILs) is a therapeutic modality that has, in the past few years, demonstrated long-term clinical benefit in phase II/III trials involving patients with advanced-stage melanoma, including those with disease progression on ICIs and/or BRAF/MEK inhibitors. In this Review, we summarize the current status of TIL therapies for patients with advanced-stage melanoma, including potential upcoming marketing authorization, the characteristics of TIL therapy products, as well as future strategies that are expected to increase the efficacy of this promising cellular immunotherapy.
    MeSH term(s) Humans ; Melanoma/therapy ; Immunotherapy, Adoptive ; Lymphocytes, Tumor-Infiltrating ; Proto-Oncogene Proteins B-raf ; Mitogen-Activated Protein Kinase Kinases
    Chemical Substances Proto-Oncogene Proteins B-raf (EC 2.7.11.1) ; Mitogen-Activated Protein Kinase Kinases (EC 2.7.12.2)
    Language English
    Publishing date 2024-01-08
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2491410-1
    ISSN 1759-4782 ; 1759-4774
    ISSN (online) 1759-4782
    ISSN 1759-4774
    DOI 10.1038/s41571-023-00848-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Questions asked in the everyday practice: immune checkpoint inhibitors.

    Haanen, John B A G

    ESMO open

    2018  Volume 3, Issue 4, Page(s) e000395

    Language English
    Publishing date 2018-06-23
    Publishing country England
    Document type Journal Article
    ISSN 2059-7029
    ISSN 2059-7029
    DOI 10.1136/esmoopen-2018-000395
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The emerging role for CAR T cells in solid tumor oncology.

    Klobuch, Sebastian / Seijkens, Tom T P / Haanen, John B A G

    Chinese clinical oncology

    2023  Volume 12, Issue 2, Page(s) 19

    Abstract: In recent years, treatment with chimeric antigen receptor (CAR) T-cells has revolutionized the outcomes of patients with relapsed or refractory hematological malignancies with long-term remissions in >30% of patients. Similarly, the introduction of ... ...

    Abstract In recent years, treatment with chimeric antigen receptor (CAR) T-cells has revolutionized the outcomes of patients with relapsed or refractory hematological malignancies with long-term remissions in >30% of patients. Similarly, the introduction of immune checkpoint inhibitor therapy changed the therapeutic landscape for several solid malignancies also leading to impressive long-term remission in patients. However, so far CAR T-cell therapy in solid tumors has shown low response rates and especially a lack of long-term remissions. This review focuses on the latest clinical advances and discusses promising results seen with CAR T-cells exploring new target antigens. We then review relevant challenges limiting long-term responses with CAR T-cell therapy in solid tumors like CAR T-cell persistence and target antigen expression. In addition, there is an increasing understanding on T-cell function and dysfunction within the immunosuppressive tumor microenvironment. This comprises of inhibitory cytokines and checkpoint molecules limiting the killing capacity of CAR T-cells. Finally, we will discuss how this deeper knowledge can be used to develop CAR T-cell therapies overcoming these inhibitory factors and results in CAR T-cell products with higher efficacy and safety. These technological developments will hopefully lead to enhanced clinical activity and improved solid tumor patient outcomes in the near future.
    MeSH term(s) Humans ; Neoplasms/therapy ; Medical Oncology ; Immunotherapy, Adoptive ; Tumor Microenvironment
    Language English
    Publishing date 2023-05-09
    Publishing country China
    Document type Review ; Journal Article
    ZDB-ID 2828547-5
    ISSN 2304-3873 ; 2304-3873
    ISSN (online) 2304-3873
    ISSN 2304-3873
    DOI 10.21037/cco-22-125
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Converting Cold into Hot Tumors by Combining Immunotherapies.

    Haanen, John B A G

    Cell

    2017  Volume 170, Issue 6, Page(s) 1055–1056

    Abstract: In a small phase Ib study in this issue of Cell, Ribas et al. report that the combination of intralesional injection of a modified human herpes simplex virus and systemic anti-PD-1 treatment resulted in a 62% response rate in patients with metastatic ... ...

    Abstract In a small phase Ib study in this issue of Cell, Ribas et al. report that the combination of intralesional injection of a modified human herpes simplex virus and systemic anti-PD-1 treatment resulted in a 62% response rate in patients with metastatic melanoma, accompanied by enhanced T cell infiltration in virus-injected lesions.
    MeSH term(s) Humans ; Immunotherapy ; Injections, Intralesional ; Melanoma
    Language English
    Publishing date 2017--07
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 187009-9
    ISSN 1097-4172 ; 0092-8674
    ISSN (online) 1097-4172
    ISSN 0092-8674
    DOI 10.1016/j.cell.2017.08.031
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Cellular Therapy and Cytokine Treatments for Melanoma.

    Borgers, Jessica S W / Haanen, John B A G

    Hematology/oncology clinics of North America

    2020  Volume 35, Issue 1, Page(s) 129–144

    Abstract: Cancer immunotherapy plays an important role in the treatment of patients with advanced stage melanoma. Recombinant cytokines were the first tested and approved treatments; however, due to disappointing response rates and severe toxicities, their use has ...

    Abstract Cancer immunotherapy plays an important role in the treatment of patients with advanced stage melanoma. Recombinant cytokines were the first tested and approved treatments; however, due to disappointing response rates and severe toxicities, their use has significantly decreased. More recently, adoptive cell transfer therapies have shown to be a promising new treatment strategy able to induce complete and durable remissions in patients with melanoma progressive on first-line treatment. This review provides an overview of the cellular therapies (tumor-infiltrating lymphocytes, T-cell receptor T cells, chimeric antigen receptor T cells) and cytokine treatments (interleukin-2 [IL-2], IL-15, IL-7, IL-10, IL-21, interferon alpha, granulocyte-macrophage colony-stimulating factor) for melanoma.
    MeSH term(s) Antigens, Neoplasm/immunology ; Antineoplastic Agents, Immunological/therapeutic use ; Cell Engineering ; Cell- and Tissue-Based Therapy/methods ; Cytokines/adverse effects ; Cytokines/therapeutic use ; Genetic Therapy ; Humans ; Immunotherapy, Adoptive/methods ; Interleukin-2 ; Lymphocytes, Tumor-Infiltrating/immunology ; Lymphocytes, Tumor-Infiltrating/transplantation ; Melanoma/immunology ; Melanoma/therapy ; Receptors, Antigen, T-Cell ; T-Lymphocytes/immunology ; T-Lymphocytes/transplantation
    Chemical Substances Antigens, Neoplasm ; Antineoplastic Agents, Immunological ; Cytokines ; Interleukin-2 ; Receptors, Antigen, T-Cell
    Language English
    Publishing date 2020-10-20
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 93115-9
    ISSN 1558-1977 ; 0889-8588
    ISSN (online) 1558-1977
    ISSN 0889-8588
    DOI 10.1016/j.hoc.2020.08.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Intradermal naked DNA vaccination by DNA tattooing for mounting tumor-specific immunity in stage IV melanoma patients: a phase I clinical trial.

    Geukes Foppen, Marnix H / Rohaan, Maartje W / Borgers, Jessica S W / Philips, Daisy / Vyth-Dreese, Florry / Beijnen, Jos H / Nuijen, Bastiaan / van den Berg, Joost H / Haanen, John B A G

    Oncology research and treatment

    2024  

    Abstract: Introduction: Naked DNA vaccination could be a powerful and safe strategy to mount antigen-specific cellular immunity. We designed a phase I clinical trial to investigate the toxicity of naked DNA vaccines encoding CD8+ T-cell epitope from tumor- ... ...

    Abstract Introduction: Naked DNA vaccination could be a powerful and safe strategy to mount antigen-specific cellular immunity. We designed a phase I clinical trial to investigate the toxicity of naked DNA vaccines encoding CD8+ T-cell epitope from tumor-associated antigen MART-1 in patients with advanced melanoma.
    Methods: This dose escalating phase Ia clinical trial investigates the toxicity and immunological response upon naked DNA vaccines encoding a CD8+ T-cell epitope from the tumor-associated antigen MART-1, genetically linked to the gene encoding domain 1 of subunit-tetanus toxin fragment C in patients with advanced melanoma (inoperable stage IIIC-IV, AJCC 7th edition). The vaccine was administrated via intradermal application using a permanent make-up or tattoo device. Safety was monitored according to CTCAE v.3.0 and skin biopsies and blood samples were obtained for immunologic monitoring.
    Results: Nine pretreated, HLA-A*0201-positive patients with advanced melanoma expressing MART-1 and MHC class I, with a good performance status, and adequate organ function, were included. With a median follow-up of 5.9 months, DNA vaccination was safe, without treatment-related deaths. Common treatment-emergent adverse events of any grade were dermatologic reactions at the vaccination site (100%) and pain (56%). One patient experienced grade 4 toxicity, most likely related to tumor progression. One patient (11%) achieved stable disease, lasting 353 days. Immune analysis showed no increase in vaccine-induced T cell response in peripheral blood of five patients, but did show a MART-1 specific CD8+ T cell response at the tattoo administration site. The maximum dose administered was 2 mg due to lack of clinical activity.
    Conclusion: We showed that the developed DNA vaccine, applied using a novel intradermal application strategy, can be administered safely. Further research with improved vaccine formats is required to show possible clinical benefit of DNA vaccination.
    Language English
    Publishing date 2024-04-05
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2760274-6
    ISSN 2296-5262 ; 2296-5270
    ISSN (online) 2296-5262
    ISSN 2296-5270
    DOI 10.1159/000537896
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Discovery of tumor-reactive T cell receptors by massively parallel library synthesis and screening.

    Moravec, Ziva / Zhao, Yue / Voogd, Rhianne / Cook, Danielle R / Kinrot, Seon / Capra, Benjamin / Yang, Haiyan / Raud, Brenda / Ou, Jiayu / Xuan, Jiekun / Wei, Teng / Ren, Lili / Hu, Dandan / Wang, Jun / Haanen, John B A G / Schumacher, Ton N / Chen, Xi / Porter, Ely / Scheper, Wouter

    Nature biotechnology

    2024  

    Abstract: T cell receptor (TCR) gene therapy is a potent form of cellular immunotherapy in which patient T cells are genetically engineered to express TCRs with defined tumor reactivity. However, the isolation of therapeutic TCRs is complicated by both the general ...

    Abstract T cell receptor (TCR) gene therapy is a potent form of cellular immunotherapy in which patient T cells are genetically engineered to express TCRs with defined tumor reactivity. However, the isolation of therapeutic TCRs is complicated by both the general scarcity of tumor-specific T cells among patient T cell repertoires and the patient-specific nature of T cell epitopes expressed on tumors. Here we describe a high-throughput, personalized TCR discovery pipeline that enables the assembly of complex synthetic TCR libraries in a one-pot reaction, followed by pooled expression in reporter T cells and functional genetic screening against patient-derived tumor or antigen-presenting cells. We applied the method to screen thousands of tumor-infiltrating lymphocyte (TIL)-derived TCRs from multiple patients and identified dozens of CD4
    Language English
    Publishing date 2024-04-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1311932-1
    ISSN 1546-1696 ; 1087-0156
    ISSN (online) 1546-1696
    ISSN 1087-0156
    DOI 10.1038/s41587-024-02210-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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