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Intramucosal Inoculation of Squamous Cell Carcinoma Cells in Mice for Tumor Immune Profiling and Treatment Response Assessment
Published on: April 22, 2019
Systemic Therapy for Merkel Cell Carcinoma: What's on the Horizon?
1Dana-Farber Cancer Institute, Harvard Medical School, Department of Medical Oncology, Center for Head and Neck Oncology, 450 Brookline Avenue, Boston, MA 02215, USA. guilherme_rabinowits@dfci.harvard.edu.
Abstract:
Merkel cell carcinoma is an aggressive neuroendocrine skin cancer that usually affects elderly patients. Despite being uncommon, incidence has been steadily increasing over the last two decades, likely due to increased awareness, better diagnostic methods and aging of the population. It is currently one of the most lethal cutaneous malignancies, with a five-year overall survival of approximately 50%. With the better understanding of the molecular pathways that lead to the development of Merkel cell carcinoma, there has been an increasing excitement and optimism surrounding novel targeted therapies, in particular to immunotherapy. Some of the concepts surrounding the novel targeted therapies and currently ongoing clinical trials are reviewed here.
Insights
Merkel cell carcinoma, a rare and aggressive skin cancer, is increasing in incidence. Novel targeted therapies, especially immunotherapy, offer new hope for this lethal malignancy.
Area of Science:
- Oncology
- Dermatology
- Immunology
Background:
- Merkel cell carcinoma (MCC) is an aggressive neuroendocrine skin cancer primarily affecting elderly individuals.
- MCC incidence is rising due to improved diagnostics, increased awareness, and an aging population.
- This malignancy has a poor prognosis, with a five-year survival rate around 50%.
Purpose of the Study:
- To review novel targeted therapies for Merkel cell carcinoma.
- To discuss the role of immunotherapy in MCC treatment.
- To highlight ongoing clinical trials for advanced MCC.
Main Methods:
- Literature review of recent advancements in MCC targeted therapy.
- Analysis of current research on immunotherapy agents.
- Overview of active clinical trials investigating novel treatments.
Main Results:
- Emerging targeted therapies show promise in preclinical and early clinical studies.
- Immunotherapy, particularly checkpoint inhibitors, has demonstrated significant efficacy in MCC.
- Several novel therapeutic strategies are under active investigation in ongoing trials.
Conclusions:
- A deeper understanding of MCC molecular pathways fuels optimism for new treatments.
- Targeted therapies and immunotherapy represent a paradigm shift in MCC management.
- Continued research and clinical trials are crucial for improving patient outcomes.
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