Authors: | Francis, J. H.; Barker, C. A.; Canestraro, J.; Abramson, D. H.; Shoushtari, A. N. |
Article Title: | Clearance of plasma cell free DNA in metastatic uveal melanoma with radiographic response to immune checkpoint inhibitors |
Abstract: | Purpose: To report a case of metastatic uveal melanoma treated with immune checkpoint inhibition in which serial circulating tumor DNA (ctDNA) was assessed throughout treatment. Observations: A 33-year-old man was diagnosed with metastatic uveal melanoma and initially had progression of disease following hepatic embolization and nivolumab/ipilimumab. At the time, plasma ctDNA GNA11 and SF3B1 were measurable and repeat ctDNA showed increased variant allele frequency following further progression of disease on vorinostat. Following additional nivolumab/ipilimumab, radiographic response was noted and repeat ctDNA became undetectable and remained so at 27 months follow up. Conclusions and importance: Clearance of cell free DNA in metastatic uveal melanoma may be associated with radiographic response to immune checkpoint inhibitors. © 2024 The Authors |
Keywords: | adult; clinical article; human tissue; treatment response; somatic mutation; exon; histopathology; cancer recurrence; case report; hepatitis; cancer growth; follow up; gene; ipilimumab; gene frequency; wild type; radiation response; liver metastasis; immunotherapy; vorinostat; enucleation; external beam radiotherapy; peritoneum metastasis; adjuvant radiotherapy; liver biopsy; vitiligo; gna11 gene; clearance; immune checkpoint inhibitor; high throughput sequencing; nivolumab; transpupillary thermotherapy; human; male; article; circulating tumor dna; metastatic uveal melanoma; sf3b1 gene; cell free dna; immune checkpoint inhibition; artificial embolization |
Journal Title: | American Journal of Ophthalmology Case Reports |
Volume: | 34 |
ISSN: | 2451-9936 |
Publisher: | Elsevier Inc. |
Date Published: | 2024-05-31 |
Start Page: | 102021 |
Language: | English |
DOI: | 10.1016/j.ajoc.2024.102021 |
PROVIDER: | scopus |
PMCID: | PMC10912039 |
PUBMED: | 38444640 |
DOI/URL: | |
Notes: | The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF -- Corresponding author is MSK authors: Jasmine H. Francis -- Source: Scopus |