

New drugs in metastatic melanoma
In this medfyle
Expert commentary by Dr. Christian Posch
This Medfyle was published more than two years ago. More recent Medfyle on this topic may now be available.
Acknowledgements
This is a highlights summary of an oral session given at the EADV 2021 - 30th Congress and presented by:
Dr. Elizabeth Livingstone
Essen University Hospital
Essen, Germany
The content is produced by Infomedica, the official reporting partner of EADV 2021.
The presenting authors of the original session had no part in the creation of this conference highlights summary.
In addition, an expert commentary on the topic has been provided by:
Dr Christian Posch
Klinikum rechts der Isar - Technical University of Munich
About the Expert
Dr Christian Posch
Klinikum rechts der Isar - Technical University of Munich
Dr Christian Posch is a physician scientist with over 10 years of experience in clinical dermatology, and substantial productivity in melanoma and basic skin-biology research. In previous studies, Dr Posch has highlighted the critical role of the MAPK, PI3K/AKT/mTOR and cell cycle pathways for NRAS mutant melanoma maintenance. These investigations have resulted in the discovery and characterisation of effective targeted inhibitor combinations for the treatment of NRAS mutant melanoma. To further improve the activity of small molecule inhibitors, Dr Posch has explored the use of nanotechnology for precise tumour-targeting and delivery of cancer therapeutics. In a collaborative effort, Dr Posch developed gold-nanoparticle constructs, equipped with a novel inhibitor-release, and an aptamer-based targeting system, which boost inhibitor efficacy in preclinical melanoma models. Additionally, Dr Posch has discovered novel signalling networks of the PD-1 receptor on cancer cells in different cancer entities. Select members of these signalling cascades are currently investigated for their potential as biomarkers of response to anti-PD-1 therapy.
Currently, Dr Posch's lab focuses on senescence and senescence-escape in early melanoma development. The team are convinced that the fundamental processes of cancer initiation and the biological processes of aging are heavily intertwined.
Dr Posch's clinical responsibilities include the management of patients with different (cutaneous) neoplasms and complex dermatological diseases. In 2018 Dr Posch joined the team of the Department for Dermatology at the Technical University of Munich (Klinikum rechts der Isar) to head their skin cancer centre.
Disclosures:
Dr Posch received honoraria, travel support and consultation fees from: BMS, MSD, Novartis, Roche, Pierre Fabre, Sun Pharmaceuticals, Almirall, Sanofi and PelPharma.
References
1. Chen P-L, Roh W, Reuben A, et al. Analysis of Immune Signatures in Longitudinal Tumor Samples Yields Insight into Biomarkers of Response and Mechanisms of Resistance to Immune Checkpoint Blockade. Cancer Discover 2016;6:827–37.
2. Lipson EJ, Tawbi HA, Schadendorf D, et al. Relatlimab (RELA) plus nivolumab (NIVO) versus NIVO in first-line advanced melanoma: Primary phase III results from RELATIVITY-047 (CA224-047). Presented at ASCO 2021; abstract 9503.
3. Kato Y, Tabata K, Kimura T, et al. Lenvatinib plus anti-PD-1 antibody combination treatment activates CD8+ T cells through reduction of tumor-associated macrophage and activation of the interferon pathway. PLoS One 2019;14(2):e0212513.
4. Kimura T, Kato Y, Ozawa Y, et al. Immunomodulatory activity of lenvatinib contributes to antitumor activity in the Hepa1-6 hepatocellular carcinoma model. Cancer Sci 2018;109(12):3993–4002.
5. Arance A, de la Cruz-Merino L, Petrella T, et al. Lenvatinib (len) plus pembrolizumab (pembro) for patients (pts) with advanced melanoma and confirmed progression on a PD-1 or PD-L1 inhibitor: Updated findings of LEAP-004. Presented at ASCO 2021; abstract 9504.
6. Larkin J, Sarnaik A, Chesney JA, et al. Lifileucel (LN-144), a cryopreserved autologous tumor infiltrating lymphocyte (TIL) therapy in patients with advanced melanoma: Evaluation of impact of prior anti-PD-1 therapy. Presented at ASCO 2021; abstract 9505.