Clearance of plasma cell free DNA in metastatic uveal melanoma with radiographic response to immune checkpoint inhibitors

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 foll...

Full description

Bibliographic Details
Main Authors: Jasmine H. Francis, Christopher A. Barker, Julia Canestraro, David H. Abramson, Alexander N. Shoushtari
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993624000318
_version_ 1827248094441373696
author Jasmine H. Francis
Christopher A. Barker
Julia Canestraro
David H. Abramson
Alexander N. Shoushtari
author_facet Jasmine H. Francis
Christopher A. Barker
Julia Canestraro
David H. Abramson
Alexander N. Shoushtari
author_sort Jasmine H. Francis
collection DOAJ
description 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.
first_indexed 2024-03-07T19:09:26Z
format Article
id doaj.art-85ecccdae4fc43129f0a26b190d55dc8
institution Directory Open Access Journal
issn 2451-9936
language English
last_indexed 2025-03-21T23:26:17Z
publishDate 2024-06-01
publisher Elsevier
record_format Article
series American Journal of Ophthalmology Case Reports
spelling doaj.art-85ecccdae4fc43129f0a26b190d55dc82024-05-20T04:08:31ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362024-06-0134102021Clearance of plasma cell free DNA in metastatic uveal melanoma with radiographic response to immune checkpoint inhibitorsJasmine H. Francis0Christopher A. Barker1Julia Canestraro2David H. Abramson3Alexander N. Shoushtari4Ophthalmic Oncology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Weill Cornell Medical College, New York, NY, USA; Corresponding author. Ophthalmic Oncology Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA.Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Weill Cornell Medical College, New York, NY, USAOphthalmic Oncology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USAOphthalmic Oncology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Weill Cornell Medical College, New York, NY, USADepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Weill Cornell Medical College, New York, NY, USAPurpose: 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.http://www.sciencedirect.com/science/article/pii/S2451993624000318Metastatic uveal melanomaCirculating tumor DNACell free DNAImmunotherapyImmune checkpoint inhibition
spellingShingle Jasmine H. Francis
Christopher A. Barker
Julia Canestraro
David H. Abramson
Alexander N. Shoushtari
Clearance of plasma cell free DNA in metastatic uveal melanoma with radiographic response to immune checkpoint inhibitors
American Journal of Ophthalmology Case Reports
Metastatic uveal melanoma
Circulating tumor DNA
Cell free DNA
Immunotherapy
Immune checkpoint inhibition
title Clearance of plasma cell free DNA in metastatic uveal melanoma with radiographic response to immune checkpoint inhibitors
title_full Clearance of plasma cell free DNA in metastatic uveal melanoma with radiographic response to immune checkpoint inhibitors
title_fullStr Clearance of plasma cell free DNA in metastatic uveal melanoma with radiographic response to immune checkpoint inhibitors
title_full_unstemmed Clearance of plasma cell free DNA in metastatic uveal melanoma with radiographic response to immune checkpoint inhibitors
title_short Clearance of plasma cell free DNA in metastatic uveal melanoma with radiographic response to immune checkpoint inhibitors
title_sort clearance of plasma cell free dna in metastatic uveal melanoma with radiographic response to immune checkpoint inhibitors
topic Metastatic uveal melanoma
Circulating tumor DNA
Cell free DNA
Immunotherapy
Immune checkpoint inhibition
url http://www.sciencedirect.com/science/article/pii/S2451993624000318
work_keys_str_mv AT jasminehfrancis clearanceofplasmacellfreednainmetastaticuvealmelanomawithradiographicresponsetoimmunecheckpointinhibitors
AT christopherabarker clearanceofplasmacellfreednainmetastaticuvealmelanomawithradiographicresponsetoimmunecheckpointinhibitors
AT juliacanestraro clearanceofplasmacellfreednainmetastaticuvealmelanomawithradiographicresponsetoimmunecheckpointinhibitors
AT davidhabramson clearanceofplasmacellfreednainmetastaticuvealmelanomawithradiographicresponsetoimmunecheckpointinhibitors
AT alexandernshoushtari clearanceofplasmacellfreednainmetastaticuvealmelanomawithradiographicresponsetoimmunecheckpointinhibitors