Response to PD1 inhibition in conventional chondrosarcoma

Abstract Background Chondrosarcoma is one of the most common malignant bone tumors in adults. Conventional chondrosarcoma represents around 85% of all chondrosarcomas and is notoriously difficult to treat with chemotherapy. Case presentation We describe a 67-year-old man with metastatic conventional...

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Main Authors: Michael J. Wagner, Robert W. Ricciotti, Jose Mantilla, Elizabeth T. Loggers, Seth M. Pollack, Lee D. Cranmer
Format: Article
Language:English
Published: BMJ Publishing Group 2018-09-01
Series:Journal for ImmunoTherapy of Cancer
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40425-018-0413-z
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author Michael J. Wagner
Robert W. Ricciotti
Jose Mantilla
Elizabeth T. Loggers
Seth M. Pollack
Lee D. Cranmer
author_facet Michael J. Wagner
Robert W. Ricciotti
Jose Mantilla
Elizabeth T. Loggers
Seth M. Pollack
Lee D. Cranmer
author_sort Michael J. Wagner
collection DOAJ
description Abstract Background Chondrosarcoma is one of the most common malignant bone tumors in adults. Conventional chondrosarcoma represents around 85% of all chondrosarcomas and is notoriously difficult to treat with chemotherapy. Case presentation We describe a 67-year-old man with metastatic conventional chondrosarcoma who was treated with nivolumab. Treatment was discontinued after restaging showed increased tumor burden, which later proved to be pseudoprogression. The patient restarted nivolumab and continues to have a near complete response. Conclusion Conventional chondrosarcoma may be sensitive to checkpoint inhibitors. Further, this case demonstrates clearly the phenomenon of pseudo-progression in this disease, a factor that must be considered in the design of clinical trials and clinical care. This case supports additional study of immunomodulatory agents in this deadly disease.
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spelling doaj.art-d2985005c8ee4377ac381eafa38dbf812022-12-21T18:18:30ZengBMJ Publishing GroupJournal for ImmunoTherapy of Cancer2051-14262018-09-01611410.1186/s40425-018-0413-zResponse to PD1 inhibition in conventional chondrosarcomaMichael J. Wagner0Robert W. Ricciotti1Jose Mantilla2Elizabeth T. Loggers3Seth M. Pollack4Lee D. Cranmer5Division of Medical Oncology, University of Washington School of MedicineDepartment of Pathology, University of Washington School of MedicineDepartment of Pathology, University of Washington School of MedicineDivision of Medical Oncology, University of Washington School of MedicineDivision of Medical Oncology, University of Washington School of MedicineDivision of Medical Oncology, University of Washington School of MedicineAbstract Background Chondrosarcoma is one of the most common malignant bone tumors in adults. Conventional chondrosarcoma represents around 85% of all chondrosarcomas and is notoriously difficult to treat with chemotherapy. Case presentation We describe a 67-year-old man with metastatic conventional chondrosarcoma who was treated with nivolumab. Treatment was discontinued after restaging showed increased tumor burden, which later proved to be pseudoprogression. The patient restarted nivolumab and continues to have a near complete response. Conclusion Conventional chondrosarcoma may be sensitive to checkpoint inhibitors. Further, this case demonstrates clearly the phenomenon of pseudo-progression in this disease, a factor that must be considered in the design of clinical trials and clinical care. This case supports additional study of immunomodulatory agents in this deadly disease.http://link.springer.com/article/10.1186/s40425-018-0413-zChondrosarcomaImmunotherapySarcomaBone cancer
spellingShingle Michael J. Wagner
Robert W. Ricciotti
Jose Mantilla
Elizabeth T. Loggers
Seth M. Pollack
Lee D. Cranmer
Response to PD1 inhibition in conventional chondrosarcoma
Journal for ImmunoTherapy of Cancer
Chondrosarcoma
Immunotherapy
Sarcoma
Bone cancer
title Response to PD1 inhibition in conventional chondrosarcoma
title_full Response to PD1 inhibition in conventional chondrosarcoma
title_fullStr Response to PD1 inhibition in conventional chondrosarcoma
title_full_unstemmed Response to PD1 inhibition in conventional chondrosarcoma
title_short Response to PD1 inhibition in conventional chondrosarcoma
title_sort response to pd1 inhibition in conventional chondrosarcoma
topic Chondrosarcoma
Immunotherapy
Sarcoma
Bone cancer
url http://link.springer.com/article/10.1186/s40425-018-0413-z
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AT elizabethtloggers responsetopd1inhibitioninconventionalchondrosarcoma
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