Case Report: Complete pathologic response in advanced melanoma with SFRT and dual checkpoint inhibition

Immune checkpoint inhibitors (ICIs) have transformed the treatment landscape for advanced melanoma, though response rates remain limited in bulky disease. Herein, we report the case of a complete pathologic response following combination spatially fractionated radiation therapy (SFRT) and dual nivolumab and ipilimumab for a 12 cm right lung melanoma mass, with subsequent lobectomy revealing no viable tumor cells. Now disease free 2.5 years after treatment, including more than 1 year off all systemic therapy, this case highlights the potential synergy between SFRT and immunotherapy in advanced melanoma management.

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Publication Details

Journal
Frontiers in Oncology
Published
2025-10-17
DOI
https://doi.org/10.3389/fonc.2025.1697902
Primary Topic
CAR-T cell therapy research
Type
article
Field-Weighted Citation Impact
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article

Case Report: Complete pathologic response in advanced melanoma with SFRT and dual checkpoint inhibition

Sean S. Park, Michael P. Grams, Kimberly S. Corbin, Jared Hobson et al.
Frontiers in Oncology
CAR-T cell therapy research
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Case Report: Complete pathologic response in advanced melanoma with SFRT and dual checkpoint inhibition

Sean S. Park, Michael P. Grams, Kimberly S. Corbin, Jared Hobson, Haidong Dong, Joanina K. Gicobi, Lisa A. Kottschade, Dennis A. Wigle, Svetomir N. Markovic, Lindsey A Durham
article en

Abstract

Immune checkpoint inhibitors (ICIs) have transformed the treatment landscape for advanced melanoma, though response rates remain limited in bulky disease. Herein, we report the case of a complete pathologic response following combination spatially fractionated radiation therapy (SFRT) and dual nivolumab and ipilimumab for a 12 cm right lung melanoma mass, with subsequent lobectomy revealing no viable tumor cells. Now disease free 2.5 years after treatment, including more than 1 year off all systemic therapy, this case highlights the potential synergy between SFRT and immunotherapy in advanced melanoma management.

Frontiers in OncologyVol. 15
Mayo Clinic (US), WinnMed (US), Mayo Clinic in Arizona (US)
Openalex Percentile: Top 60%
CAR-T cell therapy research
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