Improving Survival Rates and Mitigating Adverse Events with Immunotherapies in Advanced Melanoma
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Based on evidence, which of the following is TRUE about combination immunotherapy for advanced melanoma?
NIVO-RELA is associated with higher toxicity compared to NIVO-IPI
NIVO-RELA is associated with lower toxicity compared to NIVO-IPI
NIVO-RELA has shown lower efficacy compared to NIVO-IPI
NIVO-RELA has shown increased efficacy compared to NIVO-IPI
Based on evidence and guidelines, which of the following is a preferred first-line treatment for metastatic or unresectable melanoma?
Combination immunotherapy
Combination targeted therapy
Combination immunotherapy + targeted therapy
Lifileucel
Unsure
A 68-year-old patient with advanced melanoma was recently put on combination immunotherapy with nivolumab and ipilimumab, but developed diarrhea with ten bowel movements per day after three cycles of therapy. Which course of action would you consider for this patient?
Interrupt immunotherapy and wait for resolution of diarrhea before resuming
Continue immunotherapy and start corticosteroids
Interrupt immunotherapy and start corticosteroids and/or infliximab
Interrupt immunotherapy or switch to monotherapy with pembrolizumab or nivolumab
A 56-year-old patient with newly diagnosed BRAF V600E metastatic melanoma with brain lesions. Upon consultation with your team, which of the following would you offer to this patient?
Vemurafenib-cobimetinib
Pembrolizumab-low dose ipilimumab
Nivolumab or pembrolizumab
Nivolumab-ipilimumab
Nivolumab-relatlimab
A 72-year-old patient with a history of sun exposure, prior history of stage IIIB resected melanoma that deferred initial adjuvant therapy, now has disease recurrence with node and lung metastasis with high LDH (BRAF wild-type). What would you do next?
Anti-PD1
Combination targeted therapy
Tumor infiltrating lymphocytes (lifileucel)
Ipilimumab
High dose IL-2
Nivolumab-relatlimab
Done
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