Differential influence of vemurafenib and dabrafenib on patients' lymphocytes despite similar clinical efficacy in melanoma

Schilling, B. ; Sondermann, W. ; Zhao, F. ; Griewank, K. G. ; Livingstone, E. ; Sucker, A. ; Zelba, H. ; Weide, B. ; Trefzer, U. ; Wilhelm, T. ; Loquai, C. ; Berking, C. ; Hassel, J. ; Kähler, K. C. ; Utikal, J. ; Al Ghazal, P. ; Gutzmer, R. ; Goldinger, S. M. ; Zimmer, L. ; Paschen, A. ; Hillen, U. ; Schadendorf, D.

In: Annals of Oncology, 2014, vol. 25, no. 3, p. 747-753

Ajouter à la liste personnelle
    Summary
    In this study, we demonstrate that vemurafenib but not dabrafenib reduces peripheral lymphocyte counts in melanoma patients while both agents show similar clinical efficacy. Within the lymphocyte compartment, vemurafenib selectively decreases circulating CD4+ T cells and changes their phenotype and function. This indicates that selective BRAFi need to be assessed individually for immunomodulatory effects, especially, when planning combinations with immunotherapies