Abstract
The European Society for Medical Oncology (ESMO) held a consensus conference on melanoma on 5–7 September 2019 in Amsterdam, The Netherlands. The conference included a multidisciplinary panel of 32 leading experts in the management of melanoma. The aim of the conference was to develop recommendations on topics that are not covered in detail in the current ESMO Clinical Practice Guideline and where available evidence is either limited or conflicting. The main topics identified for discussion were: (i) the management of locoregional disease; (ii) targeted versus immunotherapies in the adjuvant setting; (iii) targeted versus immunotherapies for the first-line treatment of metastatic melanoma; (iv) when to stop immunotherapy or targeted therapy in the metastatic setting; and (v) systemic versus local treatment of brain metastases. The expert panel was divided into five working groups in order to each address questions relating to one of the five topics outlined above. Relevant scientific literature was reviewed in advance. Recommendations were developed by the working groups and then presented to the entire panel for further discussion and amendment before voting. This manuscript presents the results relating to the management of locoregional melanoma, including findings from the expert panel discussions, consensus recommendations and a summary of evidence supporting each recommendation. All participants approved the final manuscript.
Original language | English |
---|---|
Pages (from-to) | 1449-1461 |
Number of pages | 13 |
Journal | Annals of Oncology |
Volume | 31 |
Issue number | 11 |
Early online date | 4 Aug 2020 |
DOIs | |
Publication status | Published - Nov 2020 |
Keywords
- adjuvant
- consensus
- immunotherapy
- melanoma
- targeted therapy
- treatment
Research Beacons, Institutes and Platforms
- Manchester Cancer Research Centre
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In: Annals of Oncology, Vol. 31, No. 11, 11.2020, p. 1449-1461.
Research output: Contribution to journal › Article › peer-review
TY - JOUR
T1 - ESMO consensus conference recommendations on the management of locoregional melanoma
T2 - under the auspices of the ESMO Guidelines Committee
AU - Michielin, O.
AU - van Akkooi, A.
AU - Lorigan, P.
AU - Ascierto, P. A.
AU - Dummer, R.
AU - Robert, C.
AU - Arance, A.
AU - Blank, C. U.
AU - Chiarion Sileni, V.
AU - Donia, M.
AU - Faries, M. B.
AU - Gaudy-Marqueste, C.
AU - Gogas, H.
AU - Grob, J. J.
AU - Guckenberger, M.
AU - Haanen, J.
AU - Hayes, A. J.
AU - Hoeller, C.
AU - Lebbé, C.
AU - Lugowska, I.
AU - Mandalà, M.
AU - Márquez-Rodas, I.
AU - Nathan, P.
AU - Neyns, B.
AU - Olofsson Bagge, R.
AU - Puig, S.
AU - Rutkowski, P.
AU - Schilling, B.
AU - Sondak, V. K.
AU - Tawbi, H.
AU - Testori, A.
AU - Keilholz, U.
N1 - Funding Information: The authors thank Claire Bramley, Sarah Escuin, Louise Green and Jennifer Lamarre of the ESMO Guidelines staff for their support throughout the whole consensus process and Jackie Jones of Kstorfin Medical Communications (KMC) Ltd for her logistical support during the consensus conference. Angela Corstorphine of KMC provided medical writing support with the preparation of this manuscript. This support was funded by ESMO. Funding Information: AA consultancy to and travel support from Bristol-Myers Squibb, Merck, Merck Sharp & Dohme, Novartis, Roche; PAA consultancy to Amgen, Array, Bristol-Myers Squibb, Genmab, Idera, Immunocore, Incyte, MedImmune, Merck Sharp & Dohme, Newlinks Genetics, Novartis, Pierre Fabre, Roche Genentech, Sandoz, Sanofi, Sindax, Sun Pharma, Ultimovacs; contracted research for Array, Bristol-Myers Squibb, Roche; travel support from Merck Sharp & Dohme; CB adviser to Bristol-Myers Squibb, Merck Sharp & Dohme, Roche, Novartis, GlaxoSmithKline, AstraZeneca, Pfizer, Lilly, Genmab, Pierre Fabre, Third Rock Ventures; research funding from Bristol-Myers Squibb, Novartis, Nanostring; stock ownership in Uniti Cars; co-founder of Immagene BV; VCS travel support from Bristol-Myers Squibb, Pierre Fabre; advisory boards for Pierre Fabre; invited speaker for Novartis, Merck Serono, Sanofi; MD honoraria for lectures from AstraZeneca, Bristol-Myers Squibb, Merck Sharp & Dohme, Novartis, Roche; travel support from Merck Sharp & Dohme, Novartis; access to virtual conference services from Merck Sharp & Dohme; RD consultancy to and/or advisory relationships with Amgen, Bristol-Myers Squibb, CatalYm, Merck Sharp & Dohme, Novartis, Pierre Fabre, Roche, Sanofi, Second Genome, Sun Pharma, Takeda; MF advisory boards for Amgen, Array Bioscience, Bristol-Myers Squibb, Novartis, Pulse Bioscience, Sanofi; consultancy to Delcath Systems; CG-M travel support from Bristol-Myers Squibb, Merck Sharp & Dohme; speaker honorarium from Bristol-Myers Squibb; HG consultancy to and/or advisory relationships with Amgen, Bristol-Myers Squibb, Merck Sharp & Dohme, Novartis, Pierre Fabre, Roche; institutional research grants from Bristol-Myers Squibb, Merck Sharp & Dohme; J-JG advisory relationships with Amgen, Bristol-Myers Squibb, Merck, Merck Sharp & Dohme, Novartis, Pfizer, Pierre Fabre, Roche, Sanofi; JH consultancy, advisory boards and/or lectures for Amgen, AstraZeneca/Medimmune, Bayer, Bristol-Myers Squibb, GlaxoSmithKline, Ipsen, Merck Serono, Merck Sharp & Dohme, Novartis, Pfizer, Roche/Genentech, Sanofi, Seattle Genetics; scientific advisory boards for Achilles Therapeutics, AIMM Therapeutics, Celsius Therapeutics, Immunocore, Neogene Therapeutics, Neon Therapeutics, Vaximm; institutional research grants from Bristol-Myers Squibb, Merck Sharp & Dohme, Novartis, Neon Therapeutics; CH consultancy, advisory boards and/or lectures for Amgen, AstraZeneca, Bristol-Myers Squibb, Inzyte, Merck Sharp & Dohme, Novartis, Pierre Fabre, Roche; UK consultancy, advisory boards and/or lectures for Amgen, AstraZeneca/Medimmune, Bayer, Bristol-Myers Squibb, Glycotope, GlaxoSmithKline, Merck Serono, Merck Sharp & Dohme, Novartis, Pfizer, Roche/Genentech, Sanofi; institutional research grants from AstraZeneca/Medimmune, Bayer; CL consultancy, advisory boards, speakers bureau and/or advisory relationships with Amgen, Bristol-Myers Squibb, Merck Sharp & Dohme, Novartis, Roche; advisory board for Avantis Medical Systems; travel support from Bristol-Myers Squibb, Merck Sharp & Dohme; other honoraria from Incyte, Pierre Fabre, Pfizer; PL sponsored research for Bristol-Myers Squibb; speaker bureau for Bristol-Myers Squibb, Merck Sharp & Dohme, Novartis, Pierre Fabre; paid advisor to Amgen, Bristol-Myers Squibb, MelaGenix, Merck Sharp & Dohme, Novartis, Pierre Fabre; travel support from Bristol-Myers Squibb, Merck Sharp & Dohme; IL sponsored research for Amgen, Bristol-Myers Squibb, Janssen, Merck, Novartis, Roche, Microgenics; travel support from Bristol-Myers Squibb, Roche; MM advisory boards for Bristol-Myers Squibb, Merck Sharp & Dohme, Novartis, Pierre Fabre, Roche; research grants from Novartis, Roche; IM-R advisory boards for Amgen, Bioncotech, Bristol-Myers Squibb, Incyte, Merck Serono, Merck Sharp & Dohme, Novartis, Pierre Fabre, Regeneron, Roche, Sanofi; travel and congress accommodation support from Bioncotech, Bristol-Myers Squibb, Merck Sharp & Dohme, Novartis, Pierre Fabre, Roche; OM honoraria from Bristol-Myers Squibb, Merck Sharp & Dohme, Novartis, Pierre Fabre, Roche; PN advisory boards and/or speakers bureau for AstraZeneca, Bristol-Myers Squibb, Immunocore, Ipsen, Merck, Merck Sharp & Dohme, Novartis, Pierre Fabre, Pfizer, Roche; BN advisory boards, public speaking and consultancy for AstraZeneca, Bristol-Myers Squibb, Merck Sharp & Dohme, Novartis, Roche; research funding for institution from Merck Serono, Novartis, Pfizer, Roche; ROB research grants from AstraZeneca; speaker honoraria from Pfizer, Roche; advisory boards for Amgen, Bristol-Myers Squibb, Merck Sharp & Dohme; SP grants, personal fees and non-financial support from Almirall, Sanofi, ISDIN, La Roche Posay; grants and personal fees from Amgen, Leo Pharma, OJER Pharma; non-financial support from Lilly, AbbVie; personal fees from Bristol-Myers Squibb; grants from Novartis, Sun Pharma, Melagenics, Castle; personal fees and non-financial support from Pfizer, Roche; CR consultancy to and/or advisory boards for Amgen, Bristol-Myers Squibb, Merck, Merck Sharp & Dohme, Novartis, Pierre Fabre, Roche, Sanofi; PR speakers bureau for Bristol-Myers Squibb, Merck Sharp & Dohme, Novartis, Pierre Fabre, Pfizer, Roche; advisory boards for Amgen, Blueprint Medicines, Bristol-Myers Squibb, Merck Sharp & Dohme, Novartis, Pierre Fabre; BS honoraria from Amgen, Bristol-Myers Squibb, Incyte, Merck Sharp & Dohme, Novartis, Pierre Fabre, Pfizer, Roche; grants from Bristol-Myers Squibb, Merck Sharp & Dohme, Pierre Fabre; VS consultancy to and/or advisory boards for Bristol-Myers Squibb, Merck, Novartis, Regeneron; data safety monitoring boards for Array, Bristol-Myers Squibb, Novartis, Pfizer, Polynoma; HT advisory relationships with Bristol-Myers Squibb, Merck, Novartis, Roche/Genentech; research grants from Bristol-Myers Squibb, GlaxoSmithKline, Merck, Novartis, Roche/Genentech; AT travel and congress registration support from Agenus; AvA honoraria paid to institute for consultancy to and/or advisory boards for 4SC, Amgen, Bristol-Myers Squibb, Merck Sharp & Dohme, Merck-Pfizer, Novartis; institutional research grants from Amgen, Bristol-Myers Squibb, Novartis; all remaining authors have declared no conflicts of interest. Publisher Copyright: © 2020 European Society for Medical Oncology Copyright: Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/11
Y1 - 2020/11
N2 - The European Society for Medical Oncology (ESMO) held a consensus conference on melanoma on 5–7 September 2019 in Amsterdam, The Netherlands. The conference included a multidisciplinary panel of 32 leading experts in the management of melanoma. The aim of the conference was to develop recommendations on topics that are not covered in detail in the current ESMO Clinical Practice Guideline and where available evidence is either limited or conflicting. The main topics identified for discussion were: (i) the management of locoregional disease; (ii) targeted versus immunotherapies in the adjuvant setting; (iii) targeted versus immunotherapies for the first-line treatment of metastatic melanoma; (iv) when to stop immunotherapy or targeted therapy in the metastatic setting; and (v) systemic versus local treatment of brain metastases. The expert panel was divided into five working groups in order to each address questions relating to one of the five topics outlined above. Relevant scientific literature was reviewed in advance. Recommendations were developed by the working groups and then presented to the entire panel for further discussion and amendment before voting. This manuscript presents the results relating to the management of locoregional melanoma, including findings from the expert panel discussions, consensus recommendations and a summary of evidence supporting each recommendation. All participants approved the final manuscript.
AB - The European Society for Medical Oncology (ESMO) held a consensus conference on melanoma on 5–7 September 2019 in Amsterdam, The Netherlands. The conference included a multidisciplinary panel of 32 leading experts in the management of melanoma. The aim of the conference was to develop recommendations on topics that are not covered in detail in the current ESMO Clinical Practice Guideline and where available evidence is either limited or conflicting. The main topics identified for discussion were: (i) the management of locoregional disease; (ii) targeted versus immunotherapies in the adjuvant setting; (iii) targeted versus immunotherapies for the first-line treatment of metastatic melanoma; (iv) when to stop immunotherapy or targeted therapy in the metastatic setting; and (v) systemic versus local treatment of brain metastases. The expert panel was divided into five working groups in order to each address questions relating to one of the five topics outlined above. Relevant scientific literature was reviewed in advance. Recommendations were developed by the working groups and then presented to the entire panel for further discussion and amendment before voting. This manuscript presents the results relating to the management of locoregional melanoma, including findings from the expert panel discussions, consensus recommendations and a summary of evidence supporting each recommendation. All participants approved the final manuscript.
KW - adjuvant
KW - consensus
KW - immunotherapy
KW - melanoma
KW - targeted therapy
KW - treatment
U2 - 10.1016/j.annonc.2020.07.005
DO - 10.1016/j.annonc.2020.07.005
M3 - Article
C2 - 32763452
AN - SCOPUS:85090059831
SN - 0923-7534
VL - 31
SP - 1449
EP - 1461
JO - Annals of Oncology
JF - Annals of Oncology
IS - 11
ER -