Talimogene laherparepvec (T-VEC) and Emerging Intralesional Immunotherapies for Metastatic Melanoma: A Review

Curr Oncol Rep. 2024 Dec;26(12):1651-1663. doi: 10.1007/s11912-024-01611-9. Epub 2024 Nov 27.

Abstract

Purpose of review: As the incidence of cutaneous melanoma continues to rise worldwide, its heterogeneous presentation proves challenging for managing and preventing relapse.

Recent findings: While surgery remains a mainstay in staging and treatment of locoregional metastatic melanoma, intralesional therapies have emerged as a new tool to treat unresectable in-transit and nodal metastases and reduce the risk of relapse through immunomodulatory mechanisms. In this review, we will provide an overview of intralesional therapies for melanoma with a particular focus on talimogene laherparepvec (T-VEC) and its future uses. We then discuss the landscape of current and emerging intralesional therapies.

Keywords: Intralesional Therapy; Metastatic Melanoma; T-VEC.

Publication types

  • Review

MeSH terms

  • Biological Products* / therapeutic use
  • Herpesvirus 1, Human*
  • Humans
  • Immunotherapy* / methods
  • Injections, Intralesional
  • Melanoma* / immunology
  • Melanoma* / therapy
  • Oncolytic Virotherapy* / methods
  • Skin Neoplasms* / immunology
  • Skin Neoplasms* / pathology
  • Skin Neoplasms* / therapy

Substances

  • talimogene laherparepvec
  • Biological Products