Onco Wiki / Regimen

Lifileucel TIL therapy (Amtagvi, melanoma 3L+)

Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.

Knowledge-base record for audit. Provisional clinical content: this is not a prescription. An oncologist must verify original sources, applicability and review status. Full rules and constraints are in the YAML.

Source YAML: complete record

ComponentsNone declared
IDREG-LIFILEUCEL-TIL-MELANOMA
TypeRegimen
Statusreviewed 2026-04-27 | pending_clinical_signoff
DiseasesNone declared
SourcesSRC-C14401-CHESNEY-2024 SRC-NCCN-MELANOMA-2025

Notes

C-144-01 pooled cohorts (n=153): ORR 31.4%, mDoR not reached at 27.6 mo follow-up, mOS 13.9 mo — first cellular therapy approved for any solid tumor (FDA 2024-02-16, Iovance Amtagvi). Single- infusion treatment intent (no maintenance). Treatment-related mortality ~7% — patient selection critical: ECOG ≤1, organ function adequate for IL-2 (LVEF ≥45, FEV1 ≥60, DLCO ≥60), no active infection, no chronic immunosuppression. CRITICAL: must AVOID systemic corticosteroids before and shortly after TIL infusion (abrogate TIL function). Specialty-center authorization + REMS-style accreditation required. Ukraine pathway: international referral only.

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Indication