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Merkel cell carcinoma

Merkel cell carcinoma is a rare and aggressive type of skin cancer that usually appears as a flesh-colored or bluish-red nodule, often on the face, head or neck

Prevalence

1-9 / 100 000

3,310-29,790

US Estimated

5,135-46,215

Europe Estimated

Age of Onset

ageofonset adult https://raremedicalnews.com/wp-content/uploads/2023/09/Depositphotos_11888076_L-e1694188198600.jpg

ICD-10

C44.3
C44.6
C44.7

Inheritance

This condition does not appear to have a clear pattern of inheritance.

 

5 Facts you should know

FACT

1

Merkel cell carcinoma (MCC) usually presents as a firm nodule (up to 2 cm diameter) or mass (>2 cm diameter)

FACT

2

They are flesh-colored, red, or blue tumors typically, vary in size from 0.5 - 5 cm in diameter - and often enlarge rapidly

FACT

3

Although MCC may arise almost anywhere on the body, it is most commonly found in sun-exposed areas such as the head, neck, or extremities

FACT

4

Merkel-cell cancers tend to invade locally, infiltrating the underlying subcutaneous fat, fascia, and muscle, and typically metastasize early in their natural history

FACT

5

It is more common in people over 60 years old, Caucasian people, and males

Merkel cell carcinoma is also known as...

Merkel cell carcinoma is also known as...

 
  • Neuroendocrine carcinoma of the skin
  • Merkel cell cancer
  • Merkle tumors
 

What’s your Rare IQ?

Which popular American musician died from Merkel cell carcinoma?
 

Common signs & symptoms

Merkel cell skin cancer

Cellular immunodeficiency

Chronic noninfectious lymphadenopathy

Cutaneous photosensitivity

Erythematous macule

Erythematous plaque

Regional abnormality of skin

Skin nodule

Current treatments

FDA-Approved Treatments—The medication(s) listed below have been approved by the Food and Drug Administration (FDA) as orphan products for treatment of this condition. Learn more orphan products.

Avelumab

(Brand name: Bavencio) Manufactured by EMD Serono Research and Development Institute, Inc.
FDA-approved indication: Treatment of adults and pediatric patients 12 years and older with metastatic Merkel cell carcinoma.
National Library of Medicine Drug Information Portal

Pembrolizumab

(Brand name: Keytruda) Manufactured by Merck, Sharp, and Dohme Corp.
FDA-approved indication: December 2018, pembrolizumab (Keytruda) was approved for the treatment of adult and pediatric patients with recurrent locally advanced or metastatic Merkel cell carcinoma.
National Library of Medicine Drug Information Portal
Medline Plus Health Information

Clinical trials

TitleDescriptionPhasesStatusInterventionsMore Information
Study of AU-007, A Monoclonal Antibody That Binds to IL-2 and Inhibits IL-2Rα Binding, in Patients With Unresectable Locally Advanced or Metastatic CancerThis is a first in human, open-label, multi-center Phase 1 / 2 study to evaluate the safety, tolerability, and initial efficacy of AU-007 in patients with advanced solid tumors. AU-007 will be administered either as a monotherapy, or in combination with a single loading dose of aldesleukin, or with...Phase 1, Phase 2RecruitingDrug: AU-007
Drug: Aldesleukin
Drug: Avelumab
Drug: Nivolumab
More Info
The Cancer Connected Access and Remote Expertise Beyond Walls Program to Provide In-Home Cancer Treatment and Improve Treatment Satisfaction in Cancer Patients Living in the Florida Panhandle and Surrounding AreasThis phase II trial studies whether providing cancer treatment in the home is preferred over the traditional clinic setting and if it improves treatment satisfaction in cancer patients living in the Florida Panhandle and surrounding areas. Typically, drug-related cancer care is provided at a medical...Phase 2RecruitingDrug: Cancer Therapeutic Procedure
Other: Questionnaire Administration
More Info
Intratumoral PH-762 for Cutaneous CarcinomaThe goal of this clinical trial is to evaluate the safety and tolerability of intratumoral injections of PH-762 in squamous cell carcinoma, melanoma, or Merkel cell carcinomas of the skin, to understand what the body does to the PH-762, and to observe how the tumor responds to the drug. Participants...Phase 1ActiveDrug: PH-762More Info
MEM-288 Oncolytic Virus Alone and in Combination With Standard of Care Therapy in Advanced Solid TumorsThis is a multipart, open-label, multi-center dose escalation, dose expansion phase I clinical trial designed to evaluate the safety, tolerability, maximum tolerated dose (MTD), recommended phase 2 dose (RP2D), and preliminary efficacy of MEM-288 in patients with advanced solid tumors. Eligible subj...Phase 1RecruitingBiological: MEM-288 Intratumoral Injection
Biological: Nivolumab
Drug: Docetaxel
More Info
Personalised Immunotherapy PlatformThis is a non-interventional study to prospectively test a suite of predictive biomarker models of immunotherapy resistance in patients with melanoma, non-melanoma skin cancers and other solid tumours. The study will evaluate the documentation, processes, accuracy and utility of the predictive bioma...RecruitingOther: Predictive modelMore Info
Exercise to Boost Response to Checkpoint Blockade ImmunotherapyThe purpose of this pilot study will be to provide i) information on feasibility implementing an exercise intervention trial among patients with cutaneous cancers, including melanoma, squamous cell carcinoma (cuSCC), and Merkel cell carcinoma, scheduled to receive checkpoint blockade immunotherapy,...ActiveOther: Exercise TestMore Info
Cytotoxic T Lymphocytes in Treating Patients With Malignancies With BK and/or JC VirusThis phase II trial studies how well donor cytotoxic T lymphocytes work in treating patients with malignancies with BK and/or JC virus. Cytotoxic T lymphocytes are made from donated blood cells that are grown in the laboratory and are designed to kill viruses that can cause infections in transplant...Phase 2RecruitingBiological: Allogeneic BK-specific Cytotoxic T-lymphocytes
Other: Laboratory Biomarker Analysis
More Info
Adoptive Transfer of Tumor Infiltrating Lymphocytes for Advanced Solid CancersThis is a Phase 2 study to evaluate the efficacy of a non-myeloablative lymphodepleting preparative regimen followed by infusion of autologous TIL and high-dose aldesleukin in patients with locally advanced, recurrent, or metastatic cancer associated with one of the following cancer types: 1.) gastr...Phase 2RecruitingBiological: Tumor Infiltrating Lymphocytes (TIL)
Drug: Fludarabine + Cyclophosphamide combination
More Info
IFx-Hu2.0 As An Adjunctive Therapy To Pembrolizumab In Advanced Or Metastatic Merkel Cell Carcinoma (MCC)This Phase 1, multicenter, open-label trial will assess the safety and feasibility of IFx-Hu2.0 as adjunctive therapy to pembrolizumab in adult patients (≥18 years) with non-cutaneous Merkel Cell Carcinoma. Nine subjects will receive IFx-Hu2.0 as a visceral lesion injection in a single lesion follow...Phase 1RecruitingDrug: IFx-Hu2.0
Drug: Pembrolizumab
More Info
Neoadjuvant Merkel Cell Carcinoma Therapy (Tx) With the PD-1 Inhibitor CemiplimabThe study is a randomized, double blind, placebo-controlled, non-comparative phase II trial that investigates the efficacy of neoadjuvant anti-PD-1 antibody Cemiplimab treatment in patients with clinical stage I or II Merkel cell carcinoma who have have undergone primary tumour excision and are pend...Phase 2Not yet recruitingDrug: Cemiplimab 350 mg i.v. on day 1 of every 21 days cycle for 2 cycles
Drug: Placebo NaCl 0.9% solution i.v. on day 1 of every 21 days cycle for 2 cycles.
More Info