Palliative radiotherapy in advanced cancer patients treated with immune-checkpoint inhibitors: The PRACTICE study.

abscopal effect anti-PD-1 anti-PD-L1 immune checkpoint inhibitors immunosuppression immunotherapy palliative radiotherapy

Journal

Biomedical reports
ISSN: 2049-9434
Titre abrégé: Biomed Rep
Pays: England
ID NLM: 101613227

Informations de publication

Date de publication:
Feb 2020
Historique:
received: 10 09 2019
accepted: 06 11 2019
entrez: 14 1 2020
pubmed: 14 1 2020
medline: 14 1 2020
Statut: ppublish

Résumé

In the present study, the influence of purely palliative radiotherapy (pRT) on the outcomes of patients with advanced cancer undergoing immune checkpoint blockade was evaluated. Patients were stratified into three groups: Patients who had received pRT within 6 months prior to the initiation of immunotherapy (previous pRT); patients who received pRT during immunotherapy (concurrent pRT); and patients who did not receive RT prior to or during immunotherapy (no RT group), and these groups were compared. The median overall survival (mOS), median progression free survival (mPFS) and median time-to-treatment failure (mTTF) for the previous pRT group were significantly shorter compared with the no RT group (mOS, 3.6 vs. 12.1 months, respectively, P=0.0095; mPFS 1.8 vs. 5.4 months, respectively, P=0.0016; mTTF 1.8 vs. 5.7 months, respectively, P=0.0035). The concurrent pRT group had a longer mTTF compared with the previous pRT group and similar outcomes to the no RT group. In the previous pRT group, 26.9% of the patients experienced immune-related adverse events compared with 40.1% of patients in the no RT group. Despite the use of pRT during immunotherapy being considered safe, the results of the present study suggest that pRT has a negative effect on immune balance.

Identifiants

pubmed: 31929875
doi: 10.3892/br.2019.1265
pii: BR-0-0-1265
pmc: PMC6951237
doi:

Types de publication

Journal Article

Langues

eng

Pagination

59-67

Informations de copyright

Copyright: © Bersanelli et al.

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Auteurs

Melissa Bersanelli (M)

Department of Medicine and Surgery, University Hospital of Parma, I-43126 Parma, Italy.
Medical Oncology Unit, University Hospital of Parma, I-43126 Parma, Italy.

Elisabetta Lattanzi (E)

Radiotherapy Unit, University Hospital of Parma, I-43126 Parma, Italy.

Nunziata D'Abbiero (N)

Radiotherapy Unit, University Hospital of Parma, I-43126 Parma, Italy.

Sebastiano Buti (S)

Medical Oncology Unit, University Hospital of Parma, I-43126 Parma, Italy.

Alessandro Leonetti (A)

Medical Oncology Unit, University Hospital of Parma, I-43126 Parma, Italy.

Maria Giulia Canè (MG)

Radiotherapy Unit, University Hospital of Parma, I-43126 Parma, Italy.

Salvatore Trapani (S)

Medical Oncology Unit, University Hospital of Parma, I-43126 Parma, Italy.

Gianluca Gravina (G)

Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, I-67100 L'Aquila, Italy.

Giampiero Porzio (G)

Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, I-67100 L'Aquila, Italy.
Medical Oncology Unit, St. Salvatore Hospital, I-67100 L'Aquila, Italy.

Katia Cannita (K)

Medical Oncology Unit, St. Salvatore Hospital, I-67100 L'Aquila, Italy.

Pietro Di Marino (PD)

Clinical Oncology Unit, Santissima Annunziata Hospital, Gabriele D'Annunzio University of Chieti-Pescara, I-66100 Chieti, Italy.

Antonino Grassadonia (A)

Department of Medical, Oral and Biotechnological Sciences, Gabriele D'Annunzio University of Chieti-Pescara, I-66100 Chieti, Italy.

Nicola Tinari (N)

Department of Medical, Oral and Biotechnological Sciences, Gabriele D'Annunzio University of Chieti-Pescara, I-66100 Chieti, Italy.

Michele De Tursi (M)

Department of Medical, Oral and Biotechnological Sciences, Gabriele D'Annunzio University of Chieti-Pescara, I-66100 Chieti, Italy.

Elisa Giaiacopi (E)

Medical Oncology Unit, University Hospital of Parma, I-43126 Parma, Italy.

Maria Michiara (M)

Medical Oncology Unit, University Hospital of Parma, I-43126 Parma, Italy.

Paola Bordi (P)

Medical Oncology Unit, University Hospital of Parma, I-43126 Parma, Italy.

Fabiana Perrone (F)

Medical Oncology Unit, University Hospital of Parma, I-43126 Parma, Italy.

Luciana Caravatta (L)

Department of Radiation Oncology, Santissima Annunziata Hospital, Gabriele D'Annunzio University of Chieti-Pescara, I-66100 Chieti, Italy.

Marianna Trignani (M)

Department of Radiation Oncology, Santissima Annunziata Hospital, Gabriele D'Annunzio University of Chieti-Pescara, I-66100 Chieti, Italy.

Domenico Genovesi (D)

Department of Radiation Oncology, Santissima Annunziata Hospital, Gabriele D'Annunzio University of Chieti-Pescara, I-66100 Chieti, Italy.

Clara Natoli (C)

Department of Medical, Oral and Biotechnological Sciences, Gabriele D'Annunzio University of Chieti-Pescara, I-66100 Chieti, Italy.

Corrado Ficorella (C)

Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, I-67100 L'Aquila, Italy.
Medical Oncology Unit, St. Salvatore Hospital, I-67100 L'Aquila, Italy.

Marcello Tiseo (M)

Department of Medicine and Surgery, University Hospital of Parma, I-43126 Parma, Italy.
Medical Oncology Unit, University Hospital of Parma, I-43126 Parma, Italy.

Alessio Cortellini (A)

Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, I-67100 L'Aquila, Italy.
Medical Oncology Unit, St. Salvatore Hospital, I-67100 L'Aquila, Italy.

Classifications MeSH