Development of immunity-related adverse events correlates with baseline clinical factors, survival and response to anti-PD-1 treatment in patients with inoperable or metastatic melanoma.


Journal

The Journal of dermatological treatment
ISSN: 1471-1753
Titre abrégé: J Dermatolog Treat
Pays: England
ID NLM: 8918133

Informations de publication

Date de publication:
Jun 2022
Historique:
pubmed: 1 6 2021
medline: 7 7 2022
entrez: 31 5 2021
Statut: ppublish

Résumé

The relationship between immune related adverse events (irAEs) and efficacy is not definitively proven, and data on the relationship between irAE and treatment efficacy are contradictory. Five hundred ninety-three consecutive patients with unresectable or metastatic melanoma treated in the first line with anti-PD-1 (nivolumab or pembrolizumab) between January 2016 and December 2019 were enrolled in the study. Statistically significant differences were demonstrated between the group of patients without and with irAE in median OS and PFS ( The occurrence of irAE was associated with longer OS, PFS, and more frequent response to treatment. IrAE occurred statistically significantly more often in patients with mucosa primary tumor, with normal LDH levels, without brain metastases, stages III, M1a, and M1b.

Sections du résumé

BACKGROUND UNASSIGNED
The relationship between immune related adverse events (irAEs) and efficacy is not definitively proven, and data on the relationship between irAE and treatment efficacy are contradictory.
MATERIAL AND METHODS UNASSIGNED
Five hundred ninety-three consecutive patients with unresectable or metastatic melanoma treated in the first line with anti-PD-1 (nivolumab or pembrolizumab) between January 2016 and December 2019 were enrolled in the study.
RESULTS UNASSIGNED
Statistically significant differences were demonstrated between the group of patients without and with irAE in median OS and PFS (
CONCLUSION UNASSIGNED
The occurrence of irAE was associated with longer OS, PFS, and more frequent response to treatment. IrAE occurred statistically significantly more often in patients with mucosa primary tumor, with normal LDH levels, without brain metastases, stages III, M1a, and M1b.

Identifiants

pubmed: 34057374
doi: 10.1080/09546634.2021.1937477
doi:

Substances chimiques

Nivolumab 31YO63LBSN

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2168-2174

Auteurs

Bożena Cybulska-Stopa (B)

Department of Clinical Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Cracow Branch, Poland.

Marcin Ziętek (M)

Department of Oncology, Wrocław Medical University, Wrocław, Poland.
Department of Surgical Oncology, Wrocław Comprehensive Cancer Center, Wrocław, Poland.

Anna M Czarnecka (AM)

Department of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
Department of Experimental Pharmacology, Mossakowski Medical Research Centre, Polish Academy of Sciences, Warsaw, Poland.

Karolina Piejko (K)

Department of Clinical Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Cracow Branch, Poland.

Robert Dziura (R)

Clinical Oncology Department, Holy Cross Cancer Center, Kielce, Poland.

Łukasz Galus (Ł)

Department of Medical and Experimental Oncology, University of Medical Sciences, Poznan, Poland.
Chemotherapy Department, Greater Poland Cancer Centre, Poznan, Poland.

Barbara Ziółkowska (B)

II Clinic of Radiotherapy and Chemotherapy, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice Branch, Poland.

Stanisław Kieszko (S)

Department of Clinical Oncology, Saint Jan of Dukla Oncology Centre of the Lublin Region, Lublin, Poland.

Natasza Kempa-Kamińska (N)

Department of Clinical Oncology, Wrocław Comprehensive Cancer Center, Wroclaw, Poland.

Jacek Calik (J)

Department of Clinical Oncology, Wrocław Comprehensive Cancer Center, Wroclaw, Poland.

Joanna Seredyńska (J)

Department of Clinical Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Cracow Branch, Poland.

Kamila Gądek (K)

Department of Clinical Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Cracow Branch, Poland.

Tomasz Zemełka (T)

Department of Clinical Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Cracow Branch, Poland.

Paweł Teterycz (P)

Department of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.

Tomasz Kubiatowski (T)

Department of Clinical Oncology, Saint Jan of Dukla Oncology Centre of the Lublin Region, Lublin, Poland.

Rafał Suwiński (R)

II Clinic of Radiotherapy and Chemotherapy, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice Branch, Poland.

Jacek Mackiewicz (J)

Department of Medical and Experimental Oncology, University of Medical Sciences, Poznan, Poland.
Department of Diagnostics and Cancer Immunology, Greater Poland Cancer Centre, Poznan, Poland.

Piotr Rutkowski (P)

Department of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.

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Classifications MeSH