Combination of Pembrolizumab with Electrochemotherapy in Cutaneous Metastases from Melanoma: A Comparative Retrospective Study from the InspECT and Slovenian Cancer Registry.

electrochemotherapy metastatic melanoma pembrolizumab skin metastases

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
25 Aug 2021
Historique:
received: 06 07 2021
revised: 14 08 2021
accepted: 19 08 2021
entrez: 10 9 2021
pubmed: 11 9 2021
medline: 11 9 2021
Statut: epublish

Résumé

Electrochemotherapy (ECT) is an effective locoregional therapy for cutaneous melanoma metastases and has been safely combined with immune checkpoint inhibitors in preliminary experiences. Since ECT is known to induce immunogenic cell death, its combination with immune checkpoint inhibitors might be beneficial. In this study, we aimed to investigate the effectiveness of ECT on cutaneous melanoma metastases in combination with pembrolizumab. We undertook a retrospective matched cohort analysis of stage IIIC-IV melanoma patients, included in the International Network for sharing practices of ECT (InspECT) and the Slovenian Cancer Registry. We compared the outcome of patients who received the following treatments: (a) pembrolizumab alone, (b) pembrolizumab plus ECT, and (c) ECT. The groups were matched for age, sex, performance status, and size of skin metastases. The local objective response rate (ORR) was higher in the pembrolizumab-ECT group than in the pembrolizumab group (78% and 39%,

Identifiants

pubmed: 34503099
pii: cancers13174289
doi: 10.3390/cancers13174289
pmc: PMC8428335
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Javna Agencija za Raziskovalno Dejavnost RS
ID : P3-0003

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Auteurs

Luca G Campana (LG)

Department of Surgery, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.

Barbara Peric (B)

Department of Surgical Oncology, Institute of Oncology Ljubljana, 1000 Ljubljana, Slovenia.
Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia.

Matteo Mascherini (M)

Clinica Chirurgica 1, Ospedale Policlinico San Martino, University of Genova, 16100 Genova, Italy.

Romina Spina (R)

Soft-Tissue, Peritoneum and Melanoma Surgical Oncology Unit, Veneto Institute of Oncology IOV-IRCCS, Padua Veneto Institute of Oncology, 35121 Padova, Italy.

Christian Kunte (C)

Department of Dermatology and Allergology, Ludwig-Maximilian University of Munich, 80539 Munich, Germany.
Department of Dermatologic Surgery and Dermatology, Artemed Fachklinik Munich, 81379 Munich, Germany.

Erika Kis (E)

Department of Dermatology and Allergology, University of Szeged, 6720 Szeged, Hungary.

Petra Rozsa (P)

Department of Dermatology and Allergology, University of Szeged, 6720 Szeged, Hungary.

Pietro Quaglino (P)

Dermatologic Clinic, Department of Medical Sciences, University of Turin Medical School, 10124 Torino, Italy.

Rowan Pritchard Jones (RP)

Plastic Reconstructive Surgery, University of Liverpool, St. Helens & Knowsley Teaching Hospitals NHS Trust, Liverpool L35 5DR, UK.

A James P Clover (AJP)

Plastic Reconstructive Surgery, Cork University Hospital and South Infirmary Victoria University Hospital and Plastic Surgery University College Cork, T12 DC4A Cork, Ireland.

Pietro Curatolo (P)

Policlinico Umberto I, University La Sapienza, 00185 Roma, Italy.

Roberto Giorgione (R)

Dermatologic Clinic of University of Eastern Piedmont, 28100 Novara, Italy.

Maja Cemazar (M)

Department of Experimental Oncology, Institute of Oncology Ljubljana, 1000 Ljubljana, Slovenia.
Faculty of Health Sciences, University of Primorska, 6310 Izola, Slovenia.

Francesca de Terlizzi (F)

IGEA S.p.A., Clinical Biophysics Laboratory Carpi, 41012 Modena, Italy.

Masa Bosnjak (M)

Department of Experimental Oncology, Institute of Oncology Ljubljana, 1000 Ljubljana, Slovenia.
Faculty of Pharmacy, University of Ljubljana, Askerceva 7, 1000 Ljubljana, Slovenia.

Gregor Sersa (G)

Department of Experimental Oncology, Institute of Oncology Ljubljana, 1000 Ljubljana, Slovenia.
Faculty of Health Sciences, University of Ljubljana, 1000 Ljubljana, Slovenia.

Classifications MeSH