Treatment patterns and outcomes following disease progression on anti-PD-1 therapies for advanced melanoma

被引:3
|
作者
Nordstrom, Beth L. [1 ]
Hamilton, Melissa [2 ]
Collins, Jenna M. [1 ]
Earle, Dennis [2 ]
Zhang, Ying [2 ]
Srivastava, Shivani [2 ]
Hernandez-Aya, Leonel [3 ]
机构
[1] Evidera, 500 Totten Pond Rd,Fifth Floor, Waltham, MA 02451 USA
[2] Bristol Myers Squibb, 3401 Princeton Pike, Lawrenceville, NJ 08648 USA
[3] Washington Univ, Div Oncol, 660 South Euclid Ave, St Louis, MO 63110 USA
关键词
cancer progression; immunotherapy; melanoma; survival; treatment patterns; NIVOLUMAB; IPILIMUMAB; BRAF;
D O I
10.2217/fon-2021-0340
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: Anti-PD-1-based therapies prolong survival in advanced melanoma, but disease progression is common. This study evaluated treatment patterns and overall survival (OS) after anti-PD-1 progression. Methods: Retrospective data from patients with advanced melanoma and progression on anti-PD-1 treatment between 2014 and 2019 were taken from Flatiron Health, which reflects largely community practice. Treatment patterns and OS were analyzed for BRAF mutant (mt) and wild-type (wt) subgroups; OS was also examined across all patients. Results: Progression following anti-PD-1 was recorded for 679 patients. Median OS ranged from 5.0 to 11.3 months. Of 275 BRAFmt and 374 BRAFwt patients, 113 (41.1%) and 228 (61.0%) received no subsequent therapy, respectively. However, 48.4% of BRAFmt and 57.8% of BRAFwt patients continued anti-PD-1 treatment beyond progression. Conclusion: This real-world study underscores the need for effective treatments for advanced melanoma post-progression on anti-PD-1 therapy.
引用
收藏
页码:1343 / 1355
页数:13
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