Efficacy and safety of nivolumab in metastatic melanoma: real-world practice.
Eur J Dermatol
; 29(3): 315-321, 2019 Jun 01.
Article
em En
| MEDLINE
| ID: mdl-31389790
ABSTRACT
BACKGROUND:
Anti-PD1 antibodies have revolutionized the management of patients with advanced melanoma. In clinical trials, the efficacy of nivolumab is being tested in selected populations of patients.OBJECTIVES:
The aim of this study was to analyse the efficacy and safety of nivolumab in patients with advanced melanoma under real-life conditions. MATERIALS ANDMETHODS:
A retrospective, observational study was conducted in patients treated with nivolumab for advanced melanoma included in the RIC-Mel network. Overall survival and progression-free survival (PFS) were assessed using the Kaplan-Meier method.RESULTS:
Eighty-seven patients were included with a median follow-up of 31 months. The median PFS was 13 months (95% CI 7-28). Objective response rate was 33.3%. Among patients achieving a complete response, the response was maintained after treatment discontinuation in 80.7% of patients for a median duration of 21.7 months. Multivariate analysis showed that an increased lactate dehydrogenase level (p = 0.03; HR 1.21; 95% CI 1.02-1.45) and brain metastases (p = 0.024; HR 2.78; 95% CI 1.14-6.77) were correlated with a decrease in PFS. Grade 3 or 4 adverse events were found in 10.3% of patients.CONCLUSION:
Based on our study, the efficacy and safety of nivolumab in patients with advanced melanoma are consistent with previously published data.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias Cutâneas
/
Anticorpos Monoclonais Humanizados
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Nivolumabe
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Melanoma
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article