Impact on Survival with Immunotherapy and Evaluation of Biomarkers in Peruvian Patients with Advanced Melanoma.

IF 2.7 4区 医学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY
OncoTargets and therapy Pub Date : 2024-11-02 eCollection Date: 2024-01-01 DOI:10.2147/OTT.S483753
Guillermo Valencia, Katia Roque, Patricia Rioja, José Andrés Huamán, Valeria Colomo, Jorge Sánchez, Cindy Calle, Raúl Mantilla, Zaida Morante, Hugo Fuentes, Tatiana Vidaurre, Silvia Neciosup, Ramon Andrade De Mello, Henry L Gómez, Amaya B Fernández-Díaz, Alfonso Berrocal, Carlos Castaneda
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引用次数: 0

Abstract

Introduction: Advanced malignant melanoma is a very aggressive disease, historically with poor prognosis before the new advances with immunotherapy and targeted therapies that have changed the standard of care, especially in cutaneous melanoma. Peru has aggressive features such as higher rates of acral lentiginous melanoma (ALM) subtype with historically shorter survival.

Methods: This study describes Peruvian patients with advanced melanoma treated with immunotherapy (nivolumab) in two oncological institutions (public and private), including the discussion of the impact on overall survival (OS) divided by subtype (with incidence in ALM histology) and potential biomarkers that could be related to prognosis.

Results: We found that immunotherapy is safe, and improves progression-free survival (PFS), OS and objective response rate (ORR) in our patients, with lower benefit in ALM histology. No prognostic blood inflammatory biomarkers were detected.

Discussion: There is very limited data of Peruvian patients with metastatic melanoma treated with immunotherapy, especially the outcomes in ALM histology. Our goal is to share an example of the impact of immunotherapy in a Latin American (LATAM) population considered as an unsatisfied group with an enormous need of novel treatments and biomarkers.

免疫疗法对秘鲁晚期黑色素瘤患者生存期的影响及生物标志物评估。
简介晚期恶性黑色素瘤是一种侵袭性很强的疾病,在免疫疗法和靶向疗法的新进展改变了治疗标准(尤其是皮肤黑色素瘤)之前,其预后一直很差。秘鲁的黑色素瘤具有侵袭性强的特点,如尖头皮样黑色素瘤(ALM)亚型的发病率较高,存活率历来较低:本研究描述了在两家肿瘤机构(公立和私立)接受免疫疗法(nivolumab)治疗的秘鲁晚期黑色素瘤患者的情况,包括按亚型(ALM组织学发病率高)和可能与预后相关的潜在生物标志物划分的免疫疗法对总生存期(OS)的影响:结果:我们发现免疫疗法是安全的,能改善患者的无进展生存期(PFS)、OS和客观反应率(ORR),但在ALM组织学中的获益较少。没有发现预后性血液炎症生物标志物:秘鲁转移性黑色素瘤患者接受免疫疗法治疗的数据非常有限,尤其是在ALM组织学方面。我们的目标是分享一个实例,说明免疫疗法对拉丁美洲(LATAM)人群的影响,该人群被认为是对新型疗法和生物标志物有巨大需求的未满足群体。
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来源期刊
OncoTargets and therapy
OncoTargets and therapy BIOTECHNOLOGY & APPLIED MICROBIOLOGY-ONCOLOGY
CiteScore
9.70
自引率
0.00%
发文量
221
审稿时长
1 months
期刊介绍: OncoTargets and Therapy is an international, peer-reviewed journal focusing on molecular aspects of cancer research, that is, the molecular diagnosis of and targeted molecular or precision therapy for all types of cancer. The journal is characterized by the rapid reporting of high-quality original research, basic science, reviews and evaluations, expert opinion and commentary that shed novel insight on a cancer or cancer subtype. Specific topics covered by the journal include: -Novel therapeutic targets and innovative agents -Novel therapeutic regimens for improved benefit and/or decreased side effects -Early stage clinical trials Further considerations when submitting to OncoTargets and Therapy: -Studies containing in vivo animal model data will be considered favorably. -Tissue microarray analyses will not be considered except in cases where they are supported by comprehensive biological studies involving multiple cell lines. -Biomarker association studies will be considered only when validated by comprehensive in vitro data and analysis of human tissue samples. -Studies utilizing publicly available data (e.g. GWAS/TCGA/GEO etc.) should add to the body of knowledge about a specific disease or relevant phenotype and must be validated using the authors’ own data through replication in an independent sample set and functional follow-up. -Bioinformatics studies must be validated using the authors’ own data through replication in an independent sample set and functional follow-up. -Single nucleotide polymorphism (SNP) studies will not be considered.
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