Real-world results of first-line immunotherapy or targeted therapy for metastatic melanoma in Finland: a cohort study
<b>Aim:</b> First-line (1L) immunotherapy has yielded superior overall survival (OS) in metastatic melanoma (MM) but some patients are ineligible for immunotherapy or need rapid response with 1L targeted therapy (TT).<b>Materials & methods:</b> Retrospective cohort study of real-world patients treated with 1L immunotherapy (144 <i>BRAF</i> wild type, 85 <i>BRAF</i>-mutated) or 1L TT (143 <i>BRAF</i>-mutated) for MM in Finland during 2014-2021.<b>Results:</b> Baseline brain metastases, liver metastases and elevated LDH were less common, 2-year OS rates were higher (60.3-63.5% vs. 33.8%) and more patients were alive without the next-line treatment (38.0-43.8% vs. 23.3%) in patients with 1L immunotherapy.<b>Conclusion:</b> Real-world patients with 1L immunotherapy for MM had favorable baseline characteristics and better treatment outcomes than observed in patients with 1L TT.
Authors
- Siru Mäkelä (ORCID: https://orcid.org/0000-0002-5720-5993)
- Kalle Mattila (ORCID: https://orcid.org/0000-0002-9688-9187)
- Sari Hernesniemi
- Anna Kreutzman (ORCID: https://orcid.org/0000-0002-5587-8844)
- Olivia Hölsä (ORCID: https://orcid.org/0009-0007-8260-3356)
- Päivikki Hemmilä
- Johanna Vikkula (ORCID: https://orcid.org/0000-0002-5750-6120)
- Leena Tiainen (ORCID: https://orcid.org/0000-0003-4247-8523)
- Kai Kysenius (ORCID: https://orcid.org/0000-0003-1038-2850)
- Mia Engström-Risku
- Anssi Pystynen
Institutions
- University of Helsinki (FI)
- University of Turku (FI)
- Tampere University (FI)
- Helsinki University Hospital (FI)
- NHS Tayside (GB)
- Turku University Hospital (FI)
- National Cancer Centre Japan (JP)
- Tampere University Hospital (FI)
- Tampere University (FI)
- Comprehensive Blood & Cancer Center (US)
- Centre for Inflammation Research (GB)
- U-M Rogel Cancer Center (US)
Publication Details
- Journal
- Future Oncology
- Published
- 2024-09-30
- DOI
- https://doi.org/10.1080/14796694.2024.2403329
- Citations
- 1
- Primary Topic
- CAR-T cell therapy research
- Type
- article
- Field-Weighted Citation Impact
- 0.28